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Avulsion Fracture of the Base of the Second Metacarpal by the Extensor Carpi Radialis Longes : a Case Report
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Hong Gi Park, Cheol Won Park
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J Korean Soc Fract 1997;10(3):665-668. Published online July 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.3.665
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 Abstract
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- Isolated intraarticular fractures of the base of the second metacarpals are rare because of the lack of motion in these joints. Also these injuries are an avulsion fractures of the base of second metacarpals that attached the extensor carpi radialis longus(ECRL) or brevis(ECRB). Most authors reporting these cases have recommanded opertive treatment, because the keys of treatment of this fracture are to restore the integrity of the joint margin and to restore the insertion of the extensor carpi radialis tendon. We report a single case of avulsion fracture of the ECRL, which included a fracture of the large metacarpal base.
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Delayed Intramedullary Nailing after Failed External fixation for Open Tibial Fractures
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Jin Hong Ko, Bum Gu Lee, Do Hyun Moon, Hong Gi Park, Cheol Won Park
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J Korean Soc Fract 1997;10(3):694-701. Published online July 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.3.694
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Abstract
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- Recently, extemal fxation and unreamed intramedullary nailing are largely used for operative treatment for open long bone fractures. Extemal fixation, especially in cases of unstable fractures, blamed for complications, for example, malunion, delayed union, loss of reduction, refracture, pin tract infection. In addition, there are some problems such as long hospital stay and delayed returning to work. Some surgeons tried to treat such problems by secondary intramedullary nailing, but they came to different retults.
The purpose of the current study is to evaluate our experience with secondary intramedullary nailing after failed external fixation of 4 cases of open Grade II, 8 cases of open Grade III a, and 4 cases of open Grade III b tibial fractures.
The results are as follows ; 1. The external fixation had been maintained for 123 days in average.
2. The mean interval between removal of the external fixation and intramedullary nailing was 16 days except 5 immediate operation.
3. Reamed intramedullary nailing with static interlocking were done in all 16 cases.
4. In 12 cases of 16, bone union was obtained without complications, and the mean union time after intramedullary nailing was 21.7 weeks radiollogically.
5. Deep infections developed in 2 cases, which had in fracture site, and local infections in 2 cases, which had been in previous pin site of external fixator.
In conclusion, delayed intramedullary nailing was a method for treatment of problematic external fixation, such as delayed union, nonunion, loss of fixation, and pin site infection, for open fractures of the tibia.
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