Journal of Musculoskeletal Trauma

Muller Type C Intercondylar Fractures of Femur : Comparative Analysis by Surgical Approach: Hong Geun Jung, Myung Ho Kim, Moon Jib Yoo, Suk Joo Yoo, Sung Churl Lee, Jin Young Park, Sang Hyuk Min; J Korean Soc Fract 2000;13(1):64-73. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.64

Abstract PDF: PURPOSE
The purpose of this study is to compare the functional results of Muller type C intercondylar fractures treated by 2 different surgical approaches : lateral and extensile approach.
MATERIALS AND METHODS
The study is based on 20 patients 21 knees of Muller type C intercondylar fractures. Two surgical approaches, i.e. 13 cases with lateral and 8 cases with extensile approach were used. The functional evaluation of results was done with criteria by Schatzker and Lambert. Excellent and good was grouped superior while fair and failure was grouped inferior.
RESULTS
Comparative analysis by surgical approach showed that among total 10 cases of C2 fractures, 6 cases(85.7%) of lateral approach and 2 cases(66.7%) of extensile approach were categorized in inferior group. Among the 8 cases in type C3 fractures, 3 cases treated surgically using the lateral approach showed fair and failure results and 3 cases(60%) of the remaining 5 cases using the extensile approach showed good results.
CONCLUSION
There was no significant result difference between lateral and extensile approach in type C2 fractures, but in C3 fracture, cases with extensile approach showed better results. Therefore the extensile approach should be recommended in C3 intercondylar fractures with intra-articular comminution.

21 View
0 Download

The Operative Treatment of Acetabular Fracture: Deuk Soo Hwang, Kwang Jin Rhee, Jun Young Yang, Jang Ik Lee; J Korean Soc Fract 1999;12(2):212-219. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.212

Abstract PDF: PURPOSE
To analysis clinical and radiological result of surgically treated acetabular fractures and to present appropriate surgical approach for fracture type. MATERIAL AND METHODS: A review of 51 surgically treated acetabular fractures, treated between April 1988 and October 1996, using single surgical exposures and combined surgical exposures was conducted. The classification was used Judet & Letournel,s classification and the surgical approach was applied Kocher-Langenbeck, Ilioinguinal, and Combined approach according to fracture aspect. The result was rated on a radiographic as well as a clinical result scale based on Matta,s.
RESULTS
The most common fracture was 14 posterior wall fracture and 7 transverse fracture. the surgical approach was applied Kocher-Langenbeck 29 cases, ilioinguinal 10 cases, and combined approach 8 cases, triradiate approach 2 cases and Extended iliofemoral approach 1 case. A satisfactory reduction was obtained in 87% of the cases (concentric, gap < 3mm). Clinical results were excellent in 28%, good in 54%, fair in 12%, and poor in 6%. Radiologic results at followup indicated 40% excellent results, 35% good results, 16% fair results, and 9% poor results. Postoperative complications appeared in 7 cases including posttraumatic arthritis 2 cases. Two patients later required total hip arthroplasty for avascular necrosis of femoral head and posttraumatic arthritis.
CONCLUSION
Ilioinguinal approach was good method for access to the anterior wall and column fracture, but in case of severe comminuted medial wall fracture company with anterior column, internal fixation is impossible. So, accurate assesment of the fracture pattern by careful radiologic analysis is essential. The posterosuperior dome fracture is important to anatomical reduction because of high risk of posttraumatic arthritis. In case of Transverse fracture, T-shape fracture, and both column, the more displaced column was reduced first, followed by opposite column after reduction identify by intraoperative radiography. We can be attained satisfactory reduction. Therefore, combined approach was good surgical method for this complex fracture.

33 View
0 Download

Surgical treatment of intercondylar fracture of distal humerus in adult: Chang Ju Lee, Won Ho Cho, Ho Geun Chang, Ju Sung Kim; J Korean Soc Fract 1991;4(1):15-21. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.15

Abstract PDF: No abstract available.

20 View
0 Download

Search