Journal of Musculoskeletal Trauma

Surgical Treatment of Tibial Plateau Fracture: Validity of Arthroscopy: Shin Kang Cho, Jung Dae Oh, Young Sik Lee, Jin Tae Choi, Gyeong Hin Lim; J Korean Soc Fract 1997;10(4):832-842. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.832

Twenty tibial plateau fractures were surgically treated by means of the double images of the arthroscopy and the image intensifier. The purpose of this attempt was (1) obtaining more anatomical reduction of articular margin, (2) preventing knee joint from the surgical dissection and (3) simultaneous diagnosis & management of the combined meniscus and ligament injuries. Three aims of this study are searching for (1) the indications of the arthroscopic surgery for the libial plateau fractures, (2) the techniques of the arthroscopic surgery for reduction and fixation and (3) the techniques for reducing the risk of the arthroscopic surgery. As a result, we can obtain more anatomical reduction and excellent or good functional knee score after follow-up study of a mean of 1 year and 9 months. There is no complication with regard to arthroscopic surgery. But anatomical reduction of the bicondyle fractures with severe articular and metaphyseal comminution was technically difficult. So, the other technique as if open reduction will be needed.

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Arthroscopically-Assisted Reduction and Internal Fixation of Intra-Articular Fractures of the Lateral Tibial Plateau
Juhan Kim, Dong Hwi Kim, Jae-Hwan Lim, Hyunwoong Jang, Young Wook Kim
Journal of the Korean Orthopaedic Association.2019; 54(3): 227. CrossRef
Treatment of Shatzker Type VI Tibia Plateau Fracture Using Lateral and Posteromedial Dual Incision Approach and Dual Plating
In-Jung Chae, Sang-Won Park, Soon-Hyuck Lee, Won Noh, Ho-Joong Kim, Seung-Beom Hahn
Journal of the Korean Fracture Society.2009; 22(4): 252. CrossRef

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Traumatic Bilateral Anterior and Posterior Dislocations of the Hips with a Unilateral Acetabular Posterior Column Fracture (Thompson and Epstein type IV): A Case Report: Young Sik Lee, Jung Dae Oh, Jin Tae Choi, Gyeong Rin Lim; J Korean Soc Fract 1997;10(4):766-771. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.766

Abstract PDF: A rare case of traumatic bilateral anterior and posterior dislocations of the hips occurred by passenger traffic accident . The right hip was dislocated posterosuperior to the right acetabulum with a linear acetabular posterior column tracture(Thompson and Epstein type IV) and left hip was dislocated anteroinferior to the left acetabulum(modified classification of Epstein type II A). The dislocations were successfully reduced by the Bigelows method for the right hip and the reverse Bigelows method for the left hip, and 4 weeks of Bucks traction was applied. He was able to return to full activity after 4 months. There was no sign of avascular necrosis at 3 years and 11 months follow-up.

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Arthroscopieally Assisted Insertion of a Supracondylar Intramedullary Nail for Distal and Supracondylar Femoral Fracture: Technique Report: Sin Kang Cho, Jin Tae Choi, Sung Jae Kim; J Korean Soc Fract 1996;9(4):930-935. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.930

Abstract PDF: The retrograde supracondylar interlocking nail has been selectively used for the treatment of the supracondylar fracture of the femur. The open method using open medial arthrotomy increases the morbidity of the knee joint while the blind technique using minimal incision can cause the intra-articular complications owing to its blindness of procedure. In this article, we sought the safe method of insefion to reduce the complications of knee joint by minimal incision and also, using the auhroscopic guide. According to our method using arthrposcopic technique we concluded it has the potential benifits over the open or blind methods as early knee enercise, early soft tissue healing, decreased risk of damage to the intra-articular stiuctures, earlier convalescence with reduced hospitalization time, and better cosmesis.

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Treatment of Intertrochanteric Fracture with Gamma Nail: Jung Dae Oh, Young Shik Lee, Shin Kang Cho, Jin Tae Choi; J Korean Soc Fract 1996;9(3):533-540. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.533

Abstract PDF: There are many problems in the treatment of the intertrochanteric fracture due to osteoporosis and unstable patten of fracture in elderly patients, which are also determined by quality of the bone, geometry and reduction of the fragments, and type and placements of the implant. The Gamma nail has recently become available for the treatment of intertrochanteric femur fracture. The authors analysed the intertrochanteric fracture of the 33 patients who were operatively treated with Gamma nail and followed up more than 3 years from May, 1991 to June, 1994 to evaluate the results and prognostic factors. The results obtained were as follws; 1. Type III in TronBo classification was the most common(58%). 2. Among the 33 cases, the patients with osteoporosis below grade III of Singh index were 26 cases(78.8%). In osteoporotic group(Singh index I-III), unstable type fracture was more common(85%). 3. The complication was developed in 8 cases(24.2%), of which cutting out from the femoral head was found in 4 cases. 4. The complication rate statistically had significant correlation with severity of osteoporosis.

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