Journal of Musculoskeletal Trauma

A Clinical Comparative Study for the Results of the Tibial Intercondylar Eminence Fracture: Hyun Kee Chung, Choong Hyeok Choi, Chang Ho Rho, Jae Lim Cho; J Korean Soc Fract 1996;9(3):656-664. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.656

Abstract PDF: The management of fractures of the tibial intercondylar eminence is uncomplicated when the fracture has minimal displacement(Type I) or when only one-third or a half of the eminence is elevated(Type II). However, the treatment of complete separation(Type III) has been controversial. Authors reviewed 35 cases in 35 patients of the tibial intercondylar eminence fracture at the Department of Orthopedic Surgery of Hanyang University Hospital from Jan. 1988 to Dec. 1994. The results were as follows: 1) There was a predisposition for male and prevalent age distribution was 2nd to 4th decade. 2) The most common cause of injury was traffic accident in 22 cases(62.9%). 3) The most common associated injury was rupture of MCL on the ipsilateral knee in 11 cases (37%). 4) According to the Meyers and Mckeevers classification, type III was most common in 24 cases(69%), type II was 7 cases(20%) and type I was 4 cases(11%). 5) The excellent or good result was 82% in conservative treatment group, 83% in screw fixation group and 92% in pull out suture group. 6) In case of small size and comminution of the fragment, it was difficult to fix the fragment with screw fixation. So, we recommend the method of fixation with pull out suture technique for small or comminuted type III fracture.

Treatment of Bone Loss by Local Bone Transportation: A report 3 eases: Sung Joon Kim, Kuhn Sung Whang, Hyun Kee Chung, Ye So Park; J Korean Soc Fract 1992;5(2):410-416. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.410

Abstract PDF: We experienced the local bone transportation in 3 cases. with a dynamic axial fixator, which had been effected the large bone defects because of the loss of the bony segment or infected non-union. The 2 patients showed the large femoral bone defect after motorcycle accident and the other patient. The tibial infected nonunion with large bone defect. The two femoral bone defects were treated by callotasis, and the tibial bone defect by chondrodiatasis. The size of bony defects were 12.Ocm and 6.5cm and the amount of bony transportation were 10.Ocm, 9.4cm and 5.9cm in orthoroentgenogram. These local bone transportations induced excellent osteogenesls and it filled up the defects We suggest that local bone transportation might be one of the best ways for the treatment of the large bone defects.

Supracondylar-Intercondylar Fracture of the Femur Treatment by Internal Fixation Using May Anatomical Contouring Plate: Sung Joon Kim, Jae Lim Cho, Hyun Kee Chung, Sung Ju Lee; J Korean Soc Fract 1990;3(2):180-188. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.180

Abstract PDF: Between Jan. 1988 and Dec. 1989, 15 supracondylar-intercondylar fractures of the femur were treated in the department of orthopaedic surgery, Hanyang University, College of medicine. The advantages of the May Anatomical contouring plate are: 1. The device is self-reducting, so the reduction of the fracture was easy. 2. The device facilitates good condylar fixation even in the osteoportic bone of the elderly patients without destruction of the fragment. 3. Distal end of the jplate is not heavy, so any problem of the soft tissue was not encountered. 4. A small amount of equipment and procedure was required, so the time of operation could be shortened. The results were as follows: 1. Seven patients were male and four patients were femal. 2. The fracture was caused by a motor-vehicle accident in eight cases, a fall in two cases, and slip down in two cases. 3. There were one I, two II, two II, eight III fractures according to Neer classification. 4. The method of treatment was open reduction and figid iinternal fixation using May anatomical contouring plate. 5. 50% fo good to excellent results were obtained according to Neer rating system. 6. Complications included delayed union(1 case) and metal failure(1 case).

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