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A clinical study of tibial condylar fracture
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Kyu Yeol Lee, Myung Soo Lee, Sung Keun Sohn
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J Korean Soc Fract 1996;9(4):958-969. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.958
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 Abstract
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- The tibial condyle fracture was descirbed first by Cooper in 1825, which involves articular surface of the proximal tibial and often pnduces disabilities of the knee joint due to accompanied by injuries to ligaments and menisci, frequently.
There are much controversies in the method of the treatment in the fracture of the tibia condyle, but todays, the anatomical reduction and firm internal fixation is recommanded with early knee motion for good results.
The authors analyzed 43 cases of tibia condylar fractures that treated at Department of Orthopaedic Surgery, College of Medicine, Dong-A University from March 1990 to May 1995.
The results were obtained as follows: 1. The most common age group was 4th decade.
2. The most common cause of injury was motor vehicle accident in 28 cases(65.1%) and others were slip down, fall down and sports injury, etc.
3. According to Schatzkers classification, thr most common type was type II and VI in 10 cases(23.3%) individually.
4. The most common soft tissue injury was ligament injury in 16 cases(37.2%), and the most common associated fracture was fibular fractures(13 cases).
5. By Porters criteria, 16 cases(76.2%) among 21 conservative cases and 16 cases(12.7%) among 22 operative cases had acceptable results.
6. The most common complication was limit of motion of knee joint(8 cases) and then, traumatic arthritis, angular deformity, infection, joint instability were seen.
7. There was no different result between conseHative and operation method in our study, but we think the simple comparision was meaningless because of the degrees of injury to the objects of the two treatment methods were different.
8. The factors to effect the prognosis were as fellows; the depression, displacement of the fracture, soft tissue injury, anatomical reduction and early knee exercise, etc.
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The Treatnent of Fracture and Nonunion of the Carpal Scaphoid
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Sung Keun Sohn, Sung Soo Kim, Myung Soo Lee
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J Korean Soc Fract 1996;9(2):264-273. Published online April 30, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.2.264
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Abstract
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- The scaphoid fracture is the most common fracture in carpal bones and its incidence of nonunion, avascular necrosis and ostoarthritis is high because of its precarious blood supply and diffculties of diagnosis and treatment.
Authors analyzed 14 cases of carpal scaphoid fractures that treated at the Department of Orthopaedic Surgery College of Medicine, Dong-A University from March 1991 to February 1994 The results were obtained as follows 1. The results of treatment were evaluated by Maudsley method. Excellent or good results were 7 of 8 cases in the Herbert screw fixation, 1 of 2 cases in the K-wire fixation and all cases in the conservative treatment and the bone graft.
2. The mean duration of immobilization was no significant difference regardless of the treatment method in fractures. But in nonunions,there was a decreased immbilization time with the Herbert screw fixation as comparing with the K-wire fixation.
3. In fractures, Herbert screw fixation showed early bone union comparing to other treatments.
And there was no significant difference of bone union regardless of the treatment method in nonunion.
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