Percutaneous Fixation with Cannulated Screws and Ilizarov External Fixator in Triplane Fracture of the Distal Tibial Epiphysis in Children / 대한족부족관절학회지

PURPOSE: To evaluate the result of percutaneous fixation with cannulated screws and Ilizarov external fixator in triplane fracture of the distal tibial epiphysis in children. MATERIALS AND METHODS: Between May 2004 and December 2007, 14 cases with triplane fractures were treated by percutaneous fixation with cannulated screws and Ilizarov external fixator after underwent CT imaging to assess the fracture pattern, articular disruption and to plan further management. Mean age and follow-up period were 14.1 years old and 15 months respectively. RESULTS: There were satisfactory results in all 14 cases that had excellent reduction and stable fixation. All cases regained full range of movement within 6 weeks. CONCLUSION: We obtained satisfactory result after percutaneous fixation with cannulated screws and Ilizarov external fixator in triplane fractures of the distal tibial epiphysis in children.

Limited Posterior Approach for the Surgical Treatment of Intraarticular Fracture of Calcaneus / 대한족부족관절학회지

PURPOSE: To evaluate the clinical efficacy of the limited posterior approach for the surgical treatment of intraarticular fracture of calcaneus. MATERIALS AND METHODS: From March 2000 to February 2006, we studied retrospectively 186 patients, 203 cases who were treated with open reduction and internal fixation through limited posterior approach and were followed up for more than 1 year. The clinical results were evaluated with Creighton-Nebraska score and circle draw test after 1 year. We checked simple AP, lateral, axial and Broden's view preoperatively and 1 year after surgery, and compared Bohler angle and Gissane angle. RESULTS: By Creighton-Nebraska score, Sanders type 2 was 86.4, type 3 was 74.3, type 4 was 62.4. And by circle draw test, type 2 was 8.9 cm, type 3 was 7.2 cm, type 4 was 5.9 cm. Bohler angle and Gissane angle were 7.6 degrees, 102.4 degrees, and it increased to 23.5 degrees, 128.6 degrees after postoperative 1 year. CONCLUSION: Limited posterior approach for the surgical treatment of intraarticular fracture of calcaneus was considered to an effective treatment modality.

Origins of Dorsal Root Ganglion Cells Innervating Medial, Lateral Collateral Ligaments and Patellar Tendon of the Rat Knee Joint / 대한정형외과학회잡지

PURPOSE: The present study was designed to examine the distribution and type of dorsal root ganglion (DRG) cells innervating the medial and lateral collateral ligaments and patellar tendons of the rat knee joint. MATERIALS AND METHODS: We selectively injected neural tracers (FG and HRP) into both collateral ligaments and patellar tendons and then charaterized the distribution and type of DRG cells in section. RESULTS: FG-labelled DRG cells, innervating the medial and lateral collateral ligaments, were located in L1-S3 (former) and L1-L5 (later). The HRP-labelled DRG cells innervating the medial and lateral collateral ligaments were smaller than 600 m2. FG-labelled DRG cells innervating the patellar tendons were found in L1 to S1. The HRP-labelled cells innervating the patellar tendons were variable in size (100 m2 to 3000 m2). CONCLUSION: This study indicates that the DRG origins of sensory nerves in the collateral ligaments and the patellar tendon of the rat knee joint are different. The majority of DRG cells innervating the patellar tendons are proprioceptive and mechanoceptive sensory cells. This finding suggests that the patellar ligaments have more neurological functions than the collateral ligaments.