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Treatment of Transverse Patellar Fracture with Cannulated Screws
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Jung Man Kim, Ju Seok Yoo, Yong Jin Kwon, Jang Ok Cheon
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J Korean Fract Soc 2007;20(2):149-153. Published online April 30, 2007
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DOI: https://doi.org/10.12671/jkfs.2007.20.2.149
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Abstract
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- PURPOSE
To assess the indication and effect of screw fixation in the transverse patellar fractures. MATERIALS AND METHODS We analysed the results of 14 transverse patellar fractures fixed with screws from January 1991 to May 2005. Mean follow-up period was 47 months (range, 12~143 months). We analysed the radiologic union, operation time, ROM and postoperative Lysholm score. RESULTS All fractures healed uneventfully. The mean displacement was decreased from 2.2 mm preoperatively to 0.3 mm postoperatively (p=0.001, Wilcoxon signed rank test). The mean operation time was 34 minutes (range, 20 to 60 minutes). Normal range of motion was achieved in 13 knees (92.9%). Average Lysholm score was 95.9 at final follow-up. CONCLUSION Screw fixation seemed to be useful for treatment of transverse patellar fracture even in comminuted fractures with large fragments. The advantage of this technique was the preservation of extensor mechanism, simplicity, short operation time and good cosmesis.
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Citations
Citations to this article as recorded by 
- Surgery of patellar fractures using a medial parapatellar approach
Yong-Cheol Yoon, Jae-Ang Sim, Jin-Hun Hong Journal of Orthopaedic Surgery.2017;[Epub] CrossRef - Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture
Young Min Lee, Kook Jin Chung, Ji Hyo Hwang, Hong Kyun Kim, Yong Hyun Yoon Journal of the Korean Fracture Society.2014; 27(3): 206. CrossRef
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A Slipped Capital Femoral Epiphysis following Ipsilateral Femoral Subtrochanteric fracture: A Case Report
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In Young OK, Yang Soo Kim, Yong jin Kwon
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J Korean Soc Fract 2002;15(4):526-530. Published online October 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.4.526
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- It was known that the etiologies of slipped capital femoral epiphysis(SCFE) were trauma, hormonal or endocrine disorder, genetic factor, radiation, renal osteodystrophy which render the epiphyseal plate susceptible to displacement. We report the case of a 6 year old boy who had SCFE following malunion of the ipsilateral subtrochanteric fracture. The alteration of shear force on epiphyseal plate can be one of the contributing factors in SCFE.
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Citations
Citations to this article as recorded by 
- Delayed slipped capital femoral epiphysis after orif for subtrochanteric femur fracture
Zied Mansi, Mohsen Chamakh, Ltifi Atef, Wajdi Chermiti, Haggui Ali, Gazzah Wael International Journal of Surgery Case Reports.2024; 118: 109593. CrossRef - Slipped capital femoral epiphysis following a delbet type 3 intertrochanteric fracture fixation
Babak Mirzashahi, Mohammad Moshirfar, Alireza Moharrami Archives of Trauma Research.2022; 11(2): 97. CrossRef
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Treatment of Distal Clavicle Fractures with Coracoclavicular ligament Injury
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Nam Yong Choi, Suk Ku Han, Seong Jin Park, Ki Ho Na, Young Hun Kim, Hyun Seok Somg, Yong Jin Kwon
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J Korean Soc Fract 2002;15(1):21-27. Published online January 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.1.21
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Abstract
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To evaluate the radiological and clinical results of the treatment of distal clavicular fractures with coracoclavicular ligament injury by coracoclavicular fixation with plating or repair of coracoclavicular ligament. MATERIALS AND METHODS Sixteen cases with minimum six months of follow-up were included in our study. Male was twelve and average age was 43(28-80). Ten cases of Craig type 2 were treated with coracoclavicular screw fixation with plating. Six cases of Craig type 5 were treated with coracoclavicular screw fixation with repair of coracoclavicular ligament. The radiologic assessment including coracoclavicular distance and union time and the clinical assessment including range of motion and degree of pain were evaluated. RESULTS Fifteen cases were united, but one case developed osteomyelitis and nonunion. Full range of motion was achieved in fifteen cases at last follow-up. Average coraco- clavicular distance compared to contralateral site in AP view was 2.1 mm increase in patients with plate fixation and 1.3 mm increase in patients with ligament repair. Average union time was 14.3 weeks and little differenece was noted between two groups(P>0.05). CONCLUSION Coracoclavicular screw fixation with plating or repair of coracoclavicular ligament were a useful method to treat distal clavicular fractures combined with coracoclavicular ligament injury.
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