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Arthroscopically-assisted Reduction and Fixation for the Lateral Tibial Condyle Fractures
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Jeong Hwan Oh, Seon Nam Kim
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J Korean Soc Fract 1999;12(3):614-621. Published online July 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.3.614
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 Abstract
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- PURPOSE
Retrospective study was performed about arthroscopically-assisted reduction and internal fixation for the lateral tibial condyle fractures to evaluate the usefulness of arthroscopy.
MATERIAL AND METHODS: From January 1993 through December 1996, 36 patients with tibial plateau fractures were evaluated. After reviewing the records and radiologic studies, 22 patients were included in the study based on fracture patterns. Average follow up were 26 months, with a range of 12 to 45 months. Among the 22 cases, 16(72.7%) were male and 6 (27.3%) were female. Fourteen(72.6%) were caused by traffic accident(9 pedestrians, 5 passengers) and 7 were fall from a height. According to Schatzker classification, 9 cases (40.1%) were classified as cleavage with depression(type II), 5 cases(22.4%) of pure central depression(type III) and 8 cases(36.5%) of pure cleavage(type I). There were 24 cases of associated injuries in 16 patients, among which lateral meniscus tears was most common (37.5%). We used Porters criteria for the clinical evaluation and Blotters criteria.
RESULTS
By Porters criteria for the clinical evaluation, acceptable results were obtained in 20 cases (90.9%) in symptom, 21 cases(95.5%) in functional aspect and 22 cases(100%) in appearance and radiologic appearance. By Blotters criteria, satisfactory results were in 20 cases (90.9%).
CONCLUSION
Arthroscopically-assisted reduction and internal fixation should be considered one of the treatment of choice in selected tibial plateau fractures from many advantages.
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Management for Postoperative Infection of Fractures
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Eui Hwan Ahn, In Whan Chung, Jeong Hwan Oh, Seong Tae Lee, Duk Hwan Kho
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J Korean Soc Fract 1999;12(2):402-410. Published online April 30, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.2.402
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- It is often difficult to eradicate infection and achieve bony union in postoperative infection after fracture fixation. Authors treated 14 such cases from February 1992 to February 1998, and followed up for 6 to 35 months. The purpose of this study is to review the clinical features of the postoperative infection and assess the treatment modality which influence the time required for attaining bony union and healing of infection. The results were as follows : 1. Primary fixation were left in place in 5 cases of stable fixation, and new external fixation and/or another fixations were required in 8 cases of unstable fixation. 2. Time required for achieving union was 4.7 months for stable primary fixation and 12.8 months for unstable primary fixation. 3. Time required for healing in infection was 3.5 months for stable primary fixation and 14.4 months for unstable primary fixation. 4. Bony union was delayed as the number of surgical procedures were increased. 5. Antibiotic cement beads were inserted for 5 cases into bony defect and dead space after curettage and sequestrectomy, and pus discharge was stopped after 8.8 weeks in average.
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Citations
Citations to this article as recorded by  - A Review of Domestic and International Clinical Research Trends on Pharmacopuncture Treatment for Fractures
Hea Sun Chun
Journal of Physiology & Pathology in Korean Medicine.2023; 37(6): 185. CrossRef
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Treatment of Intertrochanteric Fractures of the Femur using Compression Hip Screw in the Senile Osteoporosis
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Eui Hwan Ahn, In Whan Chung, Jeong Hwan Oh, Hyuck Jun Lee
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J Korean Soc Fract 1998;11(1):168-174. Published online January 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.1.168
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- The intertrochanteric fracture of the femur are seen in elderly patients who are highly vulnerable to generalized osteoporosis and various senile disease. Firm internal fixation and early ambulation is a goal of treatment. The morbidity and mortality after fracture remain high despite of the development of various devices. For this purpose, compression hip screw becomes popular recently. The purpose of this report is to assess the availability of compression hip screw in the intertrochanteric fracture in the senile osteoporosis by the review of 107 cases from Jan. 1990 to Jan. 1996. The result were as follows : 1. Eighty-three cases(77.6%) were unstable fractures. 2. The lag screw position in the femoral head of 76 cases(71%) were centerd 3. The average length of sliding of the lag screw was 9.9mm. 4. Satisfactory results were obtained in 91% of patients by the functional class of Clawson.
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Remodelling and Reangulation following the Fracture of Both Bones of the Forearm in Children
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Sung Tae Lee, Jeong Hwan Oh, Eui Hwan Ahn, Hyuck Jun Lee
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J Korean Soc Fract 1997;10(4):972-978. Published online October 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.4.972
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- One-hundred fifty children underwent closed reduction for the fracture of both bones of the forearm were retrospectively reexamed with an average follow-up time of 28.7 months(range, 13-60 months). Patients were divided into three groups of 50-complete fractures, 50-green-stick fractures broken intact cortex and 50-green-stick fractures preserved intact cortex. The rate of the reangulation after closed reduction was lowest on the green-stick fractures preserved intact cortex. Forty-seven patients with residual angulation after healing were divided into two age groups of 4-10 years and 10- 15 years at the time of fracture. In children younger than 10 years of age with residual angulation after distal fractures of both bones of the forearm, the change of orientation of the epiphyseal plate toward the normal seemed to account for nearly all the actual correction at the site of fracture. The hinge should be used to aid in an accurate and stable reduction. The importance of the orientation of the epiphyseal plate is related to the distance between the fracture site and the epiphyseal plate according to the age of the patient.
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A clinical study of ankle fractures
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In Hwan Jeong, Jeong Hwan Oh, Eui Hwan Ahn, Kyung Jong Ham
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J Korean Soc Fract 1991;4(2):347-355. Published online November 30, 1991
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DOI: https://doi.org/10.12671/jksf.1991.4.2.347
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Abstract
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- No abstract available.
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