Bon Abscesses Treated by Bone Graft / 대한정형외과학회잡지

We have treated three cases of bone abscesses, two in proximal tibia and one in os calcis, by radical excision and filling the remaining bone cavity with autogenous iliac bone graft. We have observed them postoperatively for one to six years. They have not shown any sign of recurrence and they are carrying out their normal daily activity without any restriction. Eventhough it is against the basic fundamental of surgery to lay bone grafts in an infected area, our treatment was successful. We believe that this was resulted from the administration of the broad spectrum antibiotics, complete excision of the diseased tissue, gentle handling of the tissue at the surgery, and relatively perfect postoperative care. When the remaining bone cavity after the surgery of the osteomyeIitis can not filled by the usual method such as muscle pedicle graft, especially in the proximal metaphyseo-epiphyseaI region of the tibia, fresh cancellous bone graft immediately after the radical excision, and primary closure of the operative wound may be tried. It seems that this method brings rapid and permanent heaIing of the chronic osteomyelitis. Thus the patient can leave hospital earlier, pays Iess expense, and returns to his work earlier.

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.

The Recurrent Dislocation of the Patella: Report of 2 Case / 대한정형외과학회잡지

Surgery is the treatment of choice for recurrent dislocation of the patella and many proposed operations can conveniently be grouped into three headings: transposition medially of the quadriceps pull mechanism (Hauser), installment of medial checkrein, either proximal or distal to the patella (Campbell) and patellectomy (West and Sotto Hall). Two cases of the dislocation observed in the young men are reported here, in which the authors performed an operation consisting of Hauser method and in addition the medial checkrein utilizing semitendinosus tendon. The results were successful in both cases, with complete restoration of the knee function.

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.