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- Treatment of Supracondylar Fracture of Humerus in Children: Conservative vs Operative Treatment
- Jong Min Sohn, Ju Hai Chang, Dong Heon An, Seung Pyo Eun, Han Seok Son
- J Korean Soc Fract 1996;9(3):695-705. Published online July 31, 1996
- DOI: https://doi.org/10.12671/jksf.1996.9.3.695
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Abstract
PDF - Supracondylar fracture of the humerus is the most common fracture around the elbow joint in children, especially in the age from 4 to 9. 97% of the fractures are extension type and there are many problems in management such as the method of reduction and maintenance of reduction, Volkmanns ischemia, neurovascular injuries, cubitus varus or valgus deformity, and myositis ossificans etc. Currently the methods of treatment of supracondylar fracture include open reduction and pin fixation, closed reduction and percutaneous pin fixation, and closed reduction and immobilization by splint. 134 children with supracondylar fracture of humerus, conservatively 49 cases and operative 85 cases, were treated from January 1991 to October 1995 and were followed up for at least 6 months. We analyBed the type of fracture, method of treatment and results and concluded that accurate reduction, minimizing soft tissue injury and maintenance of reduction are important factors for gaining good results.
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- Arthroscopic and Conventional Treatment of Lateral Tibial Plateau Fractures
- Jung Man Kim, Chang Whan Han, Han Seok Son
- J Korean Soc Fract 1996;9(3):647-655. Published online July 31, 1996
- DOI: https://doi.org/10.12671/jksf.1996.9.3.647
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Abstract
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- The goals in the treatment of a tibial plateau fracture are to obtain a stable, aligned, mobile and painless joint and to minimize the risk of post-traumatic osteoarthritis. Most recently the management of tibial plateau fractures has been via arthroscopy. Proponents of arthroscopic techniques advocate their use not only to better visualize the surface of the tibia but also to evaluate the rest of the joint. This retrospective study compared the results of arthroscopic and conventional treatment of tibial plateau fractures from January 1988 through April 1995. Forty-seven knees of tibial plateau fractures were involved in this study. Sixteen of these patients were treated with arthroscopic reduction and autogenous bone graft with or without internal fixation, while the remaining 31 underwent open reduction, bone graft and internal fixation. The results are as follows: 1. The average time to full weight bearing was 10.2 weeks (range 7-14 weeks) in the arthroscopic group and 13.5 weeks(7.2-18 weeks) in the open reduction group. 2. The incidence of lateral meniscus tear was 56%(9/16) in the arthroscopic reduction group and 29%(9/31) in the open reduction group. 3. Flexion of at least 130 was obtained in 81%(13/16) of arthroscopic reduction group, while only Tabl 58%(16/31) in the open reduction group. Full extension was obtained in 93%(15/16) of arthroscopic reduction group, and in 83%(26/31) in the open reduction group. 4. Complications occurred more frequently in the open reduction group than in the arthroscopic reduction group.
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