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Surgical Treatment of the Posterior wall Fracture of Acetabulum with Posterior Hip Dislocation
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Eu Seup Chung, Kyung Soo Choi, Min Kee Kim, Yong Il Son
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J Korean Soc Fract 1996;9(3):525-532. Published online July 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.3.525
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 Abstract
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- The Posterior wall and column fracture of the acetabulum is clinically important because of its range of motion and weight bearing portion, and in majority cases, they accompany with posterior dislocation of the hip. When the fractures were not treateci well, they may give rise to disabling symptoms such as traumatic arthritis and avascular necrosis of the femoral head. So, accurate reduction is more important than other fractures. The purpose of this study is to know the clinical results and complications when reduced surgically the posterior wall fractures of acetabulum with posterior hip dislocation. Sixteen cases of posterior wall fracture of acetabulum with posterior hip dislocation were treated surgically in the presbyterian medical center during the period 1981 to 1995.
The short summary of observations were following as; 1. According to Letoumels classification, simple posterior wall fracture was 10 cases, comminuted posterior wall fracture in 4 cases, and posterior wall and column in 2 cases, and relatively good clinical result was seen at the simple posterior wall fracture.
2. The complications were traumatic osteoarthritis in 4 cases(25%), and heterotopic ossification in 2 cases(12.5%).
3. The clinical result above Good was 14 cases(88%), the roentgenographic result above Good was 11 cases(69%), and they were correlations in each others(P<0.05).
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Citations
Citations to this article as recorded by  - Clinical Results of Surgical Treatment of Acetabular Fractures according to Quality of Reduction
Sang-Hong Lee, Min-Kyu Shin, Sueng-Hwan Jo
The Journal of the Korean Orthopaedic Association.2007; 42(2): 153. CrossRef
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The Treatment of Tibial Infected Nonunion by the Ilizarov Method
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Chang Yeul Yang, Kyung Soo Choi, Young Ki Lee
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J Korean Soc Fract 1995;8(2):361-369. Published online April 30, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.2.361
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Abstract
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- The goal of treatment in infected nonunion include the elimination of infection, complete bony union and prevention of bony defects and deformity. Twenty patients with infected nonunion were treated using ilizarov external fixator from January 1992 to August 1993.
The results were summarized as follows, 1. The main causes of infection were mixed infection in all cases and main causative agents were pseudomonas and staphylococcus.
2. Ninteen cases of infected nonunion were achieved bony union and one case was failed. The mean time to union was 10.6 months. The healing index averaged 51.3 days.
3. The bone results were excellent in sixteen cases, good in three and poor in one. The functional results were excellent in seven cases, good in eight and fair in five.
4. We experienced 35 complications, five were joint ankylosis. one was nonunion and we could solve the rest of complications with conservative treatment and minor surgery.
5. There were no problems in getting the bony union at bony distraction site in all cases. But, there were numbers of problem at the docking site such as autogenous bone graft, nonunion. So, it is important to wide resection of infected necrotic tissue and early bone graft.
6. We could solve the poor soft tissue problem with acute shortening method of bone.
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