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The effects of the flbular stabilization in the treatment of tibio-fibula shaft fracture
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Dong Bae Shin, Young Kyu Lee, Jang Yeob Ahn, Byung Kuk Cho, Dae Ug Hur
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J Korean Soc Fract 1994;7(2):634-641. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.634
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 Abstract
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- Many authors have been discussed effects of fibular stabilization in the healing of the tibiofibular shaft fracture. A-0 group recommand fixation of the fibular shaft fracture in treatment of tibio-fibula shaft fracture with rationale of more stability of tibial fracture site and anatomical restoration of tibio-fibula relationship and so better effect on ankle motion. The purpose of this study is to indentify the effect of fibula stabilazation on reduction state of tibial fracture site, change in ankle mortise and healing period of tibial fracture site. Authors performed fibula stabilization with 1/3 plate and screws in 8 cases of tibio-fibula shaft fracture and compare with 40 cases of tibio-fibula fracture without fibula stabilization in point of above mentioned three effects.
The results were as follows.
1. O/R & I/F of the fibular fracture, had no effect on the reduction state of the tibial shaft fracture site but it was somewhat helpful to restoration of the ankle mortise owing to the restoration of the fibular length.
2. There were no significant differences in the weight bearing time and the union time of the tibial fracture between two groups.
3. We experienced 2 cases of implant failure on the fibular fixation site, due to shortening of the tibial fracture site and overloading of the fibular fixation site. In these 2 cases, ankle pain was debeloped before the implant-failure.
From the above result, we suggest that fibula stabilization have no benefit in treatment of tibio-fibular shaft fracture.
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A Clinical Experience of the Posterior Fractare Dislocation of the Hip Joint
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Dong Bae Shin, Young Kyu Lee, Jang Yeob Ahn, Kyung Ho Jin, Young Kil Joo
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J Korean Soc Fract 1994;7(2):628-633. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.628
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Abstract
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- After classification of posterior hip dislocation by Thompson and Epstein, some treatment guide lines became proposed upon each types. However the most importance in treatment of posterior hip dislocation is prevention of 2 major complications, avascular necrosis of femoral head and post-traumatic arthritis. Authors experienced 16 cases of posterior htp dislocalion from Jan, 1988 to Dec. 1992. We analysed results of 16 cases which were available for minimum 1 year follow-up(Type I : 4 cases, Type II : 5 cases, Type IV cases, Type V : 3 cases).
The summary of our clinical experience were as follows; 1. Reverse Stimson method was very useful method in reduction of posterior dislocated hip.
2. Reasons for surgery were unconcentric reduction with intraarticular fragment, large acetabular fragment with instability and joint incongruity.
3. The incidence of osteoarthritis was high(56%) and there was no differences in its prevalance and severity according to each type of Epstein classification.
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