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Bicondylar Tibial Plateau Fractures Treated with Hybrid-Ring External Fixator
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Chang Wug Oh, Hee Soo Kyung, Joo Chul Ihn, Byung Chul Park, Young Chul Choi
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J Korean Soc Fract 2000;13(4):877-883. Published online October 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.4.877
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 Abstract
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This study was designed to evaluate the indirect reduction or limited internal fixation with hybrid external fixation for bicondylar fractures of proximal tibia.
MATERIALS & METHODS: Twenty-two cases (mean age; 49) proximal tibial fractures have been treated, including 7, type V and 15, type VI. After reconstruction of articular surface, the hybrid fixation was applied at the condyle and shaft with or without limited internal fixation by cannulated screw or one-third plate. We permitted early ROM exercise of knee and partial weight-bearing about 4 weeks after operation.
RESULTS
Time to union averaged 15.6 weeeks(range ; 11-20 weeks). There were 4 cases of nonunion including three cases of early bone graft for severe comminution and one infection. Functional scoring revealed 5 excellent, 12 good, 3 fair and 2 poor results. 18 out of 22 cases had good or excellent result in anatomical grading. The mean range of knee motion was 116 degrees(from 4.1 to 120 degrees). In complications, there were two cases of malunion, one deep infection, and one pin-site infection, but soft tissue compromise such as skin necrosis was not happened.
CONCLUSION
The indirect reduction or limited internal fixation with hybrid external fixation for bicondylar fractures of proximal tibia have advantages of anatomic, stable fixation, early mobilization and less soft tissue dissection, so good results of knee function can be accomplished.
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Citations
Citations to this article as recorded by  - Dual Plate Fixation Compared with Hybrid External Fixator Application for Complex Tibial Plateau Fractures
Jae-Sung Lee, Yong-Beom Park, Han-Jun Lee
Journal of the Korean Fracture Society.2008; 21(2): 124. CrossRef
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Conservative Treatment of Ligamentous Injury of Knee in Head Trauma Patients
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Joon Young Kim, Young An Choi, Young Chul Choi, Bo Seok Kong
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J Korean Soc Fract 1989;2(1):42-48. Published online June 30, 1989
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DOI: https://doi.org/10.12671/jksf.1989.2.1.42
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Abstract
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- Operative treatment has been used in unstable ligamentous imjury of knee joint.
We experienced three cases of ligamentous injury of knee that was accompained with head trauma and other organ injury.
Despite of sugical candidate, we did only conservative treatment due to poor general condition and difficulty of anesthesia. The result was realtively better than we expected.
We reported these cases.
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