ABSTRACT
The claw-foot deformity is only a symptom of some primary lesion, not an entity in itself. The treatment of claw-foot usually depends on the type and severity of the deformity. In the past two years, authors have treated 7 cases of claw-foot, 3 of which were treated by Cole's anterior tarsal wedge osteotomy and 4 cases by Japas “V”-osteotomy of tarsus. In all 7 cases, Steindler's plantar fasciotomy for cavus deformity were combined and 1 case was combined with Achilles tendon lengthening. The followings were noted. 1. AlI patients were military personals and the ages were between 21 to 27 years old male. 2. Two patients were bilateral claw-foot deformity and both sides were operated. 3. The causes were secondary to poliomyelitis in one case and the others were idiopathic. 4. Postoperative complications were skin necrosis in one case and sensory disturbance on the dorsum of the first web space of the foot in 3 cases. 5. All patients can walk and run without pain after average 1 year follow-up period.
Subject(s)
Humans , Male , Achilles Tendon , Ankle , Congenital Abnormalities , Follow-Up Studies , Foot , Foot Deformities , Military Personnel , Necrosis , Osteotomy , Poliomyelitis , Postoperative Complications , SkinABSTRACT
A retrospective study has been made of 6,184 cases of motor vehicle accidents which had been reported to Automobile Insurance Co., Taegu Branch, from Jan. 1,1977 to Dec. 31, 1977. It was considered necessary to find out some preventive measures which could be obtained from the epidemiological facts. The aim of this study was not to indicate direct preventive measures but to focus attention on fields in which best results should be given by the preventive measures. Third decade of age group showed the highest numbers of accident casualties, as much as 23%, and preschool age group showed 5%. Casualties showed a maximum during the winter and a minimum during the summer. Highest occurrence of accidents was on Saturday, 17.5% and least on Friday, 11.1%. On working days, highest occurrence was during afternoon and early evening(4 p.m.–9 a.m.), coinciding with the time for home-bound traffic after work and another maximum at an hour before curfew. There was smaller increse in occurrence at the time when people go to work in the morning. Least accidents occurred in the early hours of the morning. In the 2,751 accidents involving dollision between motor vehicles, sustained injuries-i.e;48.1% of the total casualties in passengers in vehicles and a much higher incidence than in accidents involving pedestrians. In accidents involving pedestrians in the urban area, 51.2% of casualties sustained injuries on the street and 39% at pedestrians crossings. Accidents involving collision between motor vehicles and bicycles accounted for 17.2% of casualties in the urban area. Of these, 79.2% were injured in accidents on the street, and in general, the injuries were more serious than those sustained by passengers in cars.