Original Article

A Clinical Study of Butterfly Tibia Fractures

Kwon Jae Roh
Author Information & Copyright
Department of Orthopedic Surgery, College of Medicine, Ewha Womans University, Korea.
Corresponding author: Kwon Jae Roh. Department of Orthopedic Surgery, College of Medicine, Ewha Womans University, Korea.

Copyright ⓒ 1989. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

Recently, the incidence of fracture of tibial shaft has risen as a result of rapidly increased automobile and industrial accidents. Seventy adult patients with butterfly fracture of the tibia were treated at the Depatment of Orthopaedic Surgery. Ewha Womans University Hospital from january, 1977 to December, 1986. A retrospective clinical study was done on 70 cases. The results were as follows : 1) Fractures were predominant in male and the twenties. 2) According to the Johner's criteria, middle segments showed the highest incidence(88.6%). 3) Valgus, varus, extension & flexion types were in the ratio 60 : 3 : 2 : 5. 4) Closed Kuntscher nailing group showed the earliest bone union and among the lateral DCP fixation, varus type showed earlier bone union than other types. 5) Among the valgus type fractures that treated with DCP fixation without autogenous bone graft. there were medial cortical absorptions in 10 cases and 5 patients complained of pain and tenderness. But there was no such complication in the bone graft group.

Keywords: Tibia; Butterfly; Valgus type