E-submission
KFS
Search
- Page Path
- HOME > Search
Original Articles
- Operative Tleatment of the Lateral Condyle Fractures of the Humerus in Children
- Bum Gu Lee, Do Heun Moon, Jin Hong Ko, Su Chan Lee, Hong Ki Park, Ki Dong Kang, Young Kim
- J Korean Soc Fract 1996;9(4):1096-1103. Published online October 31, 1996
- DOI: https://doi.org/10.12671/jksf.1996.9.4.1096
-
Abstract
PDF - 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.
- 51 View
- 0 Download
- Treatment of Monteggia Fracture in Adult
- Sang Won Park, Young Soo Byun, Kyoung Hwan Ha
- J Korean Soc Fract 1996;9(4):1090-1095. Published online October 31, 1996
- DOI: https://doi.org/10.12671/jksf.1996.9.4.1090
-
Abstract
PDF
- Since the original description by G.Monteggia of a fracture of the ulna associated with dislocation of the radial head, attention hns been focused on the immediate recognition and treatment of this fracture. but the dislocation of the radial head is not infrequently missed. The purpose of this study is to analyze the clinical results according to types of the fracture and methods of treatment. The authors reviewed twenty-four patients treated for Monteggia fracture at the Department of Orthopaedic Surgery, Korea University Hospital from January 1986 to April 1995. The mean follow up period was 21 months (12 month - 37 months). The results were as follows: 1. According to Bado classification, there were 15 cases(63%) of Type 1, 3 cases(12%) of Type 2, 2 cases(8%) of Type 3, and 4 cases(17%) of Type 4. 2. The location of the ulna fracture site were proximal metaphysis in 7 cases(29%), proximal 1/3 in 15 cases(63%), and middle 1/3 in 2 cases(8%). 3. Treatment for ulna fracture were open reduction and internal fixation in 21 cases(88%), and closed reduction in 3 cases(12%). 4. Treatment for dislocated radial head were closed reduction in 20 cases(84%), open reduction in 2 cases(8%), and radial head resection in 2 cases(13%). 5. Transient palsy of posterior interosseous nerve was observed in 3 patients(13%). 6. The results by Bruce et al criteria were excellent in 7 cases(29%), good in 9 cases(38%), fair in 6 cases(25%), and poor in 2 cases(8%).
- 102 View
- 0 Download
First
Prev
