Hemophilic Arthropathy: Case Report / 대한정형외과학회잡지

Hemophiliae has the frequent episode of spontaneous hemorrhage into joint and muscle and arthropathy, a major source of disability in hemophilia, ensues in joint, in proportion to the frequency of bleeding. This relation suggests that repeated hemorrhage into joints is responsible for the arthritis. This paper described a case of hemophilia, A type in a managed 22 years who was admitted with pain and limited motion of both kness, ankles and elbow joints. Considerable improvement could be achieved with conservative measures as medication, rest and traction.

Tibial Condylar Fracture: Clinical Sutdy on 16 Cases / 대한정형외과학회잡지

The short term result of clinical study was reported here of 16 tibial condylar fractures treated at the Department of Orthopedic Surgery, Kwang-ju Hospital from Jan. 1967 to Dec 1969. The evaluation was done according to the classification of Hohl (1967). Among 16 cases of the tibial condylar fractures, 12 being lateral, 3 bicondylar and 1 medial. 6 were treated by means of closed reduction under anesthesia and skeletal traction and 10 underwent open reduction. The indication of open reduction and reconstructive surgery was the failure of the initial attempt of closed reduction and extremely unstable knee joint owing to ligamentous injuries with fracture. As the associated soft, tissue injuries, 6 of torn collateral ligaments were detected and 4 of torn cruciate ligaments were discovered. In 8 of the 10 patients operated, torn of the menisci were demonstrated indicating that the incidence of injury is almost proportional to the severity of the initial violence. The clinical end results were devided to acceptable 12 (75%),and unacceptable were 4 (25%) respectively. The better prognosis largely depends on the more accurate reduction, soft tissue reconstruction and early mobilization of the joint.