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Original Articles
- Opreative Treatment of Intra-articula T or Y
- Young Kyu Kom, Gi Serk Eom
- J Korean Soc Fract 2000;13(2):303-310. Published online April 30, 2000
- DOI: https://doi.org/10.12671/jksf.2000.13.2.303
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Abstract
PDF - PURPOSE
: To evaluate the results after rigid fixation for intraarticular distal humerus fractures and determine the prognostic factors influencing outcome.
MATERIALS AND METHODS
: Twenty-two patients were managed with the rigid fixation using dual plate or one plate combined with cannulated screw. According to the M ller's classification, eleven cases were classified as type C1; five, as type C2; and six, as type C3. Based on the age, the patients were divided into two groups as a guideline of 50 years so that the number of the patients was 11 cases respectively. RUSULTS : By the rating scale from Aitken and Rorabeck, excellent or good results were 90% in type C1, 80% in type C2 and 66% in type C3. All patients who were under 50 years of age obtained excellent or good results, and group who were older than 50 showed 64% good results.
CONCLUSION
: Rigid fixation using dual plate and early mobilization using functional brace were considered to be a good method for intraarticular distal humerus fractures. And, this study revealed that comminution of fracture and age became an important factors in achieving the desire results. -
Citations
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- Surgical Treatment Using a Transolecranon Approach with a Dual Locking Plate for Unstable Intercondylar Fractures of the Humerus
Ji-Kang Park, Yong-Min Kim, Dong-Soo Kim, Eui-Sung Choi, Hyun-Chul Shon, Kyoung-Jin Park, Byung-Ki Cho
Journal of the Korean Fracture Society.2012; 25(2): 129. CrossRef
- Surgical Treatment Using a Transolecranon Approach with a Dual Locking Plate for Unstable Intercondylar Fractures of the Humerus
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- Surgical Treatment of the Fracture and Dislocation of the Elbow and Early Controlled Mobilization
- Young Kye Kim, Ki Young Kang
- J Korean Soc Fract 2000;13(1):186-192. Published online January 31, 2000
- DOI: https://doi.org/10.12671/jksf.2000.13.1.186
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Abstract
PDF
- PURPOSE
: To assess the results according to the injury types of fracture-dislocation of the elbow and to evaluate the stability after early controlled mobilization.
MATERIALS AND METHODS
: Twenty-two patients were managed with open reduction and internal fixation, sometimes using the compass hinged external fixator. Most common direction of dislocation was posterior(46%) and most common associated fracture was radial head and neck fracture(36%). patients were treated with various methods regarding the types of fracture and immediate mobilization using the hinged functional brace.
RESULTS
: Of 11 cases associated with radial head fracture. 9 cases had excellent or good results and 2 cases combined with concomitant other fracture had fair results. Of 5 cases associated with olecranon fracture, 2 cases with severe comminuted fracture had fair or poor results. All of 6 cases associated with coronoid or medial condyle fracture had good results. Late instability was not observed in any of 22 cases.
CONCLUSION
: This study revealed that more combined lesion and comminution of the fracture had worse functional results. Late instability from immediate controlled mobilization was not observed.
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