ABSTRACT
This is a prospective study of sixty long posterior flap below-the-knee amputations done by the KhonKaen University externs under closed Supervision of qualified orthopedists. Post-operatively red rubber bulb drainage was used instead of the hemovac.The patients were all leprotic and held in custody by Nonsomboon Leprosarium. Twenty-nine cases were affected by malignant change of the long standing trophic ulcer, while 29 had chronic ulceration and osteomyelittis of the tarsal bones with useless deforned feet. One was due to painful Boyd’s stump and the other form persistent infection after transmetatarsal amputation. Eighteen cases of stitch abscess and two cases of hematoma collection were detceted but no any wound disruption were seen in our series.
ABSTRACT
Background: There are two principles of operative technique for the treatment of acromioclavicular dislocation. One is transarticular of the acromioclavicular fixation of the acromioclavicular joint and the other is coracoclavicular fixation. Both two techniques may or may not include ligamentous repaired. However, both techniques have many complications. Objective: To present a new operative technique which based on extensive studying of anatomy of this particular area. This technique is open reduction and transfixation the lateral end of clavicle to the base of acromion process with single malleolar screw and washer. Study Design: Case report. Setting: Orthopedics department, Faculty of Medicine, Khon Kaen University.Results: The reliability technique was presented by using the aiming device for directing the drill from the clavicle to scapular spine. This technique was done in one patient. This technique provides the ritid and stable fixation of the joint, therefore, the patient can move his shoulder immediately after operation. Conclusion: The new operative technique for acromioclavicular joint dislocation has been presented.
ABSTRACT
A comparative study of durability of palmleaf, stainless and nylon finger trap was done., Three sizes of finger trap were used, static traction load was applied to each finger trap while gripping the leather covered finger model. The average mode of failure of the palmleaf finger trap were 20, 30 and 51.88 pounds in small, medium and large size respectively, no any failure was found in the stainless steel and nylon finger trap but the mode of failure of the finger model were 68.75, 66.25 and 66.65 pounds when used the stainless finger trap and 68.0, 65.0 and 64.5 pounds when used the nylon finger trap.
ABSTRACT
Background : The diagnosis of acromioclavicular (AC) joint injury depends upon primary physical and radiological examinations. Simultaneous views of both AC joints are obtained and measurements compared between injured and uninjured sides. Most commonly, the severity of injury is determined by the relative differences between the widths of the AC joint space, the coracoclavicular (CC) distance, and degree of elevation of the clavicle above the acromion. These parameters are usually used to decide on surgical or conservative treatments. The measurement’s variation can change the treatment options.Objectives : To evaluate the reliability of the current method for measuring the CC distance and introducing the new method of measuring the width of CC distance by using a Mose’s template.Design : Descriptive studySetting : Department of Orthopedic, faculty of medicine, Khon Kaen University.Subjects : The anteroposterior radiograph of both acromioclavicular joints with Zanza technique were used in this study. Twenty radiographs were selected based on the quality of the radiograph. There were 15 male and female patients. The average age of the patients was 25±6 years old (range 20-48). Thirteen patients had right and seven had left AC joint injuries. Two observers were included in this study to evaluate the reliability of the current and new methods.Results : There were thirty-two of 40 pairs (32/40, 80 %, 95% confidence interval 67.61%-92.39%) of measurement by two observers (interobserver reliability) using Mose’s template had the same results. However, the current technique used by two observers had the same results only three of 40 pairs (3/40, 7.5%,95% confidence interval 7.2%-7.8%) of measurements. The intraobserver reliability, for the Mose’s template of the observer I and II, there were 8 of 10 (8/10, 80%, 95% confidence interval 30%-90%) and 6 of 10 pairs (6/10, 60%, 95% confidence interval 30%-90%) of measurements had the same results respectively. For the current technique, however, there were only two of 10 pairs(2/10,20%,95% confidence interval 0-45%) and one of 10 pairs (1/10, 10%,95% confidence interval 1%-29%) of measurements of the observer I and II had the same results respectively.Conclusion : The Mose template technique is a more reliable method of measurement the CC distance in the AC joint injury.
ABSTRACT
Background: Vertebral osteophyte was the bony outgrowth occurred as a result of pathological destruction to the vertebral joints. The plausible causes were osteoarthritis, inflammatory and degenerative diseases of the spine. There was still no report of the prevalence of vertebral osteophyte formation in the northeast Thais.Objective: To study the prevalence and distribution of vertebral osteophyte formation in the northeast Thais. Materials and Methods: Two hundred Thai vertebral columns from 120 males and 80 females with an age range of 18-94 years were examined for the presence of osteophyte. Locations of osteophyte on the vertebral body, facet joint and vertebral foramen were recorded. The size of osteophyte on the vertebral body was also recorded.Design: Descriptive studySetting: Department of Anatomy, Faculty of Medicine, Khon Kaen UniversityResults: The prevalence of osteophyte formation was 85% on the vertebral body, 71% on the facet joint and 47% in the vertebral foramen. The most frequent sites on the vertebral body were at L4 (73%), L5 (70%) and L3 (69%). In the thoracic levels, the most frequent sites of osteophyte formation were found at T11 (50.5%) and T10 (49.5%). In the cervical levels, the most frequent sites were found at C5 (46%), C6 (44%) and C4 (38%). The average biggest size of osteophyte were found in the anterior part of the superior border of L4 (123.71 mm2), L5 (111.18 mm2) and L3 (109 mm2). The most frequent sites of osteophyte formation on the facet joint were found at L4 (62%), L5 (59%) and L3 (52%) respectively. The most frequent sites of osteophyte formation in vertebral foramen were found at C4 (32.5%), C5 (29%) and C3 (24%). The frequency-association among the osteophyte locations was highest between the vertebral body and facet joint. The frequency of osteophyte formation at all vertebral levels significantly increased with age. Between the sexes, osteophyte formation occurred more significantly in male than females.Conclusion: The prevalence of osteophyte formation on vertebral columns in Northeast Thais were 85% on vertebral body, 71% on facet joint, and 47% in vertebral foramen. The osteophyte formation significantly increased with age and occurred more frequently among males.Keywords: prevalence, osteophyte, vertebral column