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이광진 충남대학교 의과대학 지역사회의학연구소 1977 충남의대잡지 Vol.4 No.1
Currently. only left problem in bone and joint tuberculosis in the developed country is hte correction of deformed sequele through the improved epidemiology, the developed anti-tbc. agents, and the advanced operative technique. However, we frequently have found many active spinal tuberculosis in our clinics. So we analysed 35 cases of spinal tuberculosis who had been treated by operative or conservative method at our department during 2.6 years from Jan. 1974 to June 1976. The following observations were made; 1. The spine was involved most frequently in the bone and joint tuberculosis (54.7%), hip was in 11cases(17.2), and knee, in 8(12.5). 2. Common age incidence was in below 39 years(82.8%) and most common in between 20-29 years(34.3%).The sex incidence was 18 in male and 17 in female. 3. Lower thoracic and lumbar were mostly involved i.e. thoracic (37.1%), lumbar(31.4%), and thoracolumbar(22.9%) in orders. 4. Average involved vertebral number was 2.3. 5. Duration of disease was from 2.5 weeks to 12 years, and hospital admission days was mostly in 3 weeks. 6. Back pain, kyphosis, draining sinus, cold abscess formation, and paraplegia. were frequent clinical symptome. 7. The cases that was associated with other organ tbc. was 9 cases (25.7%) except lymphnodes it means 25.7% of the whole. 8. In the laboratory findings, E.S.R. that was 50-60 mm/hr at admission was shifted to as normal range of 10-20 mm/hr after treatments of 5-6 month. 9. In operative treatments, anterior direct approach to the lesion was 14 cases(66.7%), posterior fusion in 5 cases(23.8% ), and laminectomy in 2 cases(9.5%) 10. The consequence of tissue pathology, A.F.B. smear, and culture in 14 cases of direct approach to the lesion findings consistent with tbc. was 10 cases (76.9%) in tissue pathology, and positive culture was in 4 cases(staphylococci) 11. 4 cases of paraplegia treated with operative measures were completely recovered within 8 months after treatment.
이광진 충남대학교 의과대학 지역사회의학연구소 1978 충남의대잡지 Vol.5 No.2
Double contrast knee arthrography has been widely utilized as the diagnostic aid for the internal derangement of the knee. A growing appreciation of the advantage of arthrography of the knee, increased experience with the teahnique, and an increased ability to interpret the arthrography have led to more frequent use of this diagnostic aid. We have performed 22 artrographies of the knee since Oct., 1976 and operated 7 cases among them. We analysed the cases concerning the diagnostic accuracy, its clinical significance discrepancy between arthrographic findings and postoperative lesions. Folllowing results were obtained. 1. In 20 cases of clinically suspected meniscal lesion, 16 cases revealed the abnormal meniseal findings (lateral: 12, medial:4) and 17 cases revealed normal variations(lateral 11, medial: 6). 2. Among the findings of normal variations of the arthrography, poplital line and small notching or step-like notching along the free margin were seen respectively in 5 and 7 cases and were most frepuent findings. 3. 6 cases out of 7 cases of operated torn meniscus were demonstrated correctly by arthrography but one case of posterior horn tear of medial meniscus was negative in arthrography. So it is very dangerous opinion to be depentent only to the arthrographic findings for the diagnosis of internal derangement. In future, further experience and study for arthrography combined with arthroscopic findings must be followed.