Journal of Musculoskeletal Trauma

Original Articles

The Prognosis of Undisplaced Abduction Fracture of the Neck of the Femur: Young Bok Jung, Eui Chan Jang, Suk Kee Tea, Whui Jae Jin, Jung Nam Han, Jung Il Lim, Cheol Kyoung Park; J Korean Soc Fract 2001;14(2):159-165. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.159

Abstract PDF: PURPOSE
The aim of this study was to analyze frequencies, types, and treatment results of the undisplaced abduction fracture of the neck of the femur for the prediction of the prognosis. MATERIALS & METHODS: From February 1984 to February 1999, the population was selected from those who were admitted in our hospital with the diagnosis of the fracture of the neck of the femur(96 cases). Among them 34 cases of undisplaced abduction fracture who could be followed minimum 2 years were chosen. The types of initial injury, the degrees of the rotation into valgus, union and the incidences of avascular necrosis of the femur head were analyzed by plain radiographs and medical records.
RESULTS
The undisplaced abduction fracture of the neck of the femur were 34 cases(35%) of the whole 96 cases and 33 cases of them had been operated. In all the 34 cases we were able to see the bone union, however in 7 cases(20.6%) the avascular necrosis of the femur head were happened. The incidences of the avascular necrosis is related with the degrees of the rotation into valgus(p=0.004).
CONCLUSION
The undisplaced abduction fracture of the neck of the femur is known to the result in good prognosis. According to this study, not a few avascular necrosis of the femur head happened. As a results, although undisplaced abduction fracture regained to be paid intention to the incidences of the avascular necrosis and careful follow-up should be accompanied.

Injury of Lateral Meniscus Associated with Tibia Plateau Fracture: Young Bok Jung, Suk Kee Tae, Dong Lyul Yang, Jae Sung Lee, Jung Il Lim; J Korean Soc Fract 2001;14(1):60-65. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.60

Abstract PDF: PURPOSE
To analyse the frequency of soft tissue injuries associated with tibial plateau fracture through arthoscopy and demonstrate the pattern and treatment of lateral meniscal tear which is the most frequently concomitant injury. MATERIAL AND METHOD: We evaluated the charts, X-rays and arthoscopic records of the 27 patients who had been diagnosed as tibial plateau fracture and received the arthoscopic examination or arthoscopic assisted operative management and analysed the injury pattern, association of schatzker classification and treatment of the 9 patients who had been concomitant with lateral meniscal tear.
RESULT
In our cases, lateral meniscus tear was the most common among the soft tissue injury it was revealed that a longitudinal tear at the peripheral area was shown in 8 cases, which were treated with meniscal repair and a radial tear of the central area in l cases, treated with partial menisectomy.
CONCLUSION
Lateral meniscus injury is one of the most frequently concomitant with tibial plateau fracture, In those cases, arthroscopic meniscal repair would be helpful for better prognosis.

Search