The ankle joint plays important biomechanical role in erect position or ambulation. The ankle injury includes bony structures with articular surface, ligaments and soft tissue injury. So the goal of treatment is anatomical reduction of ankle mortise. Fifty two patients of ankle fractures which were admitted and treated in Seoul Adventist Hospital from January, 1980 to December, 1984, were analysed in the clinical and radiological aspect. The results obtained from this study were as follows; l. Of the 52 cases, male was 39 cases(75.0%) and female was 13 cases(25.0%). The average age of the patients was 33 years with range from 18 years to 75 years. 2. The most common cause of injury was traffic accidident. Nexts were fall down, sports injury, slip down and industrial injury in orders. 3. The most common type of the ankle fractures, according to the classification of Lauge-Hansen, was supination-external rotation type(40.4%). 4. 36 cases(69.2%) were treated with open reduction and internal fixation and 16 cases(30.8%) were treated with closed reduction. Poor outcome seemed closely related to the severity of the injury and degree of fracture displacement. 5. Accurate reduction and rigid internal fixation of the lateral malleolus without shortening was important factor. Classification of Lauge-Hansen was useful in the diagnosis and treatment of the ankle fractures.
Ankle Fractures ; Ankle Injuries ; Ankle Joint ; Ankle ; Athletic Injuries ; Classification ; Clinical Study ; Diagnosis ; Female ; Humans ; Ligaments ; Male ; Seoul ; Soft Tissue Injuries ; Walking

Hoke traction and immediate immobilization in a spica cast were used to treat 32 children ranging on age from two to eight year old who had closed femoral shaft fractures and no associated injuries. These 32 children admitted at the Seoul Advantist Hospital during period from Jan. 1977 to Dec. 1982 and follow up study was made for 1 to 4 years after fractures. End results obtained are as follows: 1. There was no clinical deformity at the fracture site after complete remodeling. 2. There was no disparity of the leg length greater than 12mm. 3. There was no residual angulation greater than 10° degree. As compared with results treated by Russel traction, this method provides improved length control, comparable control of angular and rotational alignment and considerable shortened hospital stay. It is our opinion that Hoke traction is a simple, safe, certain, comparable and economical method of treatment of femoral shaft fractures in young children.
Child ; Congenital Abnormalities ; Femur ; Follow-Up Studies ; Humans ; Immobilization ; Leg ; Length of Stay ; Methods ; Seoul ; Traction