Journal of Musculoskeletal Trauma

Surgical Fixation with Biodegradable Plate for the Treatment of Ankle Fractures: Jae Young Cho, Jin Whan Kim, Sang Eun Kim, Kyung Chil Jung, Seung Hyun Choi; J Korean Fract Soc 2008;21(1):31-36. Published online January 31, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.1.31

PURPOSE
The purpose of this article is to show the efficacy of a biodegradable plate for treating lateral malleolar fractures in the ankle joint.
MATERIALS AND METHODS
The 20 patients who underwent an open reduction and internal fixation for lateral malleolar fractures in the ankle joint from February, 2006 to February, 2007 in our hospital were enrolled into the study. The average age of the patients was 49.7 years and the average follow-up period was 5.6 months. The cases were analyzed by radiological bone union time and clinical results according to the criteria of Meyer et al.
RESULTS
Average radiological bone union time was 10.5 weeks. The clinical result was excellent in 19 cases (95%), good in 1 case (5%). There was one case of minimal displacement less than 1 mm, associated with anterior distal tibio-fibular ligament avulsion fracture.
CONCLUSION
For proper patients, a biodegradable plate is an effecttive alternative implant for stabilizing lateral malleolar fractures in the ankle joint, because there is no requirement for subsequent removal and slow resorption in vivo.

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Delayed Foreign-body Reaction of Ankle Fracture Treated with a Biodegradable Plate and Screws - A Case Report -
Chul-Hyun Park, Dae-Hyun Song, Jae Ho Cho
Journal of the Korean Fracture Society.2012; 25(2): 142. CrossRef

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Measurement of Angulation after Treatment of Fractures of the Tibia: Comparison of Conventional Methods and New Method Using Mechanical Axis: Chul Yong Chung, Chan Young Son, Sun Bon Koo, Sang Eun Kim; J Korean Soc Fract 1998;11(4):912-917. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.912

Abstract PDF: The importance of residual angular deformity after tibial fracture is still uncertain. but it is generally assumed that osteoarthritis of the ankle and the knee will result when the deformity is severe. Therefore accurate measurement of the alignment of the tibia is important clinically and in research. We compared the results of conventional methods (method 1,2) of measuring the angulation deformity after a fracture of the shaft of the tibia, with a new method using mechanical axis reported by Milner11) (method 3). Sixty-seven patients of tibial fractures with angulation deformity treated at sei Gang General Hospital from January 1995 to December 1996 were evaluated. Samples of 20 sets of standard AP and lateral radiographs of both tibia were measured. The results obtained were as follows. 1. The difference between the angles obtained by Milner's new method (method 3) and conventional methods (method 1,2) was significant in all planes. 2. Both the mean intra-& interobserver difference were minimal in new method, compared with conventional methods, t all planes. 3. There is no statistically significant difference using by paired T-test between angles obtained by new method and conventional methods (p>0.05). From these results, an angulation of measuring the new method was accurate and has good inter- and intraoesrver reliability.

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Treatment of Tibial Fractures with the Ilizarov External Fixator: Suk Myun Ko, Myung Ku Kim, Jung Yoon Lee, In Suk Oh, Sang Eun Kim; J Korean Soc Fract 1998;11(4):833-840. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.833

Abstract PDF: Between June 1996 and July 1997, 29 tibial fracture patients were treated using the Ilizarov method and apparatus. The mean follow-up petiod was 18 months. Among 29 cases, 11 were closed fractures with comminution and 18 were open fractures. There were 2 Gustilo-Anderson type I, 5 type II, and 11 type III open tibial fractures. Complications included 4 pin tract average time from application of the device to complete fracture healing was 26.3 weeks. According to Tucker's functional criteria, the results were 14 excellent, 9 good, 4 fair, 2 poor. No practical contraindications to the use of the Ilizarov device in the management of tibial fractures were encountered. We concluded that Ilizarov method is indeed a useful adjunct for the treatment of either open or closed tibial fractures.

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