Osteochondritis of the Both Patella: One Case Report / 대한정형외과학회잡지

Osteochondritis usually occurs in the epiphyseal center of children. Common sites of involvement of osteochondritis are the femoral head, tarsal navicular, talus, lunate, but the patellar involvement is rare. The exact cause of osteochondritis is unknown but it is believed to be traumatic or nontraumatic (idiopathic) in origin. This disease was first described by Kohler in 1908 and characterized by radiographic finding of increased density in the patella We have experienced here one case which is believed to be osteochondritis of the patella.

The Analysis of the Normal Rauges of the Hip Motion in Busan Newborns and Infants / 대한정형외과학회잡지

Normal ranges of hip motion ia newborns and infants is very important. The newborns and infants, it was very difficult to diffe nciate the limitation of hip motion affected by diseases from the normal ranges of hip motion in newborns and infants whose hips are alwsys flexed, abducted and externally rotated due to intrauterine position. Author measured he normal ranges of hip motion with monthly interval analysis in 400 Busan newborns and infants to note changes of ranges of their hip motion. The result obtained were as follows. 1. The ranges of flexion contracture of hip were varying from 10°–45° (25°±7.93°) in 0–1 month age group to 0°–1 month age group to 0°–20° (9°±4.93°) in 11–12 months age group with average 0–45° (16±7.88°), which menifested gradual decrease in growth. 2. The ranges of abduction were 50°–110° (80°±8.75°), internal rotation, 10°–45° (24±6.46), external rotation, 30°–75°(53°±10.3°) and menifested no changes in growth.

Angiosarcoma of the Distal end of the Clavicle: Report of a Case / 대한정형외과학회잡지

Angiosarcoma is a rare tumor, and it is highly unusual for it to appear in bone as a primary lesion. Review of literature revealed that 38 such lesions have bsen recorded since 1925, when Codman wrote that they had as yet registered no case which could be considered a typical angiosarcoma prior to that date. Recently we encountered one tumor developed in the distal end of a clavicle which was confirmed as angiosarcoma by pathologic study. This case is presented with a review of literature.

Clinical Study on Angiogram before and after Arteriorrhaphy for Traumatic Vascular Injury of Extremities in 20 cases / 대한정형외과학회잡지

We have studied the angiograms before and after arteriorrhaphy, which were performed on 20 cases at Busan National University Hospital. Among the cases, 15 were on upper extremity and 5 on lower extremity. The results obtained were as follows; 1. 8 cases among 19 on which angiogram were checked after arteriorrhaphy revealed the obstructive findings distal to injured vessels. 2. Necrosis did not occur following arteriorrhaphy for brachial artery, radial artery and ulnar artery and ulnar artery ruptures. On a cases of anterior tibial artery rupture, an A-K amputation was done due to progressive tissue necrosis. 3. Collateral circulations were very important pathway after brachial artery rupture and increased collateral circulations were showed on angiograms. 4. Localized thrombosis and hypertrophic vascular changes were found in 3 cases of re-exploration because of the obstruction after initial surgery.

Clinieal analysis on the sequelae of the trochanterie fracture of the hip in six cases / 대한정형외과학회잡지

Many unsolved probIems still remain in these in management of trochanteric fracture of hip, especially unstable type of trochanteric fracture. Among many cases of the trochanteric fracture treated during period from Jan. 1963 to July, 1973 at Busan National University Hospital, six patient has severe sequelae such as coxa vara deformity, shortening of the affected limb and ankylosis of the hip joint, which were analyzed clinically and results obtained were as follow. 1. It is the most important factor that the medial and the posterior cortex is good alignment in reduction with internal fixation and maintainance of unstable trochanteric fracture. 2. It is dangerous for the unstable type of trochanteric fracture to be reducted and maintained with only screws or plates. Jewett nail is more effective than the S-P nail and Thornton plate in internal fixation of unstable type of trochanteric franture. 3. The posterior fragments can hardly be found in A-P view but easily in lateral view 4. In cases that had not good alignments between posterior fragments the distaI fragment displaced medially and migration of the naiI, distraction of the pIate, malunion have developed in spite of prolonged immobilization in cast. 5. In one case that the severe coxa vara deformity have been developed. we performed the transverse osteotomy & fixed with Blount-V-blade plate like device. The result was good but the shortening of the limb could not prevent.

Anbulatory Treatment of Tuberculous Spine in the Children / 대한정형외과학회잡지

Tuberculosis of the spine still remains an as important problems in Korea, There is much controversy over the advantage of indication for surgical versus medical treatment, and the correct answer probably lies between the two extremes. Recently focal debridement is widely accepted operation method, andmany reports dealing with this subject have been published. Because of limited vacancy of the hospital and poor economy, a large group of patient with tuberculous lesion in spine have been treated conservatively with anti tuberculous medication and aspiration of abscess and immobilization by plaster shell etc. Authors than attempted a clinical analysis on a patient-group (40cases) treated at Pusan University hospital and Pusan Children Charity hospital, and obtained the results as follows: 1. The kyphosis of the spine tends to be aggrevated with collapse of vertebra. 2. Kyphosis aggrevated in 67.5% of cases: 18.7 degree of increase in whom plaster jacket was additionally applied, while 27.5 degree of increase in the cases without plaster. Time of aggrevation of kyphosis after institution of treatment was variable as 3 to 18 months. 3. Pathological reflexes were found in 16 cases, which were disappeared in 18 months after the treatment. 4. Psoas abscess was completely absorbed in 3 rd to 9 th month after treatment by repeated aspiration with one month interval. 5. Regression of paravetebral abscess shadow on the X-ray film was observed very slowly from 2 nd month to 30 th month, mainly disppeared in 6 th month after conservative treatment. 6. Thirty four cases had back muscle spasm, paraparesis in the lower extremity with difficulty of walking, and recovered within 15 months with complete relief of back muscle spasm.