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A Clinical Analysis of Open Reduction of the Ankle Fracture
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Eun Kyoo Song, Go Hun Chung, Dae Yeon Hong
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J Korean Soc Fract 1996;9(1):212-219. Published online January 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.1.212
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 Abstract
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- The ankle is a modified hinge joint consisting of tibial plafond, medial and lateral malleolus, talus and many soft tissue structures, which play important role in weight bearing and walking.
Ankle joint injury is determined by patients age, quality of bone, the position of a ankle at trauma, direction and degree, velocity of force. Hence, it is very important to understand the mechanism of trauma in order to make definite diagnosis and proper treatment.
The authors analysed 71 cases(66 patients) of the ankle fracture which were admitted and treated in Orthopaedic Department, Chonnam University Hospital from Aug. 1985 to June 1994.
The most common type of the ankle fracture was supination external rotation type(17 cases, 23.9%), by the classification of Lauge-Hansen, and type C(30 cases, 42.3%) by the AO classification.
According to the criteria of Meyer using the clinical and radiological result, pronation-external rotation type gave the best result and the worst results obtained from pronation-dorsiflexion type.
We concluded that classification of Lauge-Hansen & AO were useful in the diagnosis and treatment of ankle fracture and accurate reduction and rigid internal fixation of the lateral malleolus, distal fibula and distal tibiofbular diastasis was important in treatment of the ankle fracture.
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Ilizarov External Fixation for the Complications of Supracondylar Fracture of Femur: Report of two cases
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Eun Kyo Song, Go Hun Chung, Keun Bae Lee
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J Korean Soc Fract 1995;8(3):528-532. Published online July 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.3.528
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Abstract
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- Two patients of nonunion of supracondylar fracture of femur with bone loss and angular deformity were treated by the Ilizarov external fixator.
Large bone defect was closed by bone transport technique and angular deformity was corrected by means of hinges on the Ilizarov apparatus. The final results were satisfactory in two cases.
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Result of the Transpedicular Zielk Instumentation for the Fractures and Dislocation of the Thoracic and Lumbar Spine
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Jae Yoon Chung, Hyung Soon Kim, Go Hun Chung
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J Korean Soc Fract 1990;3(2):268-274. Published online November 30, 1990
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DOI: https://doi.org/10.12671/jksf.1990.3.2.268
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Abstract
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- For the evaluation of the clinical and radiological results of transpedicular Zielke instrumentation for the fractures and dislocations in the thoracic and lumbar spine, the authors analysed the 13 patients who were operated by that method and were followed up more than one year after operation (Av 33 months).
1. Operative indications were seat belt type, flexion-distraction injury of fracture-dislocation type and burst type that needed additional stabilization after anterior fusion.
2. Extent of fixation and fusion were 1 motion segment in 6, 2 motion segment in 7.
3. Bony union could be observed within 6 months in all, without any possible complications of metal failure, non-union, loss of correction or neural damage.
4. Kyphotic angular deformity were changed from 25 preoperatively, to 3 post-operatively and 5 at the end of follow up.
5. anterior vertebral height in 6 burst type were 46% preoperatively, 77% post-operatively and 74% at the and of follow up.
From above results, the authors concluded that the transpedicular Zielke instrumentation enabled the fixation of shortest segments and provided enough stability when the method was applied in the types of injury that demand posterior compression for the reduction and stabilization of the deformity and instability.
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