Journal of Musculoskeletal Trauma

Treatment of the Tibia Fractures with Unreamed Intramedullary Interlocking Nailing: Jae Won You, Dong Min Shin, Young Bne Pyo; J Korean Soc Fract 1992;5(2):282-288. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.282

Abstract PDF: The intramedullary interlocking nailing for the fractured tibia has been used in selected cases of fresh diaphyseal fracture, but the indication has been expended considerably with modern technical improvement. The authors analyzed 28 cases of fresh fractures of the tibia, who were treated with unlearned intramedullary interlocking nailing in out hospital between May 1990 to Oct. 1991, average follow-up was 12 months ranged from 8 to 22 months and we obtained the following results. 1. The most common causes of the injury were traffic accident(19 cases). 2. Mostly associated injury was ipsilateral fibular fracture(24 cases). 3. We used unlearned intramedullary interlocking nail in all cases and dynamic and static interlocking were done in 12 cases and 16 cases respectively. 4. The average bony union was demonstrated radiographlcally at 16 weeks. 5. The complications were deep infection(1 case), delayed union(2 cases), angular deformity (4 cases), superficial infection(3 cases), limitation of knee joint ROM(3 cases) and shorte ning of leg length(2 cases). 6. In case of the treated for method of unlearned nailing, it is not difficut to insert the nail, and we obtained good bony union, decresed operation time and bleeding. The authors concluded that unlearned intramedullary interlocking nailing is useful method to treat the tibla fracture.

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A Clinical Study of the Tibial Plafond Fractures: Seung Gyun Cha, Won Suek Lee, Kyoung Hoon Kim, Jin Hak Kim, Jin Yong Jung, Jae Sung Lee; J Korean Soc Fract 1992;5(2):268-274. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.268

Abstract PDF: The tibial plafond fractures result from an axial compression and rotational forces causing variable degrees of metaphyseal disruption, articular damage, and malleolar displacement, it is relatively uncommon but a most difficult fracture to manage. It has been treated in a number of manners, but the best results have been occurred when stable internal fixation is accomplished using plates and screws, basic steps in reconstruction are restoration of anatomic length of the fibula with plate fixation, reconstruction of the tibial articular surface, cancellous bone grafting of the metaphyseal defect and buttress plating of the distal tibia. The author analysed the 22 cases of the tibial plafond fractures in 22 patients, which were treated at the department of orthopedic surgery in Dai Han hospital. From january 1989 to january 1991. The longest duration of follow up was 2 years and 6 months and shortest one was 7 months, and the average was 14 months The results were as follows ; 1. Among the 22 patients, male were 17 and female was five. 2. The major causes of injury were a fall from a height. 3. Regardless of the method of treatment the type I and II were In good and fair result, but the type III were fair in 4 cases and poor in 2 cases, other 5 cases were in good result. 4. It is important to remind the basic steps in reconstruction appllied in an indivisual case especially in type III. If anatomic reconstruction of the joint surface can be restored and stable fixation achieved, early motion of the ankle joint is possible. The early motion reduces stiffness of the ankle and will yeild the most satisfying rusult. But the anatomic reduction of ankle joint is difficult to be obtained in each case especlally in type III and may consider an ankle fusion.

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Pin and plaster technique using olive stop wires for the oblique orspiral fractures of the tibia: Hai Wan Park, Jun Seop Jahng, Koon Soon Kang, Kyu Hyun Yang, Hak Sun Kim; J Korean Soc Fract 1991;4(1):100-105. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.100

Abstract PDF: No abstract available.

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