Journal of Musculoskeletal Trauma

Treatment of Proximal Tibial Non-union after IM Nailing in Conjunction with Anterior Buttress Plating: Han Jun Lee, Young Uk Park; J Korean Fract Soc 2004;17(2):138-141. Published online April 30, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.2.138

PURPOSE
We investigated the results of autologous bone grafting and anterior buttress plating for non-union occurred in junction between metaphysis and diaphysis of tibia after intramedullary nailing technique.
MATERIALS AND METHODS
We reviewed six patients who suffered from non-union of proximal tibia for a minimum follow up of one year. The interval was 6 months in average between first and second surgery. The mean follow up period was 15 months in average. The surgical method was autologous bone grafting and anterior buttress plating without removal of previous nail.
RESULTS
In all patients, the tenderness and pain of non-union sites were passed at a postoperative one month. Radiologic bone union was achieved in all patients at 18 weeks in average, range from 11 weeks to 20 weeks. The complication was superficial infection in one patient without deleterious effect on union.
CONCLUSION
The described method in this study could be a good alternative technique for the treatment of proximal tibial non-union due to failed intramedullary nailing.

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Cause and Treatment of Extraarticular Proximal Tibial Nonunion
Sung Soo Kim, Sung Keun Shon, Kyu Yeol Lee, Chul Hong Kim, Myung Jin Lee, Min Soo Kang, Lih Wang, Im Sic Ha
Journal of the Korean Fracture Society.2008; 21(4): 279. CrossRef

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A STUDY OF ANATOMICAL CONFIGURATION OF LATERAL TIBIAL CONDYLE USING MR AXIAL IMAGE: Sung Do Cho, Yong Sun Cho, Bum Soo Kim, Tae Woo Park, So Gu Lew, Su Young Jung; J Korean Soc Fract 2001;14(3):398-403. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.398

Abstract PDF: PURPOSE
To evaluate the anatomical configuration of the lateral tibial condyle using the MR axial images and to present the proper configuration of the head of the buttress plate that fit the lateral tibial condyle of Korean MATERIALS AND METHODS: With 110 MR axial images of the knee joint of male and female, we calculate the ratio of the maximal height of the arc of the l ateral tibial condyle to the length of the line between the end point of the arc of the lateral tibial condyle(the ratio of convexity) and the angle of the peak point of arc of the lateral tibial condyle(the angle of convexity), the absolute value of the difference of the angle of the end point of the arc(the value of symmetry) of that. then we evaluate the head of 3 the buttress plates with same methods and then compare with the result of the lateral tibial condyle.
RESULTS
The ratio and angle of convexity of Korean were average 0.216/49.04(total), 0.203/49.35(male), 0.235/50.36(female), and the value of symmetry were average 5.68(total), 5.76(male), 5.56(female). the ratio and angle of convexity of the head of buttress plate were average 0.177/43.21(EGIRE), 0.114/25(AO), 0.101/23.83(Solco) and the value of the symmetry were 1.643(EGIRE), 0.75(AO), 1.5(Solco). the ratio of convexity was correlated with age, height, and weight but angle of convexity was not correlated with weight.
CONCLUSION
The anatomical configuration of the lateral tibial condyle of Korean did not fit that of the head of the buttress plates and it would be necessary to make a new plate that fit the lateral tibial condyle for Korean.

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Operative Treatment of the Type I and II Tibial Plateau Fracture: Jong Woong Park, Sung Kon Kim, Jung Ho Park, Joon Seok Hong, Jae Hun Kim; J Korean Soc Fract 2001;14(2):298-304. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.298

Abstract PDF: PURPOSE
To know the functional and radiologic results of the operative treatment for the type I and II tibial plateau fractures according to the methods of internal fixations.
MATERIALS AND METHODS
Twenty-six patients, who had been treated with open reduction and internal fixation for the type 1 or 2 tibial plateau fractures were evaluated. Twelve cases of type 1 fractures were fixated with 1 lag screw in 5, 2 lag screws in 4 and buttress plate in 3. Fourteen cases of type 2 fractures were fixated with 1 lag screw in 4, 2 lag screws in 6 and buttress plate in 4. The criteria of Hohl and Porter was used for the evaluation of the clinical and radiological results.
RESULTS
There was no significant difference in the clinical result in type 1 and 2 tibial plateau fractures according to the methods of fixations. And the radiological results were not significantly different in both of type 1 and 2 fractures.
CONCLUSION
If the anatomical reduction of the articular surface can be achieved, the methods of fixation for the type 1 and 2 tibial plateau fractures do not affect the final clinical and radiological results.

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