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Operative Treatment of Patellar Fracutres
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Eun Kyoo Song, Dae Ik Kim, Hyung Seog Kim
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J Korean Soc Fract 1996;9(3):640-646. Published online July 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.3.640
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 Abstract
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- Patella has important roles to enhance extensor mechanism of knee, therefore patellar fractures should be treated correctly according to the type and displacement of fractures for the preservation of patellar function.
The purpose of study is to analyse the clinical results of operative treatment for patellar fractures. 77 cases of patellar fracture which were treated at Chonnam University Hospital between June 1985 and March 1995 were reveiwed. Among them, 32 cases with open reduction and internal fixation were included in this study. The mean follow-up period was 21.5 months(range twelve to eighty two months). Oircurnferential wiring, modified tension band wiring, malleolar screws and combination of circlage and tension band wiring were used as a fixatives. The clinical results were compared according to Reileys clinical evaluation criteria mainly by range of motions, mid-thigh circumferential difference. The most favorable results could be obtained with the combination of circlage and tension band wiring.
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A Clinical Analysis on Treatment of Tibial Fractures Using Ex-Fi-Re External Fixator
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Soo Kyun Rah, Dae Ik Kim, Chang Uk Choi
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J Korean Soc Fract 1995;8(2):354-360. Published online April 30, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.2.354
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Abstract
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- Since Malgaigne described a external fixators in 1853, it were widely used for open and communited fractures. Modern external fixators such as modified Hoffman, Denham and of hofix external fixators are commonly applied because it could obtain rigid fixation and compression of fracture site.
Most of external fixators used only as a fixator after reduction, however new extemal fixator(Ex-F-Re) by Osteo is consists of two units, which are the correction and fixation units. This device is possible to manipulate fracture fragments under the complete control of stability and to obtain more rigid fixation and compression of fracture site.
Among the 16 cases of tibial fractures treated with Ex-Fi-Re external fixator device from June 1992 to June 1993, 14 casrs had minimum 1 year follow up and the following results were obtained.
1. Among 14 cases,7 were open fractures,4 were closed periarticular communited fractures and 3 were infected nonunion of tibia.
2. Among 11 cases of fracture and 3 cases of infected nonunion, nonunion was happened in each one case.
3. Average bony union period was 24.4 weeks in fracture group and 44 weeks in infected nonunion group.
4. Ex-Fi-Re external fixator was very rigid fixator, easy to use, and possible to manipulate fracture fragments under the complete control of stability.
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