-
Surgical Treatment for Tibial Condyle Fracture of the Proximal Tibia
-
Won Tae Choi, Bo Yel Choi, Chul Hyung Lee, Eui Soon Kim, Jeong Woung Lee, Doo Hoon Sun, Myung Sang Moon
-
J Korean Soc Fract 2001;14(2):291-297. Published online April 30, 2001
-
DOI: https://doi.org/10.12671/jksf.2001.14.2.291
-
-
Abstract
PDF
- PURPOSE
To evaluate the results of operative treatment for tibial condyle fracture of the proximal tibia.
MATERIAL AND METHODS: From March 1995 to June 1999, 15 patients with more than one year follow-up periods were treated by operative method at Sun General Hospital. 10 of them were treated by open reduction and internal fixation(plate & screw for 8, screw & K-wire for 2) and 5 of them by closed reduction and Ilizarov fixation. Preoperative prognostic factors were considered as the fracture type of Schatzker classification, associated injury, and closed or open fracture. Functional outcome was evaluated results by Blokker`s criteria. RESULTS According to Schatzker classification, type III were 4 cases, type IV were 6 cases, and type V were 5 cases. At last follow up, average range of motion was 115degrees (Internal fixation was 110degrees, External fixation was 130degrees) The results was according to Blokker`s criteria, 11 cases(73%) had satisfactory acceptable results, among 4 cases(27%) of non-acceptable criteria. CONCLUSION For treatment of tibia condyle complicated communited fracture, we are able to consider that rigid internal fixation with anatomical reduction and external fixation for early range of motion.
-
Comparison of radial head excision and open reduction & internal fixation for comminuted radial head & neck fracture
-
Jae Gune Jun, Chul Hyung Lee, Sung Jun Han, Sang Seon Lee, Won Tae Choi, Ho Rim Choi, Jeong Woung Lee
-
J Korean Soc Fract 2001;14(1):106-112. Published online January 31, 2001
-
DOI: https://doi.org/10.12671/jksf.2001.14.1.106
-
-
Abstract
PDF
- PURPOSE
The goals of the present study were to compare of radial head excision and open reduction k internal fixation for comminuted radial head & neck fracture. MATERIALS AND METHODS From march 1993 to February 1999, Patients with fracture of radial head (Mason type III) who were treated at Dae-Jeon Sun General hospital were enrolled in the study. The average duration of follow up was 3 years and 3 months. Six patients(Group A) were treated with radial head excision and fourteen patients(Group B) were treated with open reduction and internal fixation. RESULTS By functional rating index(modified After B.F. Morrey et al), in Group A, the results were classified as excellent(1 patient), good(No patient), fair(2 patients), and poor(3 patients), and in Group B, excellent(4 patients), good(5 patients), fair(3 patients), and poor(2 patients). CONCLUSION We concluded clinically to obtain better outcome in group which were treated with open reduction and internal fixation than radial head excision. Therefore, though the treatment of choice for Mason type III radial head fracture was total excision, in consideration of complication, procedure to preserve radial head was desirable. We must give careful consideration to possibility of open reduction and decision of radial head excision.
-
Axial-Ulnar fracture-Dislocation of the Carpus : A Case Report
-
Ho Rim Choi, Sang Seon Lee, Chi Won Lee, Sung Jun Han, Won Tae Choi
-
J Korean Soc Fract 1999;12(4):1027-1030. Published online October 31, 1999
-
DOI: https://doi.org/10.12671/jksf.1999.12.4.1027
-
-
Abstract
PDF
- Axial dislocation of the carpus is a rare injury, and it usually is caused by crush mechanism in industrial fields. We experienced a case of axial-ulnar fracture-dislocation of the carpus which was treated by open reduction and internal fixation with K-wires and external rixator fixation.
|