Traumatic dislocation of the knee joint occurs very infrequently, but is one of the true emergencies in the orthopedic field. It is a serious injury, associated with extensive soft tissue demage and the danger of neurological and vascular involvement. There is a lot of theories about the mechanism of injury, the treatment and the incidence of complications. Generally they accept that in irreducible cases operative reduction is essential, but there is no uniformity of opinion on the treatment of the uncomplicated cases. This paper is based on 7 traumatic knee dislocations treated at Kang Nam Sacred Heart Hospital, Hallym College during the period from January 1980 till December 1984. The results of the study are as follows: 1. The patients are mostly injured due to the traffic accident and show even age distribution from twenties to fifties. 2. 5 cases out of 7, reduced at our hospital, were all anteriorly dislocated. 3. The posterior capsule and the posterior cruciate ligament were injured in all cases. 4. There were no significant differences between primary repair of soft tissues and the late reconstruction.
Accidents, Traffic ; Age Distribution ; Clinical Study ; Clothing ; Dislocations ; Emergencies ; Heart ; Humans ; Incidence ; Knee Dislocation ; Knee Joint ; Knee ; Orthopedics ; Posterior Cruciate Ligament

No abstract available.
Femur*

No abstract available.

No abstract available.
Aged* ; Femur* ; Humans ; Osteoporosis*

No abstract available.

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

No abstract available.
Gas Chromatography-Mass Spectrometry* ; Humans* ; Steroids*

The treatment and results of 6 cases of the femoral shaft fracture in children are prensented and the method of Charnleys traction unit used most frequently at Korea General Hospital is described. Many Kinds of traction for the femoral shaft fracture in children was introduced. But nearly all methods which depend on heavy traction are open to the following criticism; 1) It is impossible to diminish the traction force alone without jeopardising the stablity of the reduction. 2) Gravity is not used to help in correcting the deformity of backward angulation. 3) Backward angulation of the distal fragment can never be corrected by traction in the axis of the femur. To do this the direction of the traction must be delfected away from the axis of the femur. Charnleys traction offers the following features: 1 The foot is supported at right angles to the tibia. 2. The external popliteal nerve and calf muscles are protected from pressure against the slings of the splint. The tibia is suspendcd from the Steinmann pin inside the plaster so that an air space develops under the tibia as the calf muscles lose their bulk. 3. External rotation of the foot and distal fragment of the femur is controlled. 4. The tendo Achillis is protected from pressure sores. 5. Comfort; the patient is unaware of the traction when applied through the medium of the nail. Age distribution of the patients was from 2 years to 13 years. Initial angulation after the manual reduction was from 0 to 25 degree posteriorly and from 5 to 9 degree laterally. Angulation after radiological union was from 0 to 15 degree posteriorly and from 0 to 8 degree laterally. Overriding before reduction was from 0.9 to 3.2cm and after reduction from 0.3 to 1.2cm. The duration of the inmobilization in Charnleys traction unit was from 15 days to 57 days. The duration of radiological union was from 51 days to 94 days.
Age Distribution ; Child ; Congenital Abnormalities ; Femur ; Foot ; Gravitation ; Hospitals, General ; Humans ; Korea ; Methods ; Muscles ; Pressure Ulcer ; Splints ; Tibia ; Traction

130 cases of the suprarcondylar fractures of the humerus in children were analysed. 60 cases were immobilized with plaster splint without closed reduction. 22 cases were closedly reduced and immobilized with plaster splint. 47 cases were closedly reduced and were fixed percutaneously with K-wires. 39 cases were operatively reduced and were fixed with K-wires. The following results were obtained. 1. The average age was 7.9 years, and the male and female ratio was 2.7: 1. 2. The extension type was 96.2% and the flexion type was 3.8%. 3. The left side (64.6%) was more frequently involved. 4. As associated complications, nerve injury (4.6%), vascular injury (2.3%), open fracture (2.3%), and associated fracture (2.3%). were developed. During treatment incomplete ulnar nerve palsy (2.3%), pin tract superficial infection(3.1%), severe cubitus varus deformity(4.6%), severe limitation of elbow motion(11.6%) were also developed. 5. Final results in the Holmberg's 4 Groups according to Mitchell & Adams' criteria showed that the more the displacement of fracture is increased, the more the poor result is also increased. 6. In spite of the selection of the more severe cases for surgery, the results of the operative cases were better than those achieved by closed reduction in the easier cases. 7. In the displaced fractures, immediate open reduction brings the satisfactory results and minimizies the sequellae.
Child ; Elbow ; Female ; Fractures, Open ; Humans ; Humerus ; Male ; Splints ; Ulnar Neuropathies ; Vascular System Injuries

The knee joint is one of the major weight bearing joint in the body, and is frequently injured because of its complex motion despite of a simple bony architecture. In the fracture of the tibial condyle the injuries of soft tissues such as ligaments and menisci are frectuently accompanied, and the weight bearing surface is involved. So it often produces a disability of the knee joint. Forty-seven consecutive cases of the tibial condylar fracture treated at the orthopaedic department of the Hallym Medical College from 1982 to 1985 have been analyzed according to its type, radiologic diagnosis, treatment, and end results. The conclusions are; 1. The tomography is important in the decision of the treatment method by the accurate measurement of the extent of depression and displacement. 2. The poor results are usually caused by a severe comminution and some associated injuries such as menisus tear, open wound, and rupture of ligamentum patellae etc. 3. The better results can be obtained with the treatment of early exercise within 6 weeks, of weight bearing between 12-20 weeks, and in surgical cases, within 2 weeks and with a bone graft.
Clinical Study ; Depression ; Diagnosis ; Joints ; Knee Joint ; Ligaments ; Methods ; Patellar Ligament ; Rupture ; Tears ; Transplants ; Weight-Bearing ; Wounds and Injuries