ABSTRACT
The Clufoot is still controversial in the etiology, the pathology, and the method of the treatment. Turco issued one stage posteromedial soft tissue release in 1971, which is still widely used. But the Turco's procedure is not satisfactory results in forefoot adduction and ankle motion. McKay and Simon were performed one stage complete subtalar soft tissue release and reported better results compared with those who had posteromedial release. So we performed Turco's posteromedial release with lateral release by Cincinnati incision in 12 patients (20 feet) and analysis the results from Oct. 1987 to Jul. 1989 at the department of orthopaedic surgery of CNUH. The results were as followings ; 1. The mean age of the patient at first examination was 1 year 9 months (range from at birth to 5 year 10 months) and the mean age at operation was 2 year 1 month (range from 4 months to 5 year 10 months). 2. The clinical results were excellent in 2 feet, good in 14 feet, fair in 3 feet and unsatisfactory in 1 foot. 3. The radiological results were satisfactory in 18 feet and unsatisfactory in 2 feet. 4. Forefoot adduction was corrected in 14 feet (70%) as normal range, 3 feet as acceptable, and 3 feet as unacceptable 10' over the normal range. 5. Two feet of hind foot overcorrection result was operation as McKay's method. 6. The Clincinnati incision was favorable to visulization and release of the posteromedial, anteromedial and posterolateral structure of the foot.
Subject(s)
Humans , Ankle , Clubfoot , Foot , Methods , Parturition , Pathology , Reference ValuesABSTRACT
We studied 16 cases intracapsular pressure in displaced fracture of femoral neck(Garden stage III, IV), the pressures were measured range between 12-62 mmHg(mean, 23.4 mmHg). Aspirated blood amount from hip joint did not exceed 3cc, this amount not correlate with intracaspsular pressure. Of 10 cases examined scintimetry, 2 had incressed uptake after aspiraton, it is suggested that early decompression of hemarthrosis in femur neck fracture regaredless of displacement may be considered.
Subject(s)
Decompression , Femoral Neck Fractures , Femur Neck , Hemarthrosis , Hip Joint , HipABSTRACT
Halo body jacket provides a excellent method of immobilization in unstable cervical spine such as fracture, dislocation, fracture-dislocation, tuberculosis, neurofibromatosis, congenitsal anomalies of the dens. With or with aiding of halo body jacket, we could treated the various unstable cervical spine. The stability of cervical spine can be maintained with halo body jacket. The author's applicated halo body jacket for 22 cases of unstable cervical spine. 1. The application was simple and the control is easy in any plane to achieve stablilty for unstable cervical spine. 2. The fracture dislocation of cervical spine was reduced by halo ring traction and the reduction position was maintained during operation and until bone and soft tissue healing. 3. Early ambulation was possible, so reduce the complcation due to prolongedd bed rest. 4. During operation, it provided a safe position of the patient with ease, and didnot aggravated the neurological status. 5. Provided a good operation fileds and easy taking a grafted bone from ilum than halo body cast.