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A Clinical Study of the Intra-articular Fracture of the Elbow Joint Fixed with Herbert Sciew
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Won Sik Choy, Hyun Dae Shin, Whan Jeung Kim, Kwang Won Lee, Hyun Jong Park, Yoo In Kim
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J Korean Soc Fract 1996;9(4):1111-1117. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.1111
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 Abstract
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- The intra-anicular fracture of the elbow joint can render the elbow joint unstable. In this situation. it is desired to reduce and fix the bone fragment internally. The goal of treatment of the intra-aficular fracture of the elbow joint is a painless, stable elbow to provide a favorable range of motion.
Fourteen patients of the intra-articular fraciure of the elbow joint who were treated with Herbert screw in Eul Ji General Hospital, Taejon from October, 1993 to December, 1994. were analyzed in clinical and radiologic aspects.
The results obiained from this study were as follows; 1. Among 74 patients, male were 11 cases(78.5%) and female were 3 cases(21.5%).
2. The average age of patients were 31.8 years with range from 15 years to 11 years and the follow-up period ranged from 16 months to 33 months with average 19.6 months.
3. The most common cause of injury was fall down(50.0%) followed by slip down(28.5%) and traffic acrident(21.5%).
4. The most common intra-articular frarture of the elbow joint was capitellum fracture(50.0%) rollowed by radial head fracture(35.6%).
5. Through late radiologic assessment, there was 1 case of post-traumatic arthritis.
6. The result of treatment were excellent in 6 patients(42.8%), good in 1 patients(50.0%) fair in 1 patient(7.2%) by functional rating index of Morrey.
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The Treatment of Traumntic Posterior Fracture-Dislocation of the Hip
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Won Sik Choy, Kwang Won Lee, Yoo In Kim, Moon Ho Sohn
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J Korean Soc Fract 1996;9(4):884-890. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.884
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Abstract
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- Traumatic posterior dislocation of the hip is a serious injury and must be treated as emergency. Every effort must be made to recognize the dislocation. particularly in patients with other lower extremity trauma. We perfornted computed tomography as soon as possible after closed reduction in all patients. The purpose of this study was to compare the results posterior fractvre-dislocation of the hip treated by closed reduction and closed reduction followed by an open procedure. We reviewed 27 patients out of total 29 patients with traumatic posterior dislocation of the hip between January, 1989 and October, 1993.
1. According to Thompson and Epstein classification, six patients were type 1 injury. five patients type 2 injury, five patients type 3 injury, three patients type 4 injury and eight patients type 5 injury. In the classification of fractures by the Pipkin type, there were two cases in Pipkin type 1, three cases in Pipkin type 2, one case in Pipkin type 3 and two cases in Pipkin type 4.
2. Open reduction with various internal fixation were done in twenty patients and primary bipolar endoprosthesis in two patients and total hip arthroplasty in one patient. Also. four patients were treated by closed reduction, followed by gentle traction for 6 weeks & progressive weight bearing over twelve weeks.
3. There were one case of avascular necrosis in Thompson and Epstein type 4 and two cases of posttraumatic arthritis in type 3 and 4. One case of post-traumatic arthritic patients was performed total hip arthroplasty.
4. We found that 33.3% of the cases had a exellent result by both clinical and radiological criteria, 44.4% were graded good and 11.1% were graded poor.
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