-
Distal Femoral Physeal Injury in Adolescence
-
Dong Bae Shin, Yong Jung Kim, Young Soo Lee, Jun Cheol Choi, Dong Eun Shin, Jun Shik Baek
-
J Korean Soc Fract 1999;12(4):1058-1064. Published online October 31, 1999
-
DOI: https://doi.org/10.12671/jksf.1999.12.4.1058
-
-
 Abstract
 PDF
- The purpose of this study was to evaluate the results of distal femoral physeal injury in adolescence after various treatment 5 which had been performed for the last 4 years. This study consisted of 9 distal femoral physeal fractures from August 1993 to May 1996. Average length of follow up was 21 months. We evaluated the functional status such as range of motion, instability, pain and sports activity. They showed no abnormalities. We also assessed the lateral distal femoral angle, mechanical axis deviation, femorotibial angle and leg length discrepancy using orthoradiogram. 4 Cases showed the lateral distal femoral angle differences(more than 5), 7 cases showed the mechanical axis differences(average : 11.8mm), 6 cases showed the remorotibial angle differences(average : 5.8) and 6 cases showed the leg length discrepancy(average : 4.6mm). So we carefully concluded that the adequacy of the reduction is the most important prognostic factor and there are some problems in radiological angle difference despite the anatomical reduction.
-
Reamed versus Unreamed Intramedullary Nailing after External Fixator Application in the Treatment of Open Tibial-Shaft Fracture
-
Dong Bae Shin, Joon Cheol Choi, Young Soo Lee, Yong Jeng Kim, Soo Hong Han, Dong Eun Shin, Yeun Ho Lee
-
J Korean Soc Fract 1999;12(2):272-276. Published online April 30, 1999
-
DOI: https://doi.org/10.12671/jksf.1999.12.2.272
-
-
Abstract
PDF
- The authers reviewed 15 patients of open fracture of the tibial shaft who were treated by external fixation followed by intramedullary nailing. These fractures comprised two Type-I, two Type-II, four Type-IIIa, and seven Type-IIIb injuries. Ten patients were treated with unreamed intramedullary nailing and 5 patients were treated with reamed intramedullary nailing. The results were analyzed as followings: 1. All fractures had union at 5.2 months after intramedullary nailing and 4 true osteomyelitis were developed. 2. All osteomyelitis were developed for the patients who were treated with reamed intramedullary nailing. 3. There was no osteomyelitis who were treated with unreamed intramedullary nailing. 4. Delayed conversion to intramedullary nailing after control of pin tract infection had no effect for prevention of osteomyelitis.
|
E-submission
KFS
