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Treatment of Carpal Bone Fracture-Dislocation using the Small-External Fixator and Internal Fixation
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Chil Soo Kwon, Young Uck Kim, Byung Hyun Jung, Kyeong Seog Kong
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J Korean Soc Fract 1995;8(1):228-233. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.228
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 Abstract
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- Authors reviewed 3 cases of carpal bone fracture-dislocation treated with samll-external fixator and internal fixation such as K-wires or screws from October 1991 to March 1993 with above 1 year follow up.
The results were as follows; 1. Mean ages were 25 years, all patients were male.
2. The causes of injury were the fall down in 2 cases and the sports injury in 1 case.
3. Cases were a palmar transscaphoid lunate dislocation, a Neglected volar dislocation of lunate, and a doral transscaphoid perilunar dislocation.
4. Advantages are as follows 1) minimize surgical dissection 2) maintenance of reduction is easy 3) ROM: full 4) painless 5) results are excellent We would like to recomment to use the small-external fixator and limited internal fixation instead of other methods for the treatment of carpal bone fracture-dislocation.
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Treatment of Infected Nonunion of Femoral Fracture
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Chil Soo Kwon, Young Uck Kim, Byung Hyun Jung, Kyeong Seog Kong
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J Korean Soc Fract 1995;8(1):13-21. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.13
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Abstract
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- There are many difficult problems in the treatment of inferted nonunions of the femur, e.g, eradication of infection and osseous union even in the presence of devastating infection. To solve these diffcult problems, various methods were tried including thorugh debridement and rigid internal nxation or external fixation, and bone graft.
Recently, large bone defect due to resection of infected bone was treated excellently using llizarov external fixator. Authors treated 13 cases of infected nonunions of femur with Ilizarov external fixator from september 1989 to July 1994.
The results were as follows.
1. Among 13 cases of infected nonunion of femoral fracture, 1 case was treated with internal fixation and others with external fixation, and obtaned bone union in all cases.
2. Mean number of previous surgery in other hospital was 3.2(1-5) times and mean number of surgery in our hospital was 2.5(1-5) times.
3. Lengthening(including length of internal bone transport) was performed from 2.5cm to 22cm.
4. Duration of treatment was from 4 months to 27 months(Mean : 11 months). In conclusion, infected femoral nonunion in very selective cases could be treated with retention of internal fixation (Exchange of nail, or plate and screws). But converison to external fixator should be well prepared in most cases.
Infected nonunion could be managed in staged surgery with use of modular external fixator like llizarov external fixator. Management of infection, malposition, and shortening could be controlled more safely and more definitely with the ring external fixator.
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