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Original Articles
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Surgical Treatment of Acromioclayicular Joint Dislocation with Coracoclavicular Ligament Reconstruction using Coracoacromial Ligament
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Seung Rim Park, Hyoung Soo Kim, Joon Soon Kang, Woo Hyung Lee, Joo Hyung Lee, Min Seon Rim
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J Korean Soc Fract 1997;10(4):949-955. Published online October 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.4.949
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Abstract
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- Several treatment methods for complete acromioclavicular(AC) joint dislocation have been recommended. This study was performed to evaluate the results of the injuries that had been treated operatively with Bosworth technique combined with coracoclavicular ligament reconstruction using coiacoacromial ligament. Between September 1992 and October 1995, 19 cases were treated with this method. We made an assessment of the results suggested by Taft. Subjectively, fifteen patients had no pain or stiffness. 17 patients had normal strength and full range of motion objectively. On the roentgenographic bases, 16 cases showed normal findings and one showed the subluxation of the AC joint. The overall Taft score was 10.8 points and 84 % of the patients showed good or excellent results. The advantages of this method include anatomical reduction of the AC joint and early motion of shoulder. Ligament reconstruction enables early removal of the lag screw which precludes joint stiffness and metal problems. We conluded that this method was a good surgical method for complete AC joint dislocation.
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Arthroscopic Assisted Management For the Fracture Of the Tibial Intercondylar eminence Using Tension Band Technique
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Seung Rim Park, Hyoung Soo Kim, Joon Soon Kang, Woo Hyung Lee, Sung Eyu Lee, Hyun Yang Chun
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J Korean Soc Fract 1997;10(1):67-72. Published online January 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.1.67
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Abstract
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- Avulsion fracture of the intercondylar eminence of the tibia(Type III as classified By Meyers and Mckeever) can be managed by arthroscopic reduction and fixation. Recently, the different arthroscopic suturing techniques, fixation with K-wire, screw and staple fixation have been employed to treat this injuries, however, most of these techniques are complicated and they do not always achieve stable fixation enough to facilitate early rehabilitation and restore stability to the knee through a full range of motion so far. A new technique for treatment of the tibial spine fracture arthroscopically, using the tension band method is presented.
The advantage of this method include : 1. to be technically less demanding.
2. to allow for stable fixation even thin or comminuted fragments.
3. to present simple and safe removal of internal fixation.
4. to facilitate early rehabilitation.
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