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Treatment of Tibial Shaft Fracture Using Intramedullary Nail
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Dae Young Han, Kyu Hyun Yang, Young Chul Cho, Myung Koo Kim, Seong Jin Park
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J Korean Soc Fract 1995;8(3):566-571. Published online July 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.3.566
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 Abstract
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- In the treatment of tibial shaft fracture with intramedullary nail. reaming effectively lengthens the isthmus of the tibia and there by extends the number of fractures amenable to this technique.
Reming process, however, destroys the endosteal blood supply, may impair bony union and provecate infection in open fracture.
Eighty-eight cases of tibial shaft fractures treated with reamed nail(56 cases) and unlearned nail(32 cases) from January 1991 to August 1994 at Yonsei Medical Center were analyzed.
Average follow-up period was 7.3 months.
Results
were as follows 1. In closed fractures, there was no difference in union time between reamed and unlearned group, and low energy injury group had shorter union time than high energy injury group.
2. In open fractures, unlearned group had shorter union time than reamed group.
3. Unlearned group had less complications such as infection and delayed union, and had more cases of interlocking screw breakage(3 cases) which did not dusturb the bony union.
In conclusion, unlearned tibial nailing was useful method to treat not only open fracture but also closed fracture.
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Minimal Arthrotomy for Postoperative Knee Arthrofibrosis in Patella Fracture: Report of 3 Cases
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Koon Soon Kang, Jun Seop Jahng, Young Chul Cho
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J Korean Soc Fract 1994;7(2):397-403. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.397
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Abstract
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- Significant and Permanent loss of knee flexion or extension is a recognized and disabling complication of either operative procedures or trauma about the knee. We have experienced 3 cases of the postoperative ankylosis of the knee after the patella fracture, in which the range of motion of the knee was not satisfactory after the trial of the arthroscopic Iysis of adhesion with manipulation of the knee, so minimal arthrotomy, limited lateral arthrotomy combined with medial arthrotomy, were performed and revealed the satisfactory results.
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A Clinical Study of Ankle Diastasis with Fracture of flbula
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Koon Soon Kang, Jun Seop Jahng, Hui Wan Park, Ho Jung Kang, Young Chul Cho
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J Korean Soc Fract 1994;7(2):388-396. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.388
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Abstract
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- Ankle joint is important as a weight-bearing joint and ankle diastasis requires accurate diagnosis and treatment.
The authors analysed 82 cases of ankle diastasis with fibular fracture during the year 1986 through 1992 at YoungDong Severance Hospital.
The results obtained are as follows.
1. The most common cause of injury was slip down, and traffic accident and fall down in order.
2. By Weber classification, 42 cases were type BS(+) and 40 cases were type C. By Lauge-Hansen classification, supination-external rotation was most common (35 cases).
3. Open reduction was done in all cases for fracture of fibula. 45 cases of ankle diastasis were treated with one transfixation screw and 37 cases without transfixation after confirmation by Cotton test.
4. The result according to Cottons criteria, 39 cases(86.7%) were were good or fair in transfixation group, and 34 cases(91.9%) in nontransfixation group. In conclusion, the transfixation screw was not necessary in cases of ankle diastasis which was considered as stable by Cotton test after internal fixation for the fracture of fibula.
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