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고승희,김경호,최용수,이동명,서창문,김기수 대한골절학회 1994 대한골절학회지 Vol.7 No.2
The femoral neck fracture in childhood is rare and occurred by severe trauma. Its treatment method and prognosis are different from adult, and(it was) difficult to treat due to frequent complication. So the femoral neck fractures in children are called as unsolved fracture. Eleven cases of children's femoral neck fracture were treated by closed reduction and internal fixation using cancellous screws or Knowles pins at Kwang Ju Christian Hospital from lanuary 1986 to lanuary 1992, and were analysed clinically and radiologically. According to classification of Delbet and Colona, the transcervical fracture were 6 cases and the cervicotrochanteric fracture 5 cases. 10 of the eleven cases were displaced fractures. Avascuiar necrosis was evident in 6 cases(54.5%) and all of them were displaced fracture iaitially. 2 cases of avascular necrosis were treated with Intertrochanteric varus osteotomy with angle blade plate.
고승희,김경호,최용수,박종준,서창문,김기수 대한골절학회 1994 대한골절학회지 Vol.7 No.2
The sixty cases of tibia fracture(Grosse-Kempff28 cases, Brooker-Wills 32 cases), treated using intramedullary nail from October 1989 to June 1993, were followed up. l. Among the 60 cases, 46 cases (76.6%) were male, and the most common cause was traffic accident in 42 cases(70.0%). 2. The 48 cases(80.0%) were closed fractures, 24cases(40.0%) comminuted fracutres and 29cases(48.3%) fractures of distal third of tibia. 3. The average bone union time was 18.5 weeks in Grosse-Kempf nailing group and 17.8 weeks in Brooker-Wills group, The average operation time was 74.7 minutes in Grosse-Kempf nailing group and 42.7 minutes in Brooker-Wills nailing group. 4. The functional results according to Karltrom were satisfactory in 27 cases(96.8%) of Grosse-Kempf group, and 24 cases(75.0%) in Brooker-Wills nailing group.
고승희,김경호,최용수,이동명,서창문,정양민,김기수 대한골절학회 1994 대한골절학회지 Vol.7 No.2
The tibia, which is covered by subcutaneous tissue anteromdially, frequently sustain open comminuted fracture by trauma. The open fractures have higher risks of infection, nonunion, delayed union and joint stiffness. The authors reviewed 54 cases of open tibial fracture, treated at Kwang Ju Christian Hospital from January 1989 to December 1992. The results were as follows: 1. The most common cause of iajury was traffic accident(4I case) and the average age of the patients was 32 years. 2. The radiographic union was obtained at 16.1 weeks in type I open fracture, 18.3 weeks in type II, 20.1 weeks in type Ilh, 28.0 weeks in type IIIb, and 34.7 weeks in type IIIc open facture. 3. The secondary operation was required frequently to obtain bone union in open type II, III fracture.