Journal of Musculoskeletal Trauma

Treatment of Tibial Condylar Fractures Using the Ilizarov External Fixator: Dong Wha Lee, Kyoo Seog Shin, Jong Soon Kim, Yong Whee Kim, Jin Ho Seok; J Korean Soc Fract 2001;14(3):404-411. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.404

Abstract PDF: PURPOSE
The aim of this study is to report results of treatment of tibial condylar fracture using the Ilizarov external fixator. MATERIALS & METHOD: 21 Cases of tibial condylar fracture, which were operatively treated with Ilizarov external fixator were evaluated clinically & radiographically. All patients were followed for at least 1 years.
RESULTS
Primary bony union was achieved in 15 cases(71.4%) and bony union after secondary operative procedure was obtained in 6 cases(28.6%). The fracture was united within 6 months except 2 cases. As complications, pin irritation was observed in 6 cases and Joint stiffness in 1 case, delayed union in 1 cases, nonunion in 1case CONCLUSION: We could obtain satisfactory clinical results with using of Ilizarov external fixator in treating of tibial condylar fractures. The good indications for the use of Ilizarov external fixator seems to be high energy tibial condylar fracture difficult to fixation with other method. In cases of bony defect or severe comminuted fractures, we shall obtain better outcome when bone graft is performed.

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Arthroscopic Treatment of Isolated Anterior Malleolar Fracture of the Ankle: Dong Wha Lee, Kyoo Seog Shin, Jong Soon Kim, Yong Whee Kim; J Korean Soc Fract 1999;12(2):477-480. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.477

Abstract PDF: Isolated fractures of the anterior malleolus of the ankle are uncommon. They most often result from vertical loading or from posterior displacement of the tibia on a planted foot. Fracture of the tibial plafond with a large anterior tibial(anterior malleolus) fragment may require open reduction with internal fixation. Anatomic reduction of the articular surface can be ensured by visualizing the articular surface using an arthroscope during reduction. Two cases wherein this technique has proven effective were described.

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Treatment of the Avulsion Injury of the Posterior Cruciate Ligament: Dong Wha Lee, Kyoo Seog Shin, Jong Soon Kim, Jin Jwan Seo; J Korean Soc Fract 1998;11(3):718-723. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.718

The posterior cruciate ligament (PCL) plays an integral role in stabilizing the knee joint as a main restraint to posterior displacement of the tibia. When the tibial insertion of the PCL is avulsed, the knee becomes unstable, so that rotational instability, meniscus injury and degenerative change may develop within several years. Therefore early repair is necessary. The purpose of this report is to evaluate the usefullness of the direct posterior approach to the avulsion site of PCL. We treated 8 isolated avulsion injury of the PCL from January 1995 to May 1997 through the way of using the Burks and Schaffer's simplified posterior approach. The results were as follows; 1. The stability was achieved with screw fixation. and the outcome was above good in 87.5% of cases. 2. The Burks and Schaffer's simplified posterior approach ws concerned as an useful one for the fixation of an avulsion fragment of PCL. 3. The patients returned daily living within 3 months after operation.

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Bilateral PCL Avulsion Fracture from Tibial Attatchment Site in a 16-years-old Male: A Case Report
Hee-Gon Park
Journal of the Korean Fracture Society.2009; 22(3): 189. CrossRef

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The Effect of Dynamization After Static Intelocking Intramedullary Nailing: Kyoo Seog shin, Jong Soon Kim, Kong Wha Lee, Jin Hwan Seo; J Korean Soc Fract 1998;11(2):262-268. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.262

Abstract PDF: We had investigated the effect of dynamization in static interlocking intramedullary nailing for the long bone fracture of the femur and tibia treated in Bongseng Memorial Hospital for last 3 years (from Jan. 1994 to Jan. 1997) Total 62 patients (37 tibia, 28 femur) were treated, 35 cases were reamed at operaion and 27 cases not reamed. following results were obtained; 1. In all except 24 fractures, the static interlocking intramedullary nail was preserved without dynamization and got to mean union time of 17.2 weeks (femur) and 6.4 weeks (tibia). 2. The 24 patients (14 femur, 10 tibia) did not show callus formation and complained of vague pain in fracture site at 20 weeks after static mode. In those cases, we tried dynamization as a initial treatment modality. 3. The success rate after dynamization was about 87%. 4. The interval between nailing and dynamization did not affect the success rate. 5. Dynamization could be done day surgery.

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