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External Fixation Using Femoral Less Invasive Stabilization System Plate in Tibial Proximal Metaphyseal Fracture / Jingwei Zhang, Nabil Ebraheim, Ming Li, Xianfeng He, Jiayong Liu, Limei Zhu, Yihui Yu 인기도
발행사항
Seoul : The Korean Orthopaedic Association, 2015.03.30
수록지명
Clinics in orthopedic surgery. vol.7 no.1 (Mar. 2015), pp.8-14
자료실
[서울관] 정기간행물실(524호)  도서위치안내(서울관)
외부기관 원문
외부기관 원문
제어번호
KINX2015048417
주기사항
한국연구재단에서 제공한 KCI 등재학술(후보)지임

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Background: The locking plates are often used for internal fixation of closed tibial fractures. The use of a locking plate as an external fixator is still controversial, particularly for closed fractures. The purpose of this study is to evaluate the results of external fixation using the femoral less invasive stabilization system (LISS) plate in proximal metaphyseal fractures of the tibia.

Methods: We prospectively evaluated 35 patients (26 males and 9 females) with a mean age of 42 years (range, 21 to 62 years) who presented with fresh tibial proximal metaphyseal fractures. According to the AO Foundation and Orthopaedic Trauma Association (AO/OTA) classification, the fractures were identified as type 41-A2 in 18 cases and type 41-A3 in 17 cases, including 25 closed fractures and 10 open fractures. The femoral LISS plate was used to fix these fractures, which was placed on the anteromedial aspect of the tibia as an external fixator. The mean follow-up period was 18 months (range, 13 to 22 months).

Results: All fractures healed in a mean time of 14 weeks (range, 10 to 20 weeks). There was no case of nonunion, deep infection, and loosening of screws and plates. One month after the appearance of cortical bridging on biplanar radiographs, the locking plate was removed within 3 minutes in the clinic without any difficulty. According to the Hospital for Special Surgery (HSS) knee scoring system and American Orthopaedic Foot & Ankle Society (AOFAS) ankle scoring system, the mean HSS score was 91 (range, 85 to100) and 98 (range, 93 to 100), and the mean AOFAS score was 94 (range, 90 to 100) and 98 (range, 95 to 100) at 4 weeks postoperatively and final follow-up, respectively.

Conclusions: For proximal metaphyseal fracture of the tibia, external fixation using the femoral LISS plate is a safe and reliable technique with minimal complications and excellent outcomes. Its advantages include ease of performing the surgery, use of a less invasive technique, and convenience of plate removal after fracture healing.

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기사명 저자명 페이지 원문 기사목차
External Fixation Using Femoral Less Invasive Stabilization System Plate in Tibial Proximal Metaphyseal Fracture Jingwei Zhang, Nabil Ebraheim, Ming Li, Xianfeng He, Jiayong Liu, Limei Zhu, Yihui Yu pp.8-14
Achilles Tendinosis : Treatment Options Roberto Gabriel L. Lopez, Hong-Geun Jung pp.1-7
The Targon FN System for the Management of Intracapsular Neck of Femur Fractures: Minimum 2-Year Experience and Outcome in an Independent Hospital Donald Osarumwense, Elizabeth Tissingh, Kakra Wartenberg, Saurabh Aggarwal, Fikry Ismail, Sam Orakwe, Farid Khan pp.22-28
Ligament Preserving Technique for a Locked Metacarpophalangeal Joint of the Index Finger Byung Sung Kim, Kang Hee Park, Sung Yong Park, Ji Soo Yu, Young Hwan Kim pp.104-109
Acromioclavicular Septic Arthritis and Sternoclavicular Septic Arthritis with Contiguous Pyomyositis Sally A. Corey, William A. Agger, Andrew T. Saterbak pp.131-134
Comorbidity is Independently Associated with Poor Outcome in Extremity Soft Tissue Sarcoma Seungcheol Kang, Han-Soo Kim, Wanlim Kim, Jun Ho Kim, So Hyun Kang, Ilkyu Han pp.120-130
Contemporary Ceramic Total Hip Arthroplasty in Patients with Cerebral Palsy : Does It Work? Byung-Ho Yoon, Young-Kyun Lee, Yong-Chan Ha, Kyung-Hoi Koo pp.39-45
Lessons Learnt from an Atypical Mycobacterium Infection Post-Anterior Cruciate Ligament Reconstruction Stacy W.L. Ng, Dave Lee Yee Han pp.135-139
Perioperative Surgical Complications and Learning Curve Associated with Minimally Invasive Transforaminal Lumbar Interbody Fusion : A Single-Institute Experience Yung Park, Soo Bin Lee, Sang Ok Seok, Byung Woo Jo, Joong Won Ha pp.91-96
Comparison of Results between Hook Plate Fixation and Ligament Reconstruction for Acute Unstable Acromioclavicular Joint Dislocation Jong Pil Yoon, Byoung-Joo Lee, Sang Jin Nam, Seok Won Chung, Won-Ju Jeong, Woo-Kie Min, Joo Han Oh pp.97-103
Advantage of Minimal Anterior Knee Pain and Long-term Survivorship of Cemented Single Radius Posterior-Stabilized Total Knee Arthroplasty without Patella Resurfacing Hyung-Min Ji, Yong-Chan Ha, Ji-Hoon Baek, Young-Bong Ko pp.54-61
Prognostic Factors of Septic Arthritis of Hip in Infants and Neonates : Minimum 5-Year Follow-up Soon Chul Lee, Jong Sup Shim, Sung Wook Seo, Sung San Lee pp.110-119
Radiologic and Clinical Outcomes of Surgery in High Grade Spondylolisthesis Treated with Temporary Distraction Rod Farzad Omidi-Kashani, Alireza Hootkani, Lida Jarahi, Manizheh Rezvan, Amir Moayedpour pp.85-90
Paratrooper's Ankle Fracture : Posterior Malleolar Fracture Ki Won Young, Jin-su Kim, Jae Ho Cho, Hyung Seuk Kim, Hun Ki Cho, Kyung Tai Lee pp.15-21
Total Knee Replacement Arthroplasty with Buechel and Pappas Knee : Minimum 2-Year Follow-up Kyoung Ho Moon, Seung Hyun Hong, Taek Ho Hong pp.62-68
Anterior Knee Pain in Patients with Cerebral Palsy Kenan Koca, Faruk Akyildiz, Serkan Akpancar, Safak Ekinci pp.140-141
Modified Stoppa Approach for Surgical Treatment of Acetabular Fracture Ha Yong Kim, Dae Suk Yang, Chang Kyu Park, Won Sik Choy pp.29-38
The Result of Revision Total Hip Arthroplasty in Patients with Metallosis Following a Catastrophic Failure of a Polyethylene Liner Hong Suk Kwak, Jeong Joon Yoo, Young-Kyun Lee, Kyung-Hoi Koo, Kang Sup Yoon, Hee Joong Kim pp.46-53
The Parameters Affecting the Success of Irrigation and Debridement with Component Retention in the Treatment of Acutely Infected Total Knee Arthroplasty Jae Gyoon Kim, Ji Hoon Bae, Seung Yup Lee, Won Tae Cho, Hong Chul Lim pp.69-76
The Importance of Proximal Fusion Level Selection for Outcomes of Multi-Level Lumbar Posterolateral Fusion Woo Dong Nam, Jae Hwan Cho pp.77-84

참고문헌 (29건) : 자료제공( 네이버학술정보 )더보기

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번호 참고문헌 국회도서관 소장유무
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29 Int Orthop. 2008 Oct;32(5):697-703 미소장

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