Application of Internet to Neurosurgery

OBJECTIVE: Thanks to the development of combining computer technology and communications, the concept of communications is undergoing radical changes. Using this method of communicating we have developed an Internet homepage of our department and another designated Medmark-neurosurgery. This homepage will be used to educate not only patients with neurosurgical disorders, but also residents in the neurosurgical field. It will be a forum for physicians to communicate among each other to discuss new skills, keep abreast of current develop-ments and share resources to enhance their practices. METHODS: The Internet homepage resources reside on an Alpha 1000 and local area networking system. Microsoft Windows NT and 95 were applied for both server and client use. Software for client use is also included. Uniform resource locator is SCHUH-neurosurgery is'http://hosp.sch.sch.ac.kr/ns' and for Medmark-neurosurgery it is'http://medmark.org/ns'. Material intended specifically for the neurosurgeon is classified and will be loaded on the server. RESULTS: The SCHUH-neurosurgery site had 3862 accesses for 2 years. The main page showed clinical, research and educational information. Personal homepage showed curriculum vitae, publications, research and clinical interest. It has been found to be very useful in communicating with neurosurgeons worldwide. The Medmark-neurosurgery homepage categorized 200 sites as 23 general information(23%), 9 consumer(4.5%), 8 association(4.0%), 56 departments(28%), 6 journals(3.0%), and 98 specialty(49%). Among the specialty sites were anatomy, tumor, vascular subcategories and much more information. CONCLUSIONS: We will present ideas on current and future applications of the Internet homepage in reference to neurosurgery with a comprehensive list of neurosurgical resources available on the Internet.

Tabetic Charcot Joint (Three Cases Report) / 대한정형외과학회잡지

No abstract available in English.

Isolated Avulsion Fracture of the Tibial Attachment of the Posterior Cruciate Ligament: Clinical Report / 대한정형외과학회잡지

Isolated avulsion fracture of the tibial attachment of the posterior cruciate ligament has been thought very rare. We also had experienced only nine cases of above injury in our center during 5.5 years from January, 1976 to June, 1981. Eight cases of them were followed for an average of the thirteen months, but one of them was eliminated from the study because follow-up study was impossible for the case. The purposes of this paper are to present eight cases of isolated avulsion fracture of the tibial attachment of the posterior cruciate ligament and to discuss the causes and mechanisms of the injury and the method of screw fixation for the avulsed fracture fragment. Seven were injured by traffic accident and one by fall on the knee. All cases seemed to be injured by the force directed against the flexed knee which violently stroke the anterior surface of the proximal end of the tibia or inferior portion of the knee and drove it backwards. We found the tear of posterior capsule only in one patient who was seeming injured by extensive force. All cases were treated operatively by means of screw fixation, and excellent results were obtained in five cases, good in two, and fair in one case.