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Coracoid Process Fracture Associated with Acromioclayicular Dislocation and Partial Rupture of Coracoclavicular Ligament: A Case Report
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Seok Woong Yoon, Tae Sung Hwang, Byung Gue Park, Ki Hoon Kil
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J Korean Soc Fract 1999;12(3):693-697. Published online July 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.3.693
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 Abstract
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- A coracoid process fracture associated with acromioclavicular dislocation has been reported infrequently. A coracoid process fracture associated with coracoclavicular ligament rupture has been reported only in two cases. Two separated injury mechanisms seem to be involved in this instance; one is direct trauma to the shoulder girdle causing dislocation of acromioclavicular joint, and the other is sudden avulsive pull on coracoid process by the conjoined tendons of short head of biceps brachialis and coracobrachialis, and pectoralis minor muscle causing fracture of the coracoid process. We reported one case of coracoid process fracture associated with acromioclavicular dislocation and partial rupture of coracoclavicular ligament. The lesion was treated by open reduction and interanl fixation using two Kirschner - wires for the acromioclavicular joint and a cortical screw for coracoid process, and the result was satisfactory without complication.
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Operative Treatment of the Tibial Pilon Fractures
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Suk Woong Yoon, Tae Sung Hwang, Byung Gue Park, Sang Deog Kim
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J Korean Soc Fract 1999;12(3):622-631. Published online July 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.3.622
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Abstract
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- Pilon fracture which is defined as a comminuted intraarticular fracture of distal tibia has been known to be difficult to manage because high axial compression and rotational forces to the ankle joint result in impaction, severe comminution, metaphyseal disruption, and soft tissue trauma. Several authors have reported good results using an AO group treatment principle. However, others have documented less favorable results such as skin slough, wound infection, and osteomyelitis. Recently, satisfactory results were obtained by the treatment with open reduction and fixation using Ilizarov method.
We reviewed and analyzed 22 cases of the pilon fracture treated by the two methods O.R.I.F. and fixation by Ilizarov method) and compared the results to find out the usefulness of fixation by Ilizarov method, from Feb. 1993 to Mar. 1997 at the Department of Orthopedic Surgery, Seoul Red Cross Hospital.
Fixation by Ilizarov method using ligamentotaxis and occasional minimal open reduction was effective for fracture reduction. It also decreased complications such as wound infection, skin necrosis, and osteomyelitis because it did not need extensive soft tissue dissection. And, it was also useful for severe comminuted fracture, open fracture, and fracture with extensive diaphyseal extension to proximal metaphysis.
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