-
A Clinical Study of the Tibial Plafond Fractures
-
Seung Gyun Cha, Won Suek Lee, Kyoung Hoon Kim, Jin Hak Kim, Jin Yong Jung, Jae Sung Lee
-
J Korean Soc Fract 1992;5(2):268-274. Published online November 30, 1992
-
DOI: https://doi.org/10.12671/jksf.1992.5.2.268
-
-
 Abstract
 PDF
- The tibial plafond fractures result from an axial compression and rotational forces causing variable degrees of metaphyseal disruption, articular damage, and malleolar displacement, it is relatively uncommon but a most difficult fracture to manage. It has been treated in a number of manners, but the best results have been occurred when stable internal fixation is accomplished using plates and screws, basic steps in reconstruction are restoration of anatomic length of the fibula with plate fixation, reconstruction of the tibial articular surface, cancellous bone grafting of the metaphyseal defect and buttress plating of the distal tibia. The author analysed the 22 cases of the tibial plafond fractures in 22 patients, which were treated at the department of orthopedic surgery in Dai Han hospital. From january 1989 to january 1991. The longest duration of follow up was 2 years and 6 months and shortest one was 7 months, and the average was 14 months The results were as follows ; 1. Among the 22 patients, male were 17 and female was five. 2. The major causes of injury were a fall from a height. 3. Regardless of the method of treatment the type I and II were In good and fair result, but the type III were fair in 4 cases and poor in 2 cases, other 5 cases were in good result. 4. It is important to remind the basic steps in reconstruction appllied in an indivisual case especially in type III. If anatomic reconstruction of the joint surface can be restored and stable fixation achieved, early motion of the ankle joint is possible. The early motion reduces stiffness of the ankle and will yeild the most satisfying rusult. But the anatomic reduction of ankle joint is difficult to be obtained in each case especlally in type III and may consider an ankle fusion.
-
Clinical study for use of monofixateur of open tibia fracutres
-
Seung Gyun Cha, Dong Chul Oh, Won Suk Lee, Ouc Jung Kim, Jin Yong Jung
-
J Korean Soc Fract 1990;3(2):262-267. Published online November 30, 1990
-
DOI: https://doi.org/10.12671/jksf.1990.3.2.262
-
-
Abstract
PDF
- Open fracture is common in the tibia than any other long bones. Because of its precarious blood supply, delayed union, nonunion and infection are frequent complications.
Many external fixation device has been useful for the management of unstable, comminuted open tibia fracture for its several advantages.
Among the 20 cases of open tibia fracture treated with monofixateur device from May 1987 to April 1989, the following results were obtained.
1. By Gustilo et al. Type I, II and III fractures were seen in 2 patients (10%), 16 pateints (80%) and 2 patients (10%) respectively.
2. The average fixation time was 18 weeks and full weight bearing was performed at 31 weeks.
|
E-submission
KFS
