Journal of Musculoskeletal Trauma

Laminoplasty for Treatment of Transverse Sacral Fracture: A Case Report: Young Soo Jang, Jak Jang, Sung Ju Bae, Chan Il Bae, Sung Bae Park; J Korean Fract Soc 2014;27(2):157-161. Published online April 30, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.2.157

Abstract PDF: The transverse sacral fracture is rare; however, if it accompanies neurological injury or instability, difficult surgical treatment may be necessary. We performed surgical decompression and laminoplasty in a patient with neurological deficits and anterior displacement of S2 on S1. The patient showed a successful clinical outcome by neurological improvement.

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Treatment of Transverse Patellar Fracture with Cannulated Screws: Jung Man Kim, Ju Seok Yoo, Yong Jin Kwon, Jang Ok Cheon; J Korean Fract Soc 2007;20(2):149-153. Published online April 30, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.2.149

PURPOSE
To assess the indication and effect of screw fixation in the transverse patellar fractures.
MATERIALS AND METHODS
We analysed the results of 14 transverse patellar fractures fixed with screws from January 1991 to May 2005. Mean follow-up period was 47 months (range, 12~143 months). We analysed the radiologic union, operation time, ROM and postoperative Lysholm score.
RESULTS
All fractures healed uneventfully. The mean displacement was decreased from 2.2 mm preoperatively to 0.3 mm postoperatively (p=0.001, Wilcoxon signed rank test). The mean operation time was 34 minutes (range, 20 to 60 minutes). Normal range of motion was achieved in 13 knees (92.9%). Average Lysholm score was 95.9 at final follow-up.
CONCLUSION
Screw fixation seemed to be useful for treatment of transverse patellar fracture even in comminuted fractures with large fragments. The advantage of this technique was the preservation of extensor mechanism, simplicity, short operation time and good cosmesis.

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Surgery of patellar fractures using a medial parapatellar approach
Yong-Cheol Yoon, Jae-Ang Sim, Jin-Hun Hong
Journal of Orthopaedic Surgery.2017;[Epub] CrossRef
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

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Treatment of Displaced Transverse Patellar Fractures with Cannulated Screws and Figure-Eight Wiring: Shin Kwon Choi, Dong Kil Ham, Moon Sup Yim, Kwang Yul Kim, Hung Sup Shin; J Korean Fract Soc 2005;18(2):149-154. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.149

Abstract PDF

PURPOSE
To evaluate the radiographic and clinical results of displaced transverse patellar fractures using a tensioned anterior figure-eight wire placed through two cannulated screws MATERIALS AND METHODS: 9 patients with displaced transverse patellar fractures treated with cannulated screws and figure-eight wiring were analyzed retrospectively. The mean age was 53 years (range, 22 to 68 years). Controlled passive range of motion exercise were started on the first postoperative day. Full weight bearing was allowed as tolerated. The patients were evaluated with radiographs, clinical examination and Levack's scoring system.
RESULTS
All fractures healed and mean time elapsed for union was 9.4 weeks (range, 8 to 12 weeks). All patients regained full knee range of motion. Clinical results according to the Levack's scoring system were excellent in 8 cases and good in 1 case. We found no complications like loss of reduction and soft tissue irritation caused by the wire and screw, loosening or migration of hardware.
CONCLUSION
Anterior figure-eight wiring through paired cannulated screws is appropriate for transverse patellar fractures, is possible early knee motion exercise and weight bearing.

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Citations to this article as recorded by

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

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