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Internal fixation with pelvic plate for displaced Acetabular Fracture
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Taek Rim Yoon, Sung Nam Jung, Sang Jin Park, Eun Kyoo Song
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J Korean Soc Fract 2000;13(4):733-740. Published online October 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.4.733
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 Abstract
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- PURPOSE
The purpose of this study was to review the clinical and radiographic results after plate fixation for displaced acetabular fracture.
MATERIALS AND METHODS
A clinical analysis was performed on 47 cases of displaced unstable acetabular fracture which had been fixed with plates and screws. Clinical and radiographical results were analyzed according to Epstein criteria.
RESULTS
In 44 cases, internal fixation was performed using only plate and screws. In three cases, the fixation was augmented with cerclage wiring. The fracture type included posterior wall or posterior column fracture in 37 cases(78.7%). Satisfactory results were achieved in 39 cases(86.7%) on clinical grade and 40 cases(88.9%) on radiographic grade. The complications were deep wound infection in two cases, avascular necrosis of femoral head in one case, post traumatic arthritis in 2 cases, and malunion with partial ankylosis in one case. Total hip arthroplasty were needed in two cases with avascular necrosis and infection.
CONCLUSION
Early surgical treatment including accurate anatomical reduction and stable internal fixation is emphasized for better clinical and radiographic results. The plate and screw fixation is well indicated for posterior wall and/or posterior column fracture of acetabulum.
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Citations
Citations to this article as recorded by  - Cerclage Clamping Using Cerclage Passer for Reduction of Anterior and Posterior Column Fracture
Ki Chul Park, Hyun Joong Cho, Hun Chul Kim, Kyung-Sik Min, Hae Won Jeong
Journal of the Korean Orthopaedic Association.2016; 51(6): 486. CrossRef - Comparative Results of Acetabular Both Column Fracture According to the Fixation Method
Kyung-Jae Lee, Byung-Woo Min, Eun-Seok Son, Hyuk-Jun Seo, Jin-Hyun Park
Hip & Pelvis.2011; 23(2): 131. CrossRef - Treatment of Acetabular Column Fractures with Limited Open Reduction and Screw Fixation
Jung-Jae Kim, Hyoung Keun Oh, Sung-Yoon Kim
Journal of the Korean Fracture Society.2007; 20(1): 26. CrossRef
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Ilizarov Method for Treatment of Tibia Nonunion Associated with Bone Defects
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Sung Taek Jung, Keun Bae Lee, Eun Kyoo Song, Sung Nam Jung
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J Korean Soc Fract 1999;12(4):932-939. Published online October 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.4.932
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Abstract
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- PURPOSE
: This study was to evaluate the results and complications in gap nonunions of the tibia treated by Ilizarov method MATERIALS and METHODS : We reviewed 30 patients of tibial nonunions(23 atrophic, 7 hypertrophic) with bone loss(1-l3cm, mean 4.6cm) who were treated by Ilizarov technique. The causes of bone defect were open fracture with bone loss(15 cases) and infected nonunions(15 cases). Bone defects were closed by Ilizarov bone transport technique.
RESULTS
All patients had satisfactory union. The mean distraction-consolidation index (distraction-consolidation time/ distraction gap) was 1.3 months/cm. The younger patients and metaphyseal lengthening healed faster than the older patients and diaphyseal lengthening. Even though, we met with the numerous complicationt such as pain around the pin site, pin site infection and delayed union, we could successfully treat most of them.
CONCLUSION
: The application of Ilizarov techniques to nonunions of the tibia with bone defect was very effective, but correct technique and careful follow-up examination was required to avoid complications.
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