Journal of Musculoskeletal Trauma

Original Articles

A Clinical Comparison between DCP Fixation and Brooker-Wills IM Nailing in the Treatment of Tibial Shaft Fracture: Hyung Seok Kim, Ki Do Hong, Sung Sik Ha, Young Ki Ko, Dong Seok Kang, Jae Hyun Lim; J Korean Soc Fract 1994;7(2):284-292. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.284

Abstract PDF: The tibia is the most commonly fractured bone in the long bones. There are many controversy concerning the method of treatments because of many complications, such as non-union, delayed union and infection. We comparatively analyzed 21 cases of Brooker-Wills IM nailing and 35 cases of DCP fixation in the treatment of tibial shaft fractures from Jan. 1988 to Dec. 1992. The results were as follow: 1. The averge bone union time was 12.1 weeks in Brooker-Wills IM nailing group and 13.9 weeks in DCP fixation group. There were significant different between two groups of the bone union time especially, the age from 20s to 40s and type B fracture in according to A-O classification but no different of the bone union time in open fractures. 2. There was more complications in DCP fixation than in Blocker IM nailing to treat the tibia shaft fractures. 3. In according to the above results to treat the tibia shaft fracture, we meet the conclusion that it will be a benifit to treat the tibia shaft fracture with IM nails than with DCP fixation especilly, young ages and type B fractures in A-O classification. Also we need further study for advantage between the IM nails which flexible and hard one, reamed and unlearned one.

A Clinical Study of the Tibia Plateau Fracture: Hyung Seok Kim, Ki Do Hong, Sung Sik Ha, Dong Seok Kang, Jae Hyun Lim; J Korean Soc Fract 1994;7(1):105-112. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.105

Abstract PDF: The tibia plateau fractures are more common and severe than past decade because of increased traffic accident and industrial injury recently There are many argument about treatment of tibla plateau fractures, but the main goal of treatment Is to achived a stable, well-a-ligned, movable joint with minimum surface irregularities and with adequate soft tissue healing. The authors analyzed the 38 cases of the tibia plateau fractures treated at the Department of Orthopedic Surgery, Seoul Adventist Hospital from 1987 to 1992, to know the relationship between the type of fracture, treatment, and the results. The fallowing results were obtained. 1. The incidence Is more frequent in male and fifth decade was the most popular. 2. The most common cause of injury was traffic accident. 3. The most affrected site was left(26 cases) and lateral condyle(25 cases). 4. The most common fracture type acording to the Hohls classification were undisplaced and communited type of fractures. 5. 14 cases were treated with conservative method and 24 cases were treated with surgical method and 75% of patient which were treated with conservative, 86% of patient which were treated with surgical method, obtained satisfactory result according to Brokkers evaluation 6. The factors of poor results were as follow, communited fracture in Hohls classification, associated with severe other part of fracture, with severe soft tissue injury, or with ligament and meniscal injury.

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