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Operative Treatment of Type III Coronoid Process Fractures
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In Ho Jeon, Woo Kie Min, Chang Wug Oh, Hee Soo Kyung, Byung Chul Park, Poong Taek Kim, Joo Chul Ihn, Jung Yup Lee
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J Korean Fract Soc 2004;17(4):338-344. Published online October 31, 2004
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DOI: https://doi.org/10.12671/jkfs.2004.17.4.338
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 Abstract
 PDF
- PURPOSE
To review the clinical results of eight cases of typeIII coronoid process fractures which were treated operatively.
MATERIALS AND METHODS
Eight patients with coronoid type III fracture were reviewed retrospectively. All were men with an average age of 33. There were three isolated fractures, two elbow dislocations, two radial head and neck fractures, and one medial collateral ligament rupture. Open reduction and internal fixation through anterior approach with canulated screws was used. The patients were followed up for a mean of 31 months (24 to 60).
RESULTS
Average active elbow joint motion at the most recent follow up was 105degrees. The average Mayo Elbow Performance Score was 76.9 (50 to 95). There was one excellent result, four good, two fair, and one poor.
CONCLUSION
Early open reduction and stable internal fixation provided a reliable method for the treatment of type III coronoid process fractures. Any associated ligament injuries to the elbow and fracture comminution were considered as important prognostic factors.
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Grade III Tibia Open Fractures Treated with Unreamed Tibial Nailing
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Chang Wug Oh, Hee Soo Kyung, Do Heon Kim, Il Hyung Park, Poong Taek Kim, Joo Chul Ihn, Yeon Ki Woo, Jung Yup Lee
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J Korean Fract Soc 2004;17(2):148-152. Published online April 30, 2004
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DOI: https://doi.org/10.12671/jkfs.2004.17.2.148
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Abstract
PDF
- PURPOSE
This is a retrospective study to analyze the results of unreamed intramedullary nailing in grade III tibial open fracture.
MATERIALS AND METHODS
Twenty-nine Gustilo-Anderson grade III tibial open fractures fixed with unreamed tibial nail were followed more than one year. Primary union rate, union time, infection, conversion to external fixation, ankle and knee function according to different grade of open, fracture level, AO classification, and muscle flap were evaluated.
RESULTS
Primary union was achieved at sixteen fractures. There were three delayed union that achieved union twenty week after primary operation. And eight undergone secondary bone grafts which were done after inflammation sign subcided. Complications about infection were in five cases. Two cases were unable to maintain internal fixation due to deep infection, and three of superficial infection were treated with repeated debridement and antibiotics use.
CONCLUSION
In grade III tibial open fracture, unreamed nailing with early soft tissue reconstruction and early prophylactic bone graft can be a good treatment.
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Citations
Citations to this article as recorded by  - Management of Open Fracture
Gu-Hee Jung
Journal of the Korean Fracture Society.2010; 23(2): 236. CrossRef - Management of Open Tibial Fractures: Role of Internal Fixation
Yerl-Bo Sung
Journal of the Korean Fracture Society.2007; 20(4): 349. CrossRef
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