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Operative Treatment of the Tibial Condylar Fracture
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Yong Man Cho, Kun Yung Lee, Myung Sik Park, Cheon Dong Lee, Heung Sik Kang, Gue Cherl Cho
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J Korean Soc Fract 1997;10(1):44-52. Published online January 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.1.44
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 Abstract
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- The tibial condylar fracture which involves articular surface of the proximal tibia is common in pedestrian injury of the traffic accident and often produces some disability of the knee joint because of the frequent association with ligamentous and meniscal injuries. Methods of treatment in fracture of the tibial condyles has long been a controversial problems. Recently most authors agree that the method of treatment has to be selected in each individual case and anatomical reduction of fracture and early knee motion are recommended but unsatisfactory results has been reported as between 20% and 40%.
The authors analyzed 38 cases of the tibial condylar fractures, which were treated at the orthopedic department of the Lee-Rha general Hospital from 1990 to 1994, regarding its type, treatment and results.
The results of this study were as follows.
1. According to Schatzker classification : the most common fracture was type II.
2. According to BloDers criteria, 28 cases showed satisfactory results(74%).
3. Postoperatively, early knee joint exercise like alternatively applying 90(knee flexion and extension splint were very important factors for good results).
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The Operative Treatment of Displaced Waist Fracture of Scaphoid
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Kun Yung Lee, Young Kee Lee, Yong Man Cho, Heung Sik Kang, Cheon Dong Lee, Sang Su Oh
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J Korean Soc Fract 1997;10(1):164-170. Published online January 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.1.164
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Abstract
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- The authors surveyed the clinical study of 17 cases of scaphoid fractures from March 1989 to September 1994 with minimal 1 year follow up at Department of Orthopedic Surgery, Lee-Rha general Hospital.
The following conclusions were obtained through clinical survey.
1. Of all 17 cases, they were 13 males and 4 females; Among the 13 males, 10 cases were aged between 20 and 39 years, forming 58.8% of all.
2. All 17 cases were treated by open reduction. Unions were obtained at average 11.5 weeks in 7 cases treated with Herbert screw fixation and 12 weeks in 10 cases treated with K-wire fixation.
3. Two of ten K-wire treated cases resulted in delayed union, one of seven Herbert screw treated cases resulted in delayed union.
4. Unions were obtained at average 20 weeks in 3 cases of delayed union. We concluded that open reduction and K-wire fixation were recomanded for the compatible treatment method of displaced waist fracture of scaphoid.
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A Treatment for Fracture of the Talar Neck
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Kun Yung Lee, Young Kee Lee, Yong Mann Cho, Cheon Dong Lee
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J Korean Soc Fract 1996;9(4):1009-1015. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.1009
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Abstract
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- The talus has some important anatomic features. Approximately 60% of its surface is cartilage and the talus often has problems with circulation. Talar neck fracture have a high association with osteonecosis and osteoarthritis. Authors have analysed 16 cases of the talar neck fractures treated at Lee-Rha General Hospital from January 1990 to December 1995 with minimal 1 year follow up.
The results were as follows; 1. In the 16 cases, there were 14 males and 2 females, the age between 20 and 40 years old was 10 cases(63%).
2. The most common rause of injury was traffic accident(63%), with sudden hyperextension as its mechanism.
3. Associated injuries were 4 malleolar fracutres, 3 calcaneous fractures, 3 spine fractures, 3 tibiofibular fractures and 2 femur fractures.
4. According to the Hawkins classification ; 3 cases in type 1, 4 cases in type II, 5 cases in typeIII, 4 case in type IV fractures were observed.
5. The method of treatment, all 3 cases of Hawkins type I fractures were treated by closed reduction and cast immobilization, 3 cases of Hawkins type II and 1 case of Hawtins type III fracture were treated by closed reduction and internal fixation, other 9 cases were treated by open reduction and internal fixation.
6. Excellent results were observed in 8 cases, good in 5 cases, fair in 2 cases, poor in 1 case with the Hawkinstherapeutic criteria.
7. Complications were observed 3 avascular necrosis, 2 post-traumatic arthritis, 2 ankle stiffness and 1 skin necrosis.
From the above results, authors believe that early anatomical reduction & internal fixation is importent to get a satisfactory result in the treatment of tatar neck fracture.
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