The Author reports here the statistical observation of poliomyelitis from the 46 cases during a 3 month period (June, August, 1971) at the department of Orthopaedic Surgery, Korea General Hospital under the support of Shrine Club in Korea. The statistical results were as follows: 1. Among 46 cases, 30 were male, age of infection of poliomyelitis ranged from 2 month to age of five. The majority of cases were under the age of one and 95% of total patients were under the age of three. 2. Among 46 cases, 78.2% was not vaccinated fer poliomyelitis. The sequela of paralysis were more prevalent in this group. 3. tibialis anterior muscle and quadriceps femoris muscle were paralized predominently, 78.2% and 60.8% respectively. 4. Seventy eight and two tenth percent (78.2%) of patient seeked Chinese medicine practitionar with herb and acupunture, following paralysis, only 39.1% reported to the hospital and 4.4% did not see any treatment at all.
Asian Continental Ancestry Group ; Hospitals, General ; Humans ; Korea ; Male ; Paralysis ; Poliomyelitis ; Quadriceps Muscle

Since the time when the lumbar discogram was used as the clinical diagnostic method for the first time in 1952, many problems have been pointed out to this method, and moreover, in presentday tendencies for the diagnostic method, the lumbar discogram is carried on even useless by majority. One of the important reasons is that so many studies for the lumbar discograms have reported so many false positive lumbar discograms at the high ratio. Hower we found a certain usefulness of the lumbar discogram incidental to the operation. The purposes of our operative lumbar discogram are those; 1) to observe the radiological configuration of the lumbar discogram. 2) to measure the amount of the the dye injected into normal and abnormal lumbar discs, especially in our Koreans. 3) for confirmation of the diagnosis when the myelographic finding is suspicious. 4) for confirmation of the Ievel especially when the number of the possible lesion is more than one. We investigated and analyzed the 35 lumbar discograms of 26 patients and compiled the statistics.
Diagnosis ; Humans ; Methods

Syringomyelia was described by Etienne, Morgagni and Santorini in 1594 for the first time and was named by Olliver in 1824. In spite of hundreds of years study, it's cause is still not distinctly known and symptoms are very much variable because of its wide, irregular lesion in the spinal cord. The patient of 34 years old male had been suffered from sensory and temperature dissociation and muscle weakness of lower extremity including lower trunk for two years. In case of classical syringomyelia, sense of pain and temperature were diminished on the same area but this patient had complained disturbance of pain and light touch on the same area, but temperature loss does not coincides with, as figure shows. This report will review syringomyelia of lumbosacral type with a case history and references which is relatively rare in incidences.
Humans ; Incidence ; Lower Extremity ; Male ; Muscle Weakness ; Spinal Cord ; Syringomyelia

The managements of fractures of shaft of the femur in children differ in manyways from those in adults. The union occurs rapidly and the remodelling of bone assists in realignment as the child grows. However, the greatest difference observed in the two groups is that in children the growing bone tends to respond to fracture and other influences with growth acceleration. Among the many kinds of methods in the treatment of femoral shaft fractures in children, we have used the method of skeletal traction with Charnleys balanced traction unit due to 1) Fixed traction that introduces the length remaining constant, 2) Weight traction, the tension remaining constant, 3) Eaay control of alignment, that is controlled by the splint not by the traction force, especially in correcting the deformity of retroflexion angulation. Twenty-two cases of fracture of the femoral shaft in children treated with skeletal traction in that method at Korea General Hospital during 4 years, were analyzed. The purpose of this study was, through a series of follow up examination, to elucidate to what extent fracture of the femoral shaft in children gives us increased longitudinal growth of the fractured bone as compared with the healthy limb. The result revealed that in about 72.7% of children with fracture of the frmoral shaft, the leg length discrepancy was within the range of 0+1 cm. The period of accelerated growth was between 6 months and g months after the fracture. Corrected angle at fracture site was noted 3.2 from 10.7 that had been measured as good callus formation.
Acceleration ; Adult ; Bony Callus ; Child ; Congenital Abnormalities ; Extremities ; Femur ; Follow-Up Studies ; Hospitals, General ; Humans ; Korea ; Leg ; Methods ; Splints ; Traction

Open frsctures with extensive soft tissue injuries resulting from motor vehicles and sccidents present serious problems in the management. Authors present the cases who had open, severely com-minuted fractures of femurs with inoperable conditions and we present their follow up analysis.
Femur ; Follow-Up Studies ; Fractures, Comminuted ; Motor Vehicles ; Soft Tissue Injuries

We are presenting the case of a patient who had had an injury to the right brachial plexus and was diagnosed by cervical myelography. A saccular collection of contrast medium was found at the level of C-6 to C-7 cervical vertebrae. Brachial plexus may be injured at two different levels, intraforaminal and extraforaminal, in traction lesions and their prognosis are somewhat different. It is important to determine as early as possible whether the lesion is intraforaminal or extraforaminal to be able to initiate definita treatment of the flail arm. Considering that it is relatively rare and no case has been reported in this journal, we present our case with diagnostic and therapeutic result.
Arm ; Brachial Plexus ; Cervical Vertebrae ; Female ; Humans ; Meningocele ; Myelography ; Prognosis ; Traction

The morphologic unit of the disease process currently referred to as Kaposi's sarcoma consists of a complex growth of vascular channels and mesenchymal cells of various types and in different phases of differentiation. Kaposi's sarcoma, with its characteristic skin lesion, is an entity familiar to the pathologist and dermatologist. This case report represents an unusal bone cortex involvement of Kaposi's sarcoma with skin lesion in a lower extremity, which has survived for 26 years without no specific abnormality in laboratory study and no specific clinical change.
Lower Extremity ; Sarcoma, Kaposi ; Skin

Double-contrast arthrography of the knee, that is roentgenographic examination of the supporting structures of the knee joint with the aid of the radiopaque dyes, has been utilized infrequently until recent years in our country. A growing appreciation of the advantages of arthrography, increased experience with the technique, and an increasing ability to interprete the arthrogram have led to more frequent use of this diagnostic aid. Double-contrast arthrography of the knee is of particular value in the examination of the patient with an atypical history of in jury and unusual physical findings, or in the individual with an acute injury who cannot tolerate a manipulative physical examination. Its use has led to greater diagnostic acumen prior to operative intervention and in many cases has aided the orthopedic surgeon in determing whether or not surgery indicated and in surgical exploration. And its accuracy of the diagnosis of the meniscus tear has been very high, greater than 90% in many series. The followings are summary of result; 1) Double-contrast arthrography of the knee is a valuable diagnostic procedure. 2) Prolonged observation and procrastination in the treatment of patients with symptomatic knees could be avoided. 3) There were no complications of arthrography and all patients returned to work immediately after the procedure. 4) In this series, 2 cases out of the 6 cases of the torn lateral meniscus were not demonstrated correctly by arthrography. From this result, it is suggested that the interpretation of arthrographic findings is somewhat difficult at present time. In future, further experience and study for arthrography is demanded for more accurate interpretation of the conditions of the structures of the knee joint and also is desired to compare with the arthroscopic findings.
Arthrography ; Coloring Agents ; Diagnosis ; Humans ; Knee ; Knee Joint ; Menisci, Tibial ; Orthopedics ; Physical Examination ; Tears

Anterior cervical interbody fusion and posterior lumbar interbody fusion of the Clowards technique is based on those; 1. removal of the painful disc. 2. stabilization of the unstable joint by interbody fusion. This technique has many advantages compared with the others including followings; 1. very simple technique. 2. low morbidity. 3. rapid recovery. 4. no need of the external support device postoperatively. We operated 5 cervical spines and 2 lumbar ones. This is the report of their follow up study in 2 to 2 years.
Follow-Up Studies ; Joints ; Spine

Stability, mobility, and freedom from pain are the requirements of a normal knee. Arthrodesis of a knee damaged by disease or injury will satisfy two of the three requirenents. The current status of knee replacement surgery suggests that high density polyethylene and chrome cobalt alloy or stainless steel are acceptable materials for use in the intra-articular environment of knee. These prosthetic components of artificial knees can be firmly cemented into bone and provide acceptable slinical results if used within their design limits. We have had 3 total knee replacements in the chronic rheumatoid patients. The results of 2 Geometric knee replacements and 1 Guepar knee replacement were assessed from 5 months to 2 years after operation. Total knee replacement improved mobility and reduced pain in these patients.
Alloys ; Arthrodesis ; Arthroplasty, Replacement, Knee ; Cobalt ; Freedom ; Humans ; Knee ; Polyethylene ; Stainless Steel