Journal of Musculoskeletal Trauma

Operative Treatment of the Type I and II Tibial Plateau Fracture: Jong Woong Park, Sung Kon Kim, Jung Ho Park, Joon Seok Hong, Jae Hun Kim; J Korean Soc Fract 2001;14(2):298-304. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.298

Abstract PDF: PURPOSE
To know the functional and radiologic results of the operative treatment for the type I and II tibial plateau fractures according to the methods of internal fixations.
MATERIALS AND METHODS
Twenty-six patients, who had been treated with open reduction and internal fixation for the type 1 or 2 tibial plateau fractures were evaluated. Twelve cases of type 1 fractures were fixated with 1 lag screw in 5, 2 lag screws in 4 and buttress plate in 3. Fourteen cases of type 2 fractures were fixated with 1 lag screw in 4, 2 lag screws in 6 and buttress plate in 4. The criteria of Hohl and Porter was used for the evaluation of the clinical and radiological results.
RESULTS
There was no significant difference in the clinical result in type 1 and 2 tibial plateau fractures according to the methods of fixations. And the radiological results were not significantly different in both of type 1 and 2 fractures.
CONCLUSION
If the anatomical reduction of the articular surface can be achieved, the methods of fixation for the type 1 and 2 tibial plateau fractures do not affect the final clinical and radiological results.

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Significance of Anatomic Reduction in Acetabular Fracture: Sung Kon Kim, Jung Ho Park, Jong Wung Park, Joon Seok Hong, Jae Hun Kim; J Korean Soc Fract 2000;13(4):724-732. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.724

PURPOSE
The purpose of operative treatment in acetabular fracture is to restore anatomically the disrupted joint surface and prevent post-traumatic arthritis. We analysed the relationship between the types of the fracture, its location, reduction state with the development of post-traumatic arthritis and hip joint function in postoperative period.
METHOD
& MATERIAL: A clinical analysis was performed on 14 patients, excluding patients with anterior & posterior wall fracture, with displaced acetabular fracture who had been treated by open reduction and internal fixation. All patients had been followed for minimum 1 year in our department from May 1989, to February 1999.
RESULTS
The type of acetabular fracture was not correlated statistically with posttraumatic arthritis and Harris hip score. The reduction state of acetabular fracture was significantly correlated with post-traumatic arthritis and Harris hip score. The antomic location of acetabular fracture was not correlated statistically with post-traumatic arthritis but correlated with Harris hip score.
CONCLUSION
Anatomic reduction is more significant factor in postoperative outcome of acetabular fracture than the type of fracture and the anatomic location of fracture.

Citations

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Comparative Results of Acetabular Both Column Fracture According to the Fixation Method
Kyung-Jae Lee, Byung-Woo Min, Eun-Seok Son, Hyuk-Jun Seo, Jin-Hyun Park
Hip & Pelvis.2011; 23(2): 131. CrossRef
Cerclage Wiring in Internal Fixation of Displaced Acetabular Fractures
Chong-Kwan Kim, Jin-Woo Jin, Jong-Ho Yoon, Sung-Won Jung, Jung-Wook Peang
Journal of the Korean Fracture Society.2008; 21(2): 95. CrossRef
Treatment of Acetabular Column Fractures with Limited Open Reduction and Screw Fixation
Jung-Jae Kim, Hyoung Keun Oh, Sung-Yoon Kim
Journal of the Korean Fracture Society.2007; 20(1): 26. CrossRef

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Lag Screw Fixation for the Multiple Spiral Metacarpal Fractures: Jong Woong Park, Sung Kon Kim, Jung Ho Park, Joon Seok Hong, Jae Hun Kim; J Korean Soc Fract 2000;13(1):152-157. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.152

Abstract PDF: PURPOSE
: We evaluated the results after the lag screw fixations using A.O. 2.0mm mini screws for the unstable multiple spiral metacarpal fractures.
MATERIALS AND METHODS
: thirteen cases of multiple spiral metacarpal fractures were treated with the lag screw fixations using 2.0mm mini cortical screws by the recommended technique of AOASIF. TAM of each digit was measured at the time of last follow up and the result was compared with the contralateral normal digits. We also evaluated the amount of shortening, angulation or rotation at the fracture sites on the last follow-up radiographs.
RESULTS
: Complete radiological unions were obtained in all of the cases. TAM of the operated digits were above 90% compared with those of the contralateral normal digits except 1 case, which had an another fracture and deep laceration at the distal phalanx and proximal interphalangeal joint during the period of follow up. We could not find any shortening, angulation or rotation at the fracture sites on the last follow-up radiographs.
CONCLUSION
: When we consider that the goal of treatment of the metacarpal fracture is to obtain full motion of the digit through the early mobilization after injury, we think that the lag screw fixation using 2.0mm mini screw is a good treatment modality in the cases of unstable multiple spiral metacarpal fractures.

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