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脛骨顆骨折에 對한 臨床的 考察

A Clinical Analysis of Fracture of the Tibial Condyle

대한정형외과학회지 1970년 5권 4호 p.197 ~ 200
金鍾燮, 李壽永,
소속 상세정보
金鍾燮 (  ) - 慶北大學校 醫科大學 整形外科學敎室
李壽永 (  ) - 慶北大學校 醫科大學 整形外科學敎室

Abstract


The author reviewed 15 cases of fracture of tibial condyle treated at the orthopaedic department of Kyungpook National University hospital during the period from January 1963 to June 1970, and analysed as to cause of injury, type of fracture, average duration for treatment, complications and end results.
The clinical results were obtained as follows:
1) The cause of injury were mostly traffic accident(46. 7%), falling and stumbling(26.6%), coal miner accident(13. 3%), direct blow(13.3%).
2) In classification of fracture type, Type I is most common type in this series and fracture of the lateral condyle is more common than medical condyle.
3) Associated ligaments tear is more common is Type III than other type, and medial collateral ligamant is most common.
4) In Type I with cast immobilization for 8 to 10 weeks, and then encouraged knee joint exercise. In Type II one of two cases treated with cast immobilization and with long leg brace after remove of the cast. Other case was treated with open reduction. In Type 111 3 of. 5 cases treated with bolting and immobilized for 16 weeks.
5) Undesirable sequelas are instability of joint, persistent pain and limitation of joint motion.

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