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KMID : 0386419930060020271
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Journal of the Korean Fracture Society
1993 Volume.6 No. 2 p.271 ~ p.278
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Treatment for the Unicondylar Fracture of the Distal Femur
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신동민
하상호/이상홍/표영배/허민
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Abstract
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Although not as common as femoral shaft or hip fracures of the frmur especially uniodylar fracture present challenges in it's management.
Unicondylar fractures, intraarticular fractures are required anatomical reduction to prevent posttraumatic athtis and require rigid fixation to allow rapid rehabilitation of the knee.
Authors experienced the unicondylar fracture of the in 14 patients who were treated at Chosun University Hosipital from Jan. 1987 until Dec. 1991.
@ES The results were as follows.
@EN 1. Three fractures which had undisplaced or minimal displacement fragments were treated by conservative method. Ten fractures with had either moderate or severe displaced and comminuted fragments were treated with operative method. One old
unreduced
fracture was treated with excision of the fragemt.
2. At result of average 2.5 years follow up half of the cases presented excellent or good results, but the other half of the cases presented fair or poor results.
3. Posteroperative complications were ankylosis of the knee in three cases, post traumatic arthritis in three and deep infrction in one.
4. In few cases, we found some difficulties in reducing or fixing the fragments during the operative procedure.
In conclusion, we would like to emphasize that it is very important to recognize the precise degree of displacement and comminution preoperatively and to choose a proper fixation technique.
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