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Arthroscopically assisted technique on ankle Fx
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Beom Goo Lee, Hong Kee Park, Jae Jin Oh
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J Korean Soc Fract 1998;11(4):886-893. Published online October 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.4.886
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 Abstract
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- In literatures, osteochondral fragment could be founded in 68% of acute displaced ankle fractures that could not be founded on plain X-ray. And skin necrosis following open reducion and internal fixation of ankle fractures are reported to be 3% that could result in serious problem. Above 2 problems could be handled with arthroscopic assisted fixation. We did arthroscopically assisted internal fixation on 6 cases of acute displaced ankle fractures. The results were as follows ; 1. No patients suffered from soft tissue problem. 2. Osteochondral fragment were founded in 3 cases and was debrided 3. According to Evanski and Waugh, mean functional score was 42 points, pain score was 36 points and R.O.M score was 7 points respectively. The results were excellent in all cases. 4. In roentgenographic study, nearly anatomic reduction was noted in all medial malleus fractures. In conclusion, better evaluation and management of osteochondral fragment, shorter hospitalization and quicker recovery were advantages of the arthroscopically assisted treatment of ankle fractures.
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Management of Unstable Proximal Tibial Fractures Using the Ilizarov
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Hong Gee Park, Beom Goo Lee, Soo Chan Lee, Do Hyun Moon, Jin Hong Ko, Ki Dong Kang, Hyun Park
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J Korean Soc Fract 1997;10(2):332-337. Published online April 30, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.2.332
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Abstract
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- We reviewed fifteen cases of unstable tibial fractures treated with Ilizarov method from May 1995 to May 1996.
We attained satisfactory bony union in all cases without bone graft(Average time 19 weeks).
There were numbers of complications, such as pin tract infection, angular deformity and joint ankylosis but its were soluble and careful management & numbers of minor surgery were needed to prevent & solve such complications. Post-op immediate weight bearing and ROM exercise were possible and showed no difficulty in getting mainteance of reduction & fracture healing, and serious joint ankylosis waa not developed.
In conclusions, Ilizarov method is an excellent treatment in getting reduction, maintenance of reduction, early ambulation and fracture healing in the cases of unstable tibia fractures.
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