Syphilitic Charcot Spine: Report of a Cases / 대한정형외과학회잡지

In 1868 Charcot described the joint in tabes dorsalis, which since then has been designated as Charcot neuroarthrophathy. It is characterized by painless swelling and abnormal mobility of the affected joint. Arthrophthy of the type described by Charcot has been associated with various other conditions, such as diabetes mellitus, syringomyelia, injury to nerve root, congenital indifference of pain, leprosy, and intra articular use of steroid, etc. Authors present a case of Charcot spine due to tabes dorsalis.

The Clinical Follow-up Study on Total Hip Replacement / 대한정형외과학회잡지

Total Hip Replacement is well documented and widely used procedure for painful arthritic hip in past two decades and each year still seems to be increased in numher of total hip replacement. And recently, there is a few reports of follow-up study on total hip arthroplasty in our country. The aim of this study was to present the clinical material which was performed on 27 hips of 21 patients who were treated at Dept. of Orthopedic Surgery. College of Medicine, Chungnam university from jan, 1979 to Jan. 1982. The longest follow up was 4 years, shortest was 8 months, average time was 2 years and 8months The results were obtained as follow; 1. The age incidence ranged from 26 to 69 years old, and average were 47 years old. 2. There were 17 males (81%) and 4 females (19%). 3, The causes of hip disease were mostly avascular necrosis of the femoral head (67%). 4, The most commonly used prosthesis were Muller type with trochanteric ostcotomy approaches. 5. Several complications were found: perforation of acetabulum with bone cenent in pelvis, postperative pneumonia wire breakage and painful bursitis around the trochanteric area which was on osteotomy sites. 6. Postoperative functional evaluation was evaluated by method of d'Aubigne and Postel, and improved from 10.0 scores to 15.8 scores. Relief of the pain is the most effect of the total hip replacement in this study, But case are not enough to more detail evaluation, especially, the problem of loosening of stem, acetabular cup wearing and heterotopic bone formation after total hip replacement.

Supracondylar Fracture of the Humerus in Children: Clinical Study for Cases with Failed Initial Management / 대한정형외과학회잡지

Supracondylar fracture of the humerus in children is the most common fracture of the elbow in contrast with infant or adult, and there are also many problem in treatment and accompanying complication. These injuries are difficult to manage in case of a delayed initial treatment or repeated close manipulation. We analysed 32 cases which failed and delayed initial management, at department of orthopedic surgery, Chung Nam University Hospital from Jan. 1977 to Dec. 1981. The results obtained were as follows: 1. The cases admitted after unsatisfactory treatment at other hospital among all cases are most common (59.4%). 2. The average duration after trauma are 5.3 days. The average duration until successful reduction after initial trauma are 7.3 days, 3. In types of fracture, there are all displaced supracondylar fracture (Type II, III, IV). 4. In treatments, initial sucessful close reduction are 5 cases (15.6%). The others require other managements, ie, final successful tractions are 5 cases, final sucessful percutaneous pinnings are 5 cases and final open reductions are 16 cases. 5. Cubitus varus deformity was more common in manual reduction and traction groups than in open reduction and percutaneous pinning groups, but limitation of elbow motion was more common in open reduction and percutaneous pinning groups. 6. In complications, there were 5 nerve palsies (4 radial nerves, 1 median nerve), 3 pin tract infections, 1 myositis ossificans, 9 severe cubitus varus and 5 severe limitation of motion.

The experimental study on the influence of the gold salts and estrogen to the synovium and bone marrow in rabbits / 대한정형외과학회잡지

Gold salts have been used in the treatment of the rheumatiod arthritis for nearly 40 years. While the effectiveness is not consistant, their clinical application has been well established and conflicting results concerning the effectiveness of gold salts on adjuvant arthitis in rat have been reported. In light of conflicting reports in the literature we made an experimental study to observe the influence of gold salts and estrogen on the histopathology of the synovium in normal and hemarthrosis joints with bone marrow findings in rabbits in our test conditions. Rabbits weighing about 2kg were devided into 6 major groups of control, estrogen, gold, high dosage gold, and high dosage gold and estrogen. Each group subdivided into male group and female group. Estrogen(estradiol benzoate) and gold(sodium aurothioumalate) were injected intramuscularly at weekly intervals for 10 weeks. Autologous blood 1cc was injected into left knee joint through infrapatellar tendon after 10 weeks of treatment and right knee reserved as a control. Animals in each group were sacrifieced at day 1, 3, 7 after hemarthrosis and serial section from the synovial membrane and bone marrow were made. The following conclusions were obtained from observation of the experiment; 1. The mean hemoglobin levels were decreased in all groups including control, however, the decrease was most significant in estrogen treated group. 2. The mean W.B.C. count level during experiment decreased significantly in the experimental groups treated with large amount of gold and large amount of gold and estrogen. 3. In W.B.C. differential count, decrease of segmented neutrophils with increased lymphocyte was noted in the group treated with large amount of gold. 4. The plasma globulin level was decreased in all groups except the control and estrogen only treated groups, while total protein level was not changed. 5. The marrow cellularity was significantly decreased in all of the gold treated groups with increased percentage of lymphocyte, plasma cell, histiocyte and tissue basophils indicating the bone marow depression. The decreased cellularity in estrogen combined groups is less significant than in gold only treated groups. 6. The synovial changes in normal knee joints (right) were not significant. 7. The synovium of hemoarthrosed knee with autologus whole blood showed variable histopathological changes; Inflammatory responses with the proliferation of synovial cells and villi were significantly depressed in gold and gold with estrogen treated groups at the day 3 of hemarthrosis. The proliferative responses and inflammatory cell infiltrations were almost completely recovered to the normal synovium by the 7th day of hemarthrosis in gold treated groups still showing proliferative and inflammatory responses.

Multiple Pseudocystic Tuberculosis of Bone: A Case Report / 대한정형외과학회잡지

The characteristic multiple cystlike bone lesions of tuberculosis in children is termed multiple pseudocystic tuberculosis of bone, A Korean girl aged 4 4/12 years was diagnosed as multiple pseudocystic tuberculosis of bone, This case which revealed typical findings is presented with a brief review of a literature.

Chondromyxoid fibroma of iliac bone: Report of a Case / 대한정형외과학회잡지

A case of chondromyxoid fibroma, which was experienced at Seoul National University Hospital, is presented with a brief review of the literature, because of its relative rarity in incidence, its unusual location and its huze size in demension which seems to be largest in reported series in literatures.