The calcaneal fracture, which is considered to be the most common tarsal bone fracture, has rather difficulty in accurate diagnosis, classification and proper treatment. Furthermore, its prognosis is not good, either. The authors analysed 68 intraarticular calcaneal fractures (Sanders type II & III only) out of 147 cases, which were treated operatively or conservatively from June 1990 to May 1997, and found out that the results of conservative and operative treatment were approximately the same. The length of follow-up ranged from one year to four and half years (mean, 2.7years). The results were as follows: Of the 24 conservatively treated group, seven had excellent; eleven good; four fair; and two poor result. Of the 44 operatively treated group, eleven had excellent; twenty seven good; five fair; and one poor result. The sum of excellent and good results in conservative and operative treatment group were 75.0% and 86.4% each other, and these were not meaningful statistically (p=0.400). Therefore, the authors recommend a conservative treatment as an effective alternative method for the intraarticular calcaneal fracture.
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Correlation Analysis of Reduction for Intra-Articular Calcaneal Fracture and Clinical Outcomes Using Postoperative Computed Tomography Joon-Sang Eom, Young-Deuk Joo, Seong-Jun Kim, Min-Ho Shin, Dong-Oh Lee, Hong-Geun Jung Journal of Korean Foot and Ankle Society.2014; 18(4): 165. CrossRef
Treatment of Intra-articular Calcaneal Fractures Using Minimally Invasive Sinus Tarsi Approach in Diabetic Patients Hong-Moon Sohn, Sang-Ho Ha, Sang-Hong Lee, Jun-Young Lee, Jeong-Ho Kim, Sang-Jun Lee Journal of the Korean Fracture Society.2008; 21(3): 195. CrossRef
The goals of the treatment of pilon fracture include to restore a normal anatomy and functional level of uninjured state. We analysed the clinical outcomes of the treatment of pilon fractures with calcaneal traction and percutaneous intramedullary nailing in the fibula (group A, 12 cases), or open reduction and internal fixation (group B, 11 cases) in 23 cases between April 1994 and March 1997. All of the patients were followed for at least one year (average, 18 months; range, 12 to 24 months). Fifteen patients were male (group A, 8; group B, 7), and eight were female (group A, 4; group B, 4). Falling-down injury is the most common cause and automobile accident is the second. According to the R.. uedi and Allg.. ower classification, type II fractures were most common. In the group A, two of the 12 fractures were type I, six were type II, and four were type III, and in the group B, two of the 11 fractures were type I, six were type II, and four were type III. According to the criteria of Mast and Teipner, in the group A, six were good result and six were fair, and in the group B, four were good, five were fair, and two were poor. A nonunion with wound infection and a malunion developed in the group B. The results in the group A were better than those in the group B in clinically, we propose the minimal surgical treatment is useful treatment option of pilon fracture.
Various forms of treatment for femoral fractures in children, which could give good results have been reported in the literatures. The purpose of this study is to evaluate the complication and related factors after conservative treatment of the femoral fracture in children and to suggest appropriate method of treatment. We reviewed 18 children between the ages of 1 and 11 years who had been treated by Russel or split Russel skin traction for femoral fracture at Dae-Han General Hospital from May, 1992 to December, 1995. All fractures united in average 10.2 weeks. The mean lengthening was 1.6mm. at the last follow-up. The angular deformities were up to 12 degrees in the sagittal plane and up to 10 degrees in the coronal plane at the time of bony union. The clinical results of treatment were compared with those from the literatures and other reports. Our conclusion from this study is that Russel or split Russel skin traction is a safe and effective method of treatment for femoral fractures in children.
Though avulsion fracture of the fibular head rarely occurs, it frequently associates with lateral compartment injury of the knee which resulls in lateral instability. Some authors preferred to internally fixing avulsion fracture of the fibular head to prevent and restore lateral instability of the knee. Our purpose was to suggest that lateral instability of the knee be restored by internal fixation of the fibular head in these cases. We reviewed 6 cases of avulsion fracture of the fibular head associated with lateral instability of the knee which were treated surgically from January, 1993 to December, 1994 with average 2-year-over follow-up. We evaluated each cases using the Knee Ligament Standard Evaluation Form proposed by International Knee Documentation Committee. The results were as follows. The average displacement of the fibular head was 8.4mm. The activity level and overall grade were A(normal) in 4 cases, B(nearly normal) in 1 case, D(severe abnormal) in 1 case. Lateral instability of the knee was satisfactorily restored by internal fixation of the fibular head and repair of ligamentous injuries in cases of avulsion fracture of the fibular head associated with lateral instability of the knee.
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Establishment of Classification of Tibial Plateau Fracture Associated with Proximal Fibular Fracture Zhan‐le Zheng, Yi‐yang Yu, Heng‐rui Chang, Huan Liu, Hui‐lin Zhou, Ying‐ze Zhang Orthopaedic Surgery.2019; 11(1): 97. CrossRef
Dislocations of the distal radioulnar joint without fracture are more common than would be expected from the literature and most of these injuries are not diagnosed when seen initially. Several chronic problems may befall the distal radioulnar joint-loss of forearm rotation, chronic pain and arthritis, and a great many surgical procedures have been devised to relieve them. Six patients were treated with resection of ulnar head (Darrach Operation)in 3 cases, ligamentous stabilization(Hui and Linscheid Operation)in 3 cases, and we found more satisfactory results in the latter.
To determine whether any of the commomly used wiring technique are rigid enough to allow early motion in treatment of patellar fracture.
Twelve cases of extensively commivuted and displaced patellar fracture were treated using wire technique (circumferential combined tension band wiring) at N.P.H. from April 1987 to April 1989.
This method has advatages of simple and rigid fixation and results were satisfactory.
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Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture Young Min Lee, Kook Jin Chung, Ji Hyo Hwang, Hong Kyun Kim, Yong Hyun Yoon Journal of the Korean Fracture Society.2014; 27(3): 206. CrossRef
One of the greatest diagnostic challenges that faces both orthopedic surgeons and the radiologists is the patient with a subacute or chronic wrist injury who has no obvious clinical or radiographic abnormality to explain the pain.
The wrist arthrography is used to evalute structures that can not be seen on plain radiography. These structures include the synovium, the intraarticular ligaments and the articular cartilage including the triangular fibrocartilage. The most inportant indication is persistent pain or limitation of motion after trauma.
We think that the wrist arthrography is to be used widly. We collected and analized the results of wrist arthrographies performed in 33 patients with traumaic painful wrist.