ABSTRACT
Sleeve type fracture of the patella in children is an extremely rare injury. Its avulsed fragment is so small that the diagnosis may be missed by radiogram and patella slta is complicated. A 14 year-old boy having the sleeve type fracture of the patella with patella alta was treated by open reduction with s screw fixation at St. Vincent Hospital in December 1985 and was followed up over two years. The final clinical result was good.
Subject(s)
Child , Humans , Male , Diagnosis , PatellaABSTRACT
Osteochondritis dissecans is a condition in which part of the articular surface of a joint separates, due to a plane of cleavage through the subchondral bone. It is found most commonly in the knee although other joint can be affected, notably the elbow, ankle and hip. The etiology remains unclear, and treatment still provokes controversy in the orthopedic community. This review is confined to osteochondritis dissecans of the knee and reports the result of different methods of treatment including arthroscopic drilling. The authors experienced 7 cases of osteochondritis dissecans with received treatment at C.A.F.G.H. from May 1982 to November 1984. The results were obtained as follows: 1. Common symptoms and signs were pain, limitation of motion, quadriceps atrophy and weakness. 2. Five of six cases had histories of trauma. 3. The methods of treatment were as follows: Curettage and drilling................................................... 2 Excision ...................................................................... 2 Curettage and bone graft .............................................2 Arthroscopic drilling .................................................... 1
Subject(s)
Ankle , Atrophy , Curettage , Elbow , Hip , Joints , Knee , Orthopedics , Osteochondritis Dissecans , Osteochondritis , TransplantsABSTRACT
It is socially fortunate that there is little chance in the civil hospital to experience the victims of high velocity missiles. However it is reasonable thought to educate doctors about the gunshot and explosive injuries who might be mobilized in emergency condition. Authors have experiences to treat the high velocity missile wounds. In order to provide valid data to be an educational material, we clinically analyzed 41cases of those injuries who were treated at the Capital Armed Forces General Hospital from 19xx to 19xx. The results obtained were as follows: 1. In 15 cases there were only soft tissue injuries, The remaining 26 cases had the bone injuries and six of them had two injury sites. 2. In 28 cases the lower extremities were injuried, and they out-numbered the injury of upper extremities. The most frequent site of injuries was the thigh (31.7%). 3. Most common associated injuries were the periphenal nerve injuries, which numbered 10 cases. 4. The early operative treatments were given in 5 out of 32 cases having bone injuries. And the secondary operations, including bone graft and intemal fixation, had to be done in 10 out of the remaining 27 cases due to delayed union or nonunion. 5. There was no infection in cases having only the soft tissue injuries. But the localized osteomyelitis occurred in 4 cases among the cases having bony injuries. 6. Factors affecting the result of high velocity missile wounds were presence of bony involvement, site and extent of injuries, associated thoracoabdominal injuries and presence of peripheral nerve injuries and infection. 7. The evacuation time, chance of early adequate wound management, site of injury and extent of injury were the important factors in deciding the method of treatment. We suggest that the more selective and aggressive measures should be taken in the management of bony injuries.
Subject(s)
Arm , Emergencies , Extremities , Hospitals, General , Lower Extremity , Methods , Osteomyelitis , Peripheral Nerve Injuries , Soft Tissue Injuries , Thigh , Transplants , Upper Extremity , Wounds and InjuriesABSTRACT
No abstract available in English.
ABSTRACT
Aurthors have treated 77 cases of acute supp rative osteomyelitis since January 1972 until December 1979. Among them 69 patients had surgical treatment while 8 cases had antibiotic therapy only. 42 patients out of 69 surgically treated cases had fenestration operation, while 27 cases had multiple drilling operation to evacuate the bony abscess. In 15 cases Turkels bone biopsy needle was used to decompress the infected bones, and by It the abscess could be very effectively evacuated. After decompression with a Turkel needle by placing a small calibered polyethylene tube Into the lesion, the lesion was continuously irrigated with antibiotics solution. This procedure has proved to be very effective and a successful one which can easily be practised as an office procedure in the very poor and needy cases. Also when patients are seriously ill and/or other extensive surgery is not feasible, this simple procedure can easily be practised without hazard, Good end results without sequellae were abtained when early decompression with massive antiblotic therapy was instituted even by Turkel needle drainage.