E-submission
KFS
Search
- Page Path
- HOME > Search
Original Articles
- Tibial Condyle Fracture Treated by Osteosynthesis with a Buttress Plate
- Duck Yun Cho, Sung Jin Kim, Gun Yeon, Young Yoo Kim, Sung Joon Im, Chun Hee Won
- J Korean Soc Fract 2000;13(4):868-876. Published online October 31, 2000
- DOI: https://doi.org/10.12671/jksf.2000.13.4.868
-
Abstract
PDF - PURPOSE
We analyzed the anatomical results of operative treatment in acetabular fractures according to fracture pattern and surgeon's experience. MATERIAL AND METHODS: From December, 1993 to December, 1999, 100 cases of acetabular fractures operated by single surgeon were analyzed. Fracture configuration was classified by Letournel's method. The anatomical results were classified by Matt' s criteria and Claude Martimeau score.
RESULTS
There were 36 elementary fractures(anterior column type: 4 cases, posterior wall type: 29 cases, transverse type: 3 cases) and 64 complex fractures(posterior wall and posterior column type: 4 cases, anterior and posterior hemitransverse type: 8 cases, transverse and posterior wall type: 16 cases, T type: 6 cases, both column type: 30 cases). According to Matta's criteria, all elementary fractures were seen anatomic or satisfactory results however, eleven cases of combined fracture were seen unsatisfactory results. Mean Claude Martimbeau's score was 6.1 point. Elementary fracture was 7.5 point and combined fracture was 5.4 point. Both column fracture was 4.4 point and it was the lowest point among the fractures. In both column fracture, the improvement of surgeon's skill made more good anatomical results. There were four cases of infection and 2 cases of nerve injury.
CONCLUSION
In operative treatment of acetabular fractures, complexity of fracture demands more appropriate surgical approach and skillful surgeon,
- 32 View
- 0 Download
- Treatment of Intertrochanteric Fracture in Elderly Patients with Preservation of Calcar Femorale and Hemiarthroplasty
- In Tak Chu, Jung Man Kim, Gun Yeon, Kwang Jae Ryu
- J Korean Soc Fract 1997;10(1):31-36. Published online January 31, 1997
- DOI: https://doi.org/10.12671/jksf.1997.10.1.31
-
Abstract
PDF
- Seven patients with femur fractures were treated with external fixators. The average age at fracture Intertrochanteric fracture of the femur, of which reported mortality ranges from 15% to 20%, usually occurs in the elderly and is usually comminuted and unstable. Many operative techniques have been developed for early exercise and walking ambulation to reduce mortality and morbidity, but they still have disadvantages. Few papers has been reported on hemiarthroplasty for intertrochanteric fracture in elderly patient, but they did not preserve the calcar femorale which is very impartant anatomic portion for weight transmission after hemiarthroplasty Therefore, the purpose of this paper is to analyze clinical outcome of hemiarthroplasty with preseuation of calcar femorale and wiring of greater trochanter for intertro chante ric fracture. From March 1993 through March 1995. 28 elderly patients had undergone hemiarthroplasty with preservation of calcar femorale and wiring of greater trochanter for the treatment of severely comminuted and osteoporotic intertrochanteric fractures. Mean follow-up period was 17.5 months ranging from 12 months to 28 months. The results obtained were as follows : 1. The most common type by Boyd-Griffin classification was II(73%). 2. Twenty five cases(83%) had osteoporosis, which was evaluated by Singh index. 3. The average operating time was 42.8 minutes and average hospitalifation period was 20.6 days. 4. Excellent functional results according to hip rating scale of Merie DAubigne were obtained in 24 cases(80%). 5. Creater trochanter fixed with wire was united in average 4.4months postoperatively. 6. One case(3%) developed loosening of implant at postoperative 13 months.
- 23 View
- 0 Download
First
Prev
