Journal of Musculoskeletal Trauma

Original Articles

Operative Treatment of the Humeral Shaft Fracture: Sang Won Park, Hak Yoon Kim, Yong Kyung Choi; J Korean Soc Fract 1994;7(2):648-653. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.648

Abstract PDF: The role of internal fixation in the treatment of acute fractures of the humeral shaft remains controversial. It is generally accepted that conservative management is best for isolated closed fractures of the humeral shaft, but recently. the open reduction has been increased tendency. The authors analyzed radiological and clinical results of 54 cases of humeral shaft fracture treated with operation at Department of Orthopaedic Surgery, Korea University Hospital, from January 1985 to December 1992 with minimal 1 year follow up. 1. Forty cases(74%) were treated with compression plate 9 cases(74%), were treated with plate & bone graft and 5 cases(9%) were treated with lag screw. 2. Thirty two fractures healed within four months(59%) and 18 cases(33%) within 4-6 months, and average duration of union were 15.2 weeks. 3. Fifty patients(93%) recovered full range of motion of shoulder and elbow, and four patients(7%) had more than 20 degrees of limited motion. 4. The neurovascular injuries were developed in eight patients : 7 radial nerve injuries, 1 brachial plexus injury and 1 brachial artery injury. 5. There were 4 cases of complications 2 metal failure with nonunion, 1 infection and 1 transient radial nerve palsy.

78 View
0 Download

A Clinical Study on the Tibial Condylar Fracture: Jae Young Cheon, Hak Yoon Kim, Sang Won Park, Hong Kun Lee; J Korean Soc Fract 1989;2(1):49-59. Published online June 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.1.49

Abstract PDF: The tibial condylar fracture involving articular surface of the proximal tibia is common in traffic accidents. In the tibial condylar fracture, the injuries of soft tissue such as ligaments and menisci are frequently accompanied and the weight bearing surface are involved, too. So significant disability of the knee joint often results from the tibial condylar fracture. The fifty cases of the tibial condylar fracture treated at the orthopaedic department of Korea Univerity Hospital from January, 1982 to December, 1986 have been followed for 1 to 3 year The results obtained were sa follows: 1. among the fifty patients, the ratio of sex was 2.1:1 as male predoninant, and the prevalent age distributions were in the 3rd and 6th decade. 2. The most common cause of injury was traffic accident in 32 cases(64%). Second in frequency were falls in 7 cases(14%). 3. The laterality of injury was left in 29 cases(58%), right in 21 cases(42%). The locations of injury were lateral condyle in 34 cases(64%), medial condyle in eight cases(16%) and bicondyles in eight cases(16%). 4. According to the Hohls classification, the most common was type III in nineteen cases (38%). 5. The most common associated injuries were ipsilateral fibular fracture in 15 cases(30%) and ligament injury in 15 cases(30%) especially frequnt in type II and III. Among the ligament injuries, the medial collateral ligament tearing was eight cases(53%) as predominant. 6. Fifteen cases(30%) were treated by cast immobilization, two cases(4%) by skeletaltraction. Thirty-three cases(66%) were treated by operative method. 7. Thirty-seven cases(74%) revealed the rating of acceptable group according to Robertscriteria.

112 View
0 Download

First
Prev
Page of 1
Next
Last

Search