Journal of Musculoskeletal Trauma

The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach: Sung Sik Ha, Jae Chun Sim, Ki Do Hong, Jae Young Kim, Kwang Hee Park, Yoon Ho Choi; J Korean Fract Soc 2009;22(4):246-251. Published online October 31, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.4.246

PURPOSE
To evaluate clinical and radiological results of surgical treatment of distal femur medial condyle fracture using lateral anatomical plate of opposite side through medial approach. MATERIALS AND METHODS: This study reviewed the results of 9 cases of distal femur medial condyle fracture treated with lateral anatomical plate of opposite side through medial approach from December 2005 to June 2007, after a follow up of more than 12 months. There were 2 males and 7 females with a mean age of 63.1 (57~72) years. The clinical results were evaluated using the Schatzker's criteria, and the radiographic results were evaluated using the bone union time. RESULTS: Using the Schatzker's criteria, 7 cases of the 9 patients (78%) showed exellent results. The mean time for bone union was 13.4 (11~15) weeks. There were 3 cases of pain on full weight bearing same as previous operative state by degenerative osteoarthritis. There weren't complications as joint stiffness, infection, varus & rotational deformity, malunion, nonunion, and metal failure. CONCLUSION: Plate fixation using medial approach provides the proper anatomical reduction and stronger fixation, and outcome good results.

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Medial Plating of Distal Femoral Fracture with Locking Compression Plate-Proximal Lateral Tibia: Cases' Report
Se-Ang Jang, Young-Soo Byun, In-Ho Han, Dongju Shin
Journal of the Korean Fracture Society.2016; 29(3): 206. CrossRef

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Anterolateral Approach for the Distal Metaphyseal Fracture of the Tibia: Taek Soo Jeon, Jae Woo Lim, Whan Yong Chung, Woo Suk Lee, Woo Sik Kim, Cheol Mog Hwang, Yong Chan Kim, Nam Hyun Kim, Yong Sang Kim, Sung Kwan Jo; J Korean Fract Soc 2004;17(3):243-248. Published online July 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.3.243

Abstract PDF: PURPOSE
The purpose of this study is to evaluate the effectiveness of anterolateral approach of the ankle for the distal tibial fracture in aspect of preventing complication and acquiring union.
MATERIALS AND METHODS
Authors reviewed 21 patients of distal metaphyseal fracture of the tibia treated by anterolateral approach and lateral plating method from February, 2000 to May, 2002. Mean follow-up period was 17 months (12~29 months). There were twelve type A, two type B, and four type C patients according to AO/OTA classification. We have analyzed the bone union rate and Ovadia`s functional scale. We also reviewed the complication rate, such as soft tissue problem and postoperative infection.
RESULTS
In all cases union was achieved and mean time to union were 16 weeks. The functional result by Ovadia's scale were 17 excellent cases and 4 good cases in objective evaluation, and 19 excellent cases and 2 good cases in subjective evaluation. Wound infection occurred in one case, but the infection was controlled after plate removal and the union was acquired through cast immobilization. There was no other complication, such as soft tissue necrosis.
CONCLUSION
The anterolateral approach is a safe and worthwhile method for distal tibia fracture while avoiding some of the complication associated with standard anteromedial approach and plating method.

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Comparative Analysis of Interlocking Nail and Anatomical Plate in the Treatment of Distal Tibial Fracture: Gun Il Im, Do Young Kim, Joo Ho Shin, Kang Seob Youn, Won Ho Cho; J Korean Soc Fract 1999;12(3):632-637. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.632

Abstract PDF

We studied 39 patients with distal tibial shaft fracture. Seventeen fractures(10 closed fractures and 7 open fractures: 5 type-I and 2 type II fractures, according to the classification of Gustilo et al.) were treated with interlocking nail, and 22 fractures(19 closed and 3 open fractures: 1 type I and 2 type II fractures) were treated with anatomical plate. The clinical results were analyzed according to treatment modality. All of the patients were followed up for more than 1 year. The average time to union was 18.1 weeks in the patients treated with interlocking nail and 23.7 weeks in the patients treated with anatomical plate. In the functional outcome(according to Klemm and Borner), twelve patients(70.6%) treated with interlocking nail showed excellent results and 10 patients(45.5%) treated with anatomical plate had excellent results. We concluded that more satisfactory results could be obtained with interlocking nail compared with anatomical plate in the treatment of the distal tibial fracture.

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Comparative Analysis of Minimally Invasive Plate Osteosynthesis and Intramedullary Nailing in the Treatment of the Distal Tibia Fractures
Ho-Min Lee, Young-Sung Kim, Jong-Pil Kim, Phil-Hyun Chung, Suk Kang, Kaung Suk Jo
Journal of the Korean Fracture Society.2018; 31(3): 94. CrossRef
Comparative Analysis of Minimally Invasive Plate Osteosynthesis Using Periarticular Plate and Intramedullary Nailing in Distal Tibial Metaphyseal Fractures
Gwang Chul Lee, Jun Young Lee, Sang Ho Ha, Hong Moon Sohn, Yi Kyu Park
Journal of the Korean Fracture Society.2012; 25(1): 20. CrossRef
Comparative Study Using of Treatment with Minimally Invasive Plate Osteosynthesis Using Periarticular Plate and Interlocking Intramedullary Nailing in Distal Tibia Fractures
Chang Hwa Hong, Jong Seok Park, Sang Seon Lee, Soo Ik Awe, Woo Jong Kim, Ki Jin Jung
Journal of the Korean Fracture Society.2010; 23(3): 296. CrossRef
A Comparison between Minimally Invasive Plate Osteosynthesis & Interlocking Intramedullary Nailing in Distal Tibia Fractures
Kee-Byung Lee, Si-Young Song, Duek-Joo Kwon, Yong-Beom Lee, Nam-Kyou Rhee, Jun-Ha Choi
Journal of the Korean Fracture Society.2008; 21(4): 286. CrossRef

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Anatomical Plate Fixation for Distal Femur Fracture: Eun Sun Moon, Keun Bae Lee, Jong Wook Jeong; J Korean Soc Fract 1999;12(2):294-300. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.294

Abstract PDF

The fractures of the distal femur which involve supracondylar or intercondylar region are difficult to manage because occasionally, severe soft tissue damage, comminution, intra-articular extension of fracture and injury to the quadriceps mechanism lead to unsatisfactory results in many case. Recently, early anatomical reduction, rigid internal fixation and early exercise of the knee joint has been recommended. A clinical and radiological analysis was performed on 48 cases with fractures of distal femur who had been treated by anatomical plate and followed for minimum 1 year from April 1990 to July 1997. According to AO classification, 22 cases(45.8%) were type A, 1 case(2.1%) were type B and 25 cases(52.1%) were type C. The functional results by Sanders-Swiontkowski-Rosen-Helfet rating system were showed excellent in 15(31.3%), good in 17(35.4%), fair in 13(27.0%) and poor in 3 cases(6.3%). The overall results were seen to be excellent or to be good in 32 cases(66.7%) and results were worse in type C, old age, open fractures. The most common complication was limited range of motion of the knee under 90 degrees in 10 cases, including nonunion caused by loosening of screw in 1 case, metal failure in 1 case and shortening in 1 case. And other complications were delayed union in 4 cases and angular deformity in 2 cases. In conclusion, ideal indication for anatomical plating may be a metaphyseal fracture of distal femur with or without involvement of articular surface in young adult. Anatomical plate may be alternative one among the fixation devices for distal femur fractures.

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Surgical Treatment of AO/OTA 33-C Intra-Articular Distal Femoral Fractures through Parapatellar Approach
Suk Kyu Choo, Sung Tan Cho, Hyoung Keun Oh
Journal of the Korean Fracture Society.2022; 35(1): 1. CrossRef
Treatment of Femur Supracondylar Fracture with Locking Compression Plate
Seong Ho Bae, Seung Han Cha, Jeung Tak Suh
Journal of the Korean Fracture Society.2010; 23(3): 282. CrossRef
The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach
Sung-Sik Ha, Jae-Chun Sim, Ki-Do Hong, Jae-Young Kim, Kwang-Hee Park, Yoon-Ho Choi
Journal of the Korean Fracture Society.2009; 22(4): 246. CrossRef

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Treatment of Comminuted Fracture of the Distal Humerus by New Y-Anatomical Plate: Churl Hong Chun, Sang Soe Kim, Sung Man Rowe, Eun Sun Moon, Myoung Churl Ko; J Korean Soc Fract 1996;9(4):1076-1084. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.1076

Abstract PDF: OBJECTIVES
The characteristics of comminuted fractures of the distal end of the humerus in adult are severe comminution of bony fragments, loss of bony continuity and displaced fragments by muscle action. The ideal treatment is to reestabilish a normal elbow-that is to reestablish the articular congruity. the alignment and early motion as soon as pessible. But no matter what treatment is used perfect results are seldom obtained. The purpose of this study is to analyze the clinical results of the new Y-Anatomical plate, which has well adaptable and more malleable characteristics for the fracture of the distal humerus. MATERIALS AND NLETHEDS: The fracture types of the distal humerus were 5 supracondylar and 12 intercondylar, which were classified according to the Riseborugh & Radin classification 4 type II, 2 type III and 6 type IV. The patients who have been treated by new Y-Anatomical plate from September 3992 to January 1995.
RESULTS
Fourteen of the 17 cases(81.2%) were considered acceptable results for a mean follow-up 26 months study according to the functional motion of the elbow by Cassebaum and criteriae by Jupiter J.B.etc. The patient who did exercise the elbow joint within two weeks from post-operation, gathered better results than other patients who did it after four weeks from post-operation. Complications are nonunion, ankylosing elbow and metal failure.
CONCLUSION
In the study reported here, new Y-Anatomical plate was sufficiently obtained the anatomical reduction with stable fixation, so it would allow early motion of the elbow joint to be possible and decrease the complication compared to Tri-radiate plates. Also the most important indicator of end result was the starting time of physiothmpy.

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Treatment for Comminuted fractures of Distal End of Humerus by Newly Developed Anatomical Plate: Three case report: Sung Man Rowe, Eun Sun Moon, Jung Tae Hur; J Korean Soc Fract 1992;5(2):426-432. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.426

Abstract PDF: Comminuted fractures of the distal end of the humerus in adult are notoriously difficult to treat, and had reported many problems. Because anatomical structure around the olecranon fossa was composed by weak trabecular bone, accurate anatomical reduction and rigid fixation of the fracture fragment was not easily achieved by ordinary concept and implants. Recently, various anatomical plates for the fractures of the metaphyseal area of long bone were developed and relatively good results were reported. The authors developed new anatomical plate for distal humerus which had an well adaptable and more malleable characteristics for the fracture of the distal humerus. We report our short experience, of 3 cases treated with this plate.

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