Hot to Manage and Use the Clinical Data with Personal computer / 대한정형외과학회잡지

To build and to manipulate clinical data in one of the important works in the hospital. In order to accurately append the data and to quickly find and display the informations as the user need, we developed a software program running on the personal computer. Our system largely consists of four parts; registration of the clinical and departmental data, retrieving tool of articles in the medical journal, collection of special data for clinical survey and display system of the various reports. In our experiences, we consider the key factors for systemic management of clinical rearch data base as the follows; work analysis for data processing, design of data base, coding and classification of basic data and technique of registeration. Of these standarized coding system of the orthopedic diseases appeare to be of it most importance.

A clinical study of segmental tibial fracture / 대한정형외과학회잡지

No abstract available.

A clinical anaysis of nonunion of the long bones in lower extremity / 대한정형외과학회잡지

No abstract available.

Femur neck fracture during open intramedullary nailing of femur shaft fracture: a report of one case / 대한정형외과학회잡지

No abstract available.

Congenital Dislocation of the Knee: 2 Cases / 대한정형외과학회잡지

Congenital dislocation of the knee is very rare deformity and presents with anterior displacement of the tibia in relation to the femur. Early gentle manipulation and serial splintage or plaster cast is recommended for treatment and successful in the majority except the case of quadriceps contracture or late correction. We experienced two cases of bilateral congenital dislocation of the knee who had been treated with early gentle manipularion, immobilization with serial corrective dual splint, passive stretching and night splint. Our results are good in both cases.

Clinical Study of Tibial Fracture: Comparison of 3 Methods / 대한정형외과학회잡지

There is much controversy concerning the method of treatment on the tibial fracture because of frequent complications, such as non-union, delayed union and infection. Authors reviewed and analyzed 110 tibial fractures which had been treated at the Department of Orthopedic Surgery, Sung Ae General Hospital from June 1983 to March 1987 by the groups, conservative treatment, open reduction and internal fixation with compression plate and closed flexible intramedullary nailing. The results were as follows :1. In regard to the fracture location, there was no difference in the healing time among the treatment methods. The I.M. nailing group healed 1.5 weeks earlier than other groups in each location. 2. In minor and moderate severity by Ellis, the I.M. nailing group revealed better result, and in major one, the compression plate group showed better result. More complications occured in major severity. 3. Union time among the trestment methods was not affected by the fibular fractures, but most of the complications occured in the concomitant fibular fracture case. 4. In open fracture, the healing time showed no difference among the groups, and was prolonged about 2 weeks than closed fracture. In closed case, the I.M. nailing group showed good result. 5. The cases, which were reduced earlier in the conservative group, and treated within 3 days in the I.M. nailing group revesled better result. 6. The radiological union time from the definite treatment was 15.80 weeks in the conservative treatment group, 15.18 weeks in the compression plate group and 13.92 weeks in the I.M. nailing group.

Epidemiologic Study on Diabetes Mellitus in Primary School Children

An epidemiologic study on diabetes mellius in 13,152 primary school children(6,378 boys 6,765 girls, 9,302 Kwanju-city pupils 3,850 farming area pupils) had been performed in the areas of Kwangju-city, Hwasun-gun from December, 1976 to June, 1977. At first, Diastix was used for detecting glucosuria in one to two hourpostprandial urine and pupils who showed even 0.1% sugar in urine were considered for glucosuria. Children with glucosuria were given the oral glucose tolerance tests using 1.75gm of glucose per kg body weight. Chemical diabetes was diagnosed the cases whose blood sugar values 1 hour after glucose loading were over 170mg/dl and 2 hours after glucose loading over 120mg/dl. Cases which met only one criteria were applied to cortisone-primed oral glucose tolerance test according to the method of Fajan and Conn. If the bolld sugar value 1 hour after glucose administration was over 180mg/dl and the sugar balue 2 hours after glucose administration was over 140mg/dl, suspected diabetes was diagnosed. The results were obtained as follows : 1) The overall positive rate of glucosuria was 0.167%(22 of 13,152 cases). Male pupils showed 0.188%(12 of 6,387 cases) and female pupils 0.148(10 of 6,965 cases), and pupils in Kwangju-cith 0.161%(15 of 9,302 cases) and those in farming area 0.182%(7 of 3,850 cases). 2) 13 of total 22 pupils with glucosuria revealed abnormality in glucose tolerance(59.1%). 3) Of 13 children with abnormal glucose tolerance, 3 were overt diabetes(23.1%), 6 were chemical diabetes(46.2%) and 4 were suspected diabetes(30.8%). 4) The overall pervalence rate of diabetes mellitus was 0.099%, consisting of 0.125% in boy and 0.074% in girl, and consiting of 0.086% in school school children of Kwangju-city and 0.130% in those of farming area. 5) Of 13 children with abnormal glucose tolerance, 12 children were in the age group of 10 years and over 10 years.

Three Cases of Functioning Adrenocortical Tumor

Neoplasms of the adrenal cortex are rare in children. Some of them are functioning malignant neoplasms. Two girls with variable degree of virilization and Cushing's sydnrome and a boy with only Cushing's syndrome, which were due to functioning adrenocortical tumors, were presented. All iesions were found in the left adrenal gland. Two of them were histologically adrenocortical calcinoma. There was no histological evidence of malignancy in the oter one in spite of considerable increasing of 24hrs urinary 17 kerosteroid excretion. A review of literature was also made.