Journal of Musculoskeletal Trauma

Original Articles

A Clinical Analysis of Distal Fracture of the Femur with DCS Fixation & Early Exercise: Soo Jae Yim, Dong Jin Kim, Seung Ryul Yoon; J Korean Soc Fract 1998;11(3):514-521. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.514

Fracture of the distal femur is not as common as femoral shaft or hip fracture. A widening medullary canal, thin cortex, osteopenia make open reduction and internal fixation difficult, enen for an experienced surgeon, The surgical treatment for supracondylar femoral fractures has a better outcome becuse of improved implants, fixation technique and preoperative planing during the past two decades. We reviewed 33 cases of fractures of the distal femur at Soon Chun Hyang Gumi Hospital from June, 1992 to March, 1996 with minimum 12 months follow up. Following results were obtained. 1. In age distribution, fourth decade was most frequent. 2. The most common cause of these fractures was traffic accident. 3. The most common fracture type was type C by Muller classification. 4. Complication were as follows : pain, knee joint stiffness, bursitis, skin infection etc 5. The satisfactory results could be obtained by the open reduction and rigid internal fixation followed by early R.O.M. exercise of knee joint.

Citations

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Bone Union Time of Simple Distal Femur Fractures in the Elderly according to Fracture Gap after Treated with Minimally Invasive Plate Osteosynthesis
Young Ho Cho, Sangwoo Kim, Jaewook Koo
Journal of the Korean Fracture Society.2023; 36(4): 133. CrossRef

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Clinical Study of the Surgically Treated Fracture-Dislocation of the Talus: Soo Jae Yim, Won Kee Choi, Seung Ryul Yoon, Seok Young Jung, Soo Kyun Rha; J Korean Soc Fract 1996;9(4):1026-1033. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.1026

Abstract PDF: Fracture of the talus are relatively uncommon injury, when they occur, however, they are of major importance, because of the relativily heigh frequency of complications and long term disability. Complications such as non-union, avascular necmsis, traumatic arthritis are frequently developed as a late sequele in fracture or fracture-dislocation of the talus because of talar surface is covered mainly with articular ratilage and poor blood supply. Authors have reviewed 19 cases of the talus fracture & fracture-dislocation surgically treated at Soonchunhyang University Kumi Hospital from January 1987 to October 1995 with minimal 1 year follow up period. The result were as follows 1. Of 19 cases, 16 male and 3 female with their average age of 29.8 years. 2. The rause of injury were traffic accident(motor veiheicle accident)-lO/l9 cases (53%), direct trauma-2/l9 cases(11%), sport injury-l/l9 cases(5%) and fall from height-6/l9 cases(32%). 3. The most common concomittant injury was the ipsilateral fracture of the tibiofibular (including medial malleolar fracture)-9/19 cases(47%). 4. According to the hawkinsclassification, 5 cases in type I, 8 cases in type II, 5 cases in type III and 3 cases in type IV. 5. According to the Hawkinstherapeutic criteria, excellent results in 8 cases, good in 1 cases, fair in 3 cases but poor in 1 case. 6. Avascular necrosis was occured in 7 cases(37%) and ankle stiffness in 4 cases(21%) but nonunion was not observed.

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