Journal of Musculoskeletal Trauma

Original Articles

HERBERT SCREW FIXATION FOR NON-COMMINUTED CLOSED MEDIAL MALLEOLAR FRACTURE: Dong Man Park, Yong Jin Kim, Jea Won Chang, Jin Cheul Park; J Korean Soc Fract 1999;12(3):638-644. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.638

Abstract PDF: It is known that the Salter-Harris type I and II fractures of the distal tibial epiphysis usually Non-comminuted closed displaced medial malleolar fracture has been treated by open reduction and internal fixation. Since fracture fragment of medial malleolar is usually thiner and smaller than that of lateral malleolar, it is more difficult to fix firmly than that of lateral malleolar. In the treatment of medial malleolar fracture, although various fixation methods in the treatment of medial malleolar fracture have been reported, several complications have been reported. And then authors have been tried to find fixation methods and firm fixation material for medial malleolar fracture to minimize complications. The purpose of this paper is to compare operation time, duration of bone union, the presence of complication, and results by Meyer and Kumler criteria between Herbert and malleolar screw and to introduce percutaneous Herbert screw fixation technique. Since March 1996, forty-four patients had undergone surgical intervention for medial malleolar fractures. Twenty-three Herbert screw and twenty-one malleolar screws were used. The results were as follows; The operation time was shorter in Herbert screw fixation group. There were no complications such as pain and tenderness due to hardware protrusion and metal lossening in Herbert screw fixation group. We come to the coonclusion that the Herbert screw fixation method was a little better than the malleolar screw fixation method according to comparison by Meyer and Kumler ctireria. We concluded that Herbert screw fixation was a better method for non-comminuted closed displaced medial malleolar fracture to obtain early union and to prevent postoperative complications.

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Injuries of the Tarsometatarsal Joint: Chong Il Yoo, Jeung Tak Suh, Kuen Tak Suh, Yong Jin Kim, Hui Taeg Kim, Kie Bong Wang; J Korean Soc Fract 1992;5(2):219-226. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.219

Abstract PDF: Because of the anatomical configuration of the tarsornetatarsal joints with their strong ligmanet connections, the injries in this regicon are rare. But the injury is associated with a high potential for chronic disability.Authors reviewed and clinically analysed 18 cases of tarsometatarsal joint injuries which were followed more than one year at the orthopedic department of Pusan National University durging the period from January 1986 to December 1990. The results were as follows ; 1. The incidence was higher in male and young active age group. 2. The most common cause of the injury was traffic accident (50.0%). 3. Tarsal and metatarsal fractures were commonly combined (61.1%) 4. The most frequent injury type by Hardcastles classification was total inconjgrulty type (55.5%). 5. Overall result estimated by Hardcastles criteria was good in 5 cases (27.8%), fair in 8 cases (44.4%), and poor in 5 cases (27.8%). 6. The causes of poor resulted cases were severe crushing injury, inadequate anatomical reduction, delayed treatment due to combind injury and loss of medial longitudinal arch. 7. Late complications such as traumatir arthrltis, paln and foot deformity were seen more than half of the cases.

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