Comminuted Fracture of the Knee / 대한정형외과학회잡지

ABSTRACT

The knee is a weight-bearing joint which is subjected to a great variety of static and dynamic loads. The comminuted fracture of the knee is caused by severe violent trauma, which requires well planned therapeutic procedures because of restoration of joint surface and avoidence of subsequent joint stiffness. authores have experienced 8 cases of various types of comminuted fractures of the knees at the department of orthopedic surgery, The National Medical Center, during the years from 1967 to 1972 They were analized and concluded as following. 1. The mode of the injury was considerably higher in falling type of trauma as 4 out of 8 cases Type III of comminuted fracture of the tibial plateau had higher incidence, 4 out of 5 cases and Grade III type of comminuted fracture of the femoral condyle was 2 out of 3 cases 2. 2 cases out of 8 had complicated injuries, such as peroneal nerve injuries in the Type III of comminuted fracture of the tibial condyle and meniscus injury in 1 case. 3. Conservative treatment was given to 2 cases in 1 of Group 1 and 1 of Group III type of comminuted fracture of femoral condyle, and open reduction & internal fixation was given to 6 cases with satisfactory result in all cases Average healing time was 73.5 days. 4. 1 case was complicated after operation by superficial wound infection but healed up without difficulty.