슬관절부 골절에 대한 임상적 고찰

Abstract

The knee joint is the largest weight bearing joint. As the fractures of Knee joint in volve the articular surface and the surrounding soft tissues, permanent disabilities such as deformities, joint stiffness, instability and post-traumatic arthritis may ensue following treatment.

Many authors have recommended various methods of treatment for these fractures. Recently, however, a trend toward internal fixation has become evident and good results have been reported by several authors. This study is to present 40 cases of knee joint fractures which were treated at Asan Medical Center from May 1989 to April 19992.

The results were as follows ;

1. The causes of injury were traffic accident(60%), fall down(12.5%), slip down(12.5%) and sports injury(10%).

2. There were 23cases in 22 males and 17 females in series and average was 46.8 years ranging from 19 years to 82 years.

3. In femoral condylar fractures, the most frequent type was C2(8 cases ; 42.2%) and in tibial condylar fractures, B1(7 vases ; 35.5%) by the A.O. classification.

4. 7 Cases were treated by conservative method 32 cases by operative method and 1 cases by amputation.

5. Satisfactory results were obtained 73.3% in femoral condylar fractures and 88.2% in tibial condylar fractures by operative treatment.

We concluded that satisfactory results were obtained from operative treatment with procedures of anatomical reduction, rigid fixation and early joint motion.

The knee joint is the largest weight bearing joint. As the fractures of Knee joint in volve the articular surface and the surrounding soft tissues, permanent disabilities such as deformities, joint stiffness, instability and post-traumatic arthritis may ensue following treatment.

Many authors have recommended various methods of treatment for these fractures. Recently, however, a trend toward internal fixation has become evident and good results have been reported by several authors. This study is to present 40 cases of knee joint fractures which were treated at Asan Medical Center from May 1989 to April 19992.

The results were as follows ;

1. The causes of injury were traffic accident(60%), fall down(12.5%), slip down(12.5%) and sports injury(10%).

2. There were 23cases in 22 males and 17 females in series and average was 46.8 years ranging from 19 years to 82 years.

3. In femoral condylar fractures, the most frequent type was C2(8 cases ; 42.2%) and in tibial condylar fractures, B1(7 vases ; 35.5%) by the A.O. classification.

4. 7 Cases were treated by conservative method 32 cases by operative method and 1 cases by amputation.

5. Satisfactory results were obtained 73.3% in femoral condylar fractures and 88.2% in tibial condylar fractures by operative treatment.

We concluded that satisfactory results were obtained from operative treatment with procedures of anatomical reduction, rigid fixation and early joint motion.