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Original Articles
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Treatment in Supracondylar Fracture of thr Femur
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Myung Chul Yoo, Yong Girl Rhee, Moon Hwan Lee, Young Ho Cho
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J Korean Soc Fract 1990;3(2):163-169. Published online November 30, 1990
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DOI: https://doi.org/10.12671/jksf.1990.3.2.163
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Abstract
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- Authors experienced fifty-three patients who had had supraconlylar fracture of the femur since December, 1982.
According to Schatzkers classification, Type I fracture were seventeen patients (thirty-two%) and Type II were ten patients(nineteen%) and Type III were twenty-six patients(forty-nine%).
Eight patients were treated conservatively and forty-five treaed operatively.
According to Schatzkers criterin, satisfactory results were obtained iin seventy-five% of patients with conservative treatment and in sixty-two% of patents with operative treatment.
Satisfactory results were obtained in eighty-eight% of Type I and in seventy% of Type II and in forty-six% of Type III.
Satisfactory results were obtained in seventy-three% of closed fractures and in forty-four% of open fractures.
Satisfactory results were obtained in cases with early exercise of knee motion.
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Popliteal Artery Injuries Associated with Trauma Around the Knee
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Myung Chul Yoo, Chung Soo Han, Kye Lim Lee, Moon Hwan Lee
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J Korean Soc Fract 1989;2(1):34-41. Published online June 30, 1989
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DOI: https://doi.org/10.12671/jksf.1989.2.1.34
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Abstract
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- Between Jan. 1980 and Dec. 1987, 47 cases in 44 patients with politeal artery injury associated with trauma around the knee joint were managed at Department of Orthopaedic Surgery, KMC.
Authors analysed the diagonstic methods, operations with its results and prognostic factors, and the results were as follows: 1. The incidence was 3%(44/1473) from Jan. 1980 to Dec. 1987 2. 14 cases of 19 cases, who underwent the vascular surgery, were survived(74%) and further amputations were applied to failed 5 cases.
3. Doppler flowmeter was considered as very useful diagnostic tool because of simplicity, safety, and accuracy, therefore angiography was not necessary in all cases.
4. The length of ischemic time and the amount of associated soft tissue damage were considered as important prognostic factors.
5. Vein graft was considered as good operative technique, but thrombectomy alone was not enough method for politeal artery injury.
6. ligament repair was not always necessary in treatment of popliteal artery injury associated dislocation of knee.
7. Prophylatic decompression was necessary in all cases after vascular surqery and fibulectomy fasciotomy was considered as outstanding technique.
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