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Operative Treatment of the Tibial Condylar Fracture
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Yong Man Cho, Kun Yung Lee, Myung Sik Park, Cheon Dong Lee, Heung Sik Kang, Gue Cherl Cho
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J Korean Soc Fract 1997;10(1):44-52. Published online January 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.1.44
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 Abstract
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- The tibial condylar fracture which involves articular surface of the proximal tibia is common in pedestrian injury of the traffic accident and often produces some disability of the knee joint because of the frequent association with ligamentous and meniscal injuries. Methods of treatment in fracture of the tibial condyles has long been a controversial problems. Recently most authors agree that the method of treatment has to be selected in each individual case and anatomical reduction of fracture and early knee motion are recommended but unsatisfactory results has been reported as between 20% and 40%.
The authors analyzed 38 cases of the tibial condylar fractures, which were treated at the orthopedic department of the Lee-Rha general Hospital from 1990 to 1994, regarding its type, treatment and results.
The results of this study were as follows.
1. According to Schatzker classification : the most common fracture was type II.
2. According to BloDers criteria, 28 cases showed satisfactory results(74%).
3. Postoperatively, early knee joint exercise like alternatively applying 90(knee flexion and extension splint were very important factors for good results).
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The Operative Treatment of Displaced Waist Fracture of Scaphoid
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Kun Yung Lee, Young Kee Lee, Yong Man Cho, Heung Sik Kang, Cheon Dong Lee, Sang Su Oh
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J Korean Soc Fract 1997;10(1):164-170. Published online January 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.1.164
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Abstract
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- The authors surveyed the clinical study of 17 cases of scaphoid fractures from March 1989 to September 1994 with minimal 1 year follow up at Department of Orthopedic Surgery, Lee-Rha general Hospital.
The following conclusions were obtained through clinical survey.
1. Of all 17 cases, they were 13 males and 4 females; Among the 13 males, 10 cases were aged between 20 and 39 years, forming 58.8% of all.
2. All 17 cases were treated by open reduction. Unions were obtained at average 11.5 weeks in 7 cases treated with Herbert screw fixation and 12 weeks in 10 cases treated with K-wire fixation.
3. Two of ten K-wire treated cases resulted in delayed union, one of seven Herbert screw treated cases resulted in delayed union.
4. Unions were obtained at average 20 weeks in 3 cases of delayed union. We concluded that open reduction and K-wire fixation were recomanded for the compatible treatment method of displaced waist fracture of scaphoid.
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Treatment of the Tarsometatarsal Joint Fracture-Dislocation
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Kun Yung Lee, Young Kee Lee, Yong Man Cho, Heung Sik Kang
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J Korean Soc Fract 1996;9(3):725-732. Published online July 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.3.725
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Abstract
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- Traumatic dislocation and fracture-dislocation of the tarsometatarsal joint rare injuries. These injuries often missed because radiographs of this joint is difficult to be interpreted, so delay to be diagnosed and treated.
These injuries often leads to arthritic change with significant residual symptoms and deformities.
Tarsometatarsal joint injuries are generally managed by accurate repositioning of the displaced metatarsals and stabilization with instruments(K-wire, screws etc.).
The purpose of this study is to review the anatomical, radiological and functional results.
The authors analysed the 25 cases with injuries of the tarsometatarsal joint treated of the department of Orthopaedic Surgery, Lee-Rha general hospital from March 1989 to September 1994, which showed the following results.
1. The most common cause of the injury was traffic accident(76%).
2. According to the Hardcastles classification, the injuries were classified as follows:partial incongruity in 16 cases(64%), total incongruity in 6 cases(24%), and divergent congruity in 3 cases(12%).
3. Three cases were treated with closed reduction and case immobilization, thirteen cases were treated with closed reduction and percutaneous K-wire fixation. Nine cases were treated with open reduction and K-wire fixation as follows:reduction failure in 3 cases, entrapment of anterior tibial tendon in 2 cases, severe soft tissue injury in 4 cases.
4. The anatomic reduction and its maintenance were considered as most important factor of prognosis.
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