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김창우,이수명,송원철,서상동,정민영 대한골절학회 1997 대한골절학회지 Vol.10 No.3
Various forms of treatment for femoral fractures in children. which could give good results have been reported in the literatures. The purpose of this study is to evaluate the complication and related factors after conservative treatment of the femoral fracture in children and to suggest appropriate method of treatment. We reviewed 18 children between the ages of 1 and 11 years who had been treated by Russel or split Russel skin traction for femoral fracture at Dse-Han Genersl Hospital from May, 1992 to December, 1995. All fractures united in average 10.2 weeks, The mean lengthening was 1.6 mm, at the last follow-up. The angular deformities were up to 12 degrees in the sagittal plane and up to 10 degrees in the coronal plane at the time of bony union. The clinical results of treatment were compared with those from the literatures and other reports. Our conclusion from this study is that Russel or split Russel skin traction is a safe and effective method of treatment for femoral fractures in children.
슬관절 외측불안정을 동반한 비골 두 견열골절의 수술적 치료
김창우,이원석,정광민,이수명,송원철,정민영 대한골절학회 1997 대한골절학회지 Vol.10 No.3
Though avulsion fracture of the fibular head rarely occurs. it frequently associates with lateral compartment injury of the knee which results in lateral instability. Some authors preferred to internally fixing avulsion fracture of the tibular head to prevent and restore lateral instability of the knee. Our purpose was to suggest that lateral instability of the knee be restored by internal fixation of the fibular head in these cases. We reviewed 6 cases of avulsion fracture of the fibular head associated with lateral instability of the knee which were treated surgically from January, 1993 to December, 1994 with average 2-year-over follow-up. We evaluated each cases using the Knee Ligament Standard Evaluation Form proposed by International Knee Documentation Committee. The results were as follows. The average displacement of the fibular head was 8.4 mm. The activity level and overall grade were A(normal) in 4 cases, B(nearly normal) in 1 case, D(severe abnormal) in 1 case. Lateral instability of the knee was satisfactorily restored by internal fixation of the fibular head and repair of ligamentous injuries in cases of avulsion fracture of the fibular head associated with lateral instability of the knee.