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Operative Tleatment of the Lateral Condyle Fractures of the Humerus in Children
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Bum Gu Lee, Do Heun Moon, Jin Hong Ko, Su Chan Lee, Hong Ki Park, Ki Dong Kang, Young Kim
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J Korean Soc Fract 1996;9(4):1096-1103. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.1096
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 Abstract
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- Fracture of the lateral humeral condyle is a relatively common injury in children.
The standard treatment of Jakobs type II and III fractures is open reduction and internal fixation The treatment of Jakobs type I fractures is more controversial.
Authors performed clinical and radiological analysed of fifty-two patients of lateral condylar fracture of the humerus who have been treated with open reduction and internal fixation.
They were followed up from one year to five years and two months.
The results were as follows; 1. The age incidence was confined from 3 years to 12 years.
2. There were 14 cases(26.9%) of Milch type I, 38 cases(73.8%) of Milch type II and according to Jakobs stage, 20 cases were stage I, 23 cases were stage II, 9 cases were stage III.
3. All cases were treated by open reduction and Internal fixation.
4. In 5 cases were lateral condyle overgrowth of the humerus, 2 cases were limited ROM of elbow joint. and 2 cases pin site loosening and superficial wound infections observed. And this complications did not resutt in significant clinical disabilites.
5. Respectively, according to the criteria of Hardacre 41 cases(78.8%) were excellent, 11 cases (21.1%) were good, and there was no poor case.
6. The fracture type and stage of displacement did not effect the flnal results. the complications, the complications are due to inaccurate reduction or insecure fixation.
Therefore, open anatomical reduction and stable internal fixation is required to avoid complications, even in stage I displaced fractures.
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Surgical Treatment of Intra-articular Fracture of the Os Calcis
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Soo Kil Kim, Young Gyu Kim, Bum Gu Lee, Jin Hong Ko, Su Chan Lee, Young Kim
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J Korean Soc Fract 1996;9(2):354-365. Published online April 30, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.2.354
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Abstract
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- Intra-articular fractures involving the posterior facet of the subtalar joint are associated with significant and prolonged disability.
But, the treatment of choice for displaced intra-articular calcaneal fractures remains controversial.
We treated 30 displaced intra-articular fractures of the calcaneus by open 1eduction and internal fixation through the lateral approach with autogenous bone graft at the Department of Orthopaedic Surgery, Choong-ang Gil and Dong Inchon Gil Ceneral Hospital from January 1990 to October 1994 The clinical and radiographic analyses were as follows.
1. Of 26 patients, 20 patients were male and 6 patients were female.
2. The main cause fractures of calcaneus was a fall from a height in 23 cases(88%) and most of associ ated fractures were spine injury in 6 patients.
3. Fracture was classified according to Essex-Lopresti classification. 13 cases were tongue type, 17 cases were joint depression type.
4. Alt Open reduction and internal fixation through the laterl approach with bone graft was performed in joint depression type and tongue type.
5. The preoperative ayerage Bohlers angle was - 5. The postoperative avereage Bohlers angle was -24, Which was increased significantly.
6. Complications were 12 cases ; included heel pad pain in 8 caLes, osteomyelitis and superficial wound infection in 2 cases, transient sensory hypesthesia on the lateral side of the foot in 2 cases.
7. Based on assessement of Salama, the results were excellent in 5 cases, good in 1 Teases, fair in 6 cases, poor in 2 cases.
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