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Ho Geun Chang 5 Articles
The Effect of Adjacent Vertebral Body on Vertebroplasty for Compression Fracture
Yong Chan Kim, Ho Geun Chang, Kee Byung Lee
J Korean Fract Soc 2010;23(1):97-103.   Published online January 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.1.97
AbstractAbstract PDF
PURPOSE
To analyze the effect of adjacent vertebral body on local sagittal segment in performing vertebroplasty for thoracolumabr vertebral compression fracture on the terms of radiological results.
MATERIALS AND METHODS
We experienced 61 cases of T12 and L1 Compression fracture between June 2003 and November 2005. We classified with 3 groups; no collapse of adjacent body, collapse of adjacent upper body, and collapse of adjacent lower body. The measuring factors were anterior, middle, posterior vertebral height, wedge angle and local kyphotic angle.
RESULTS
In group I, Increase rate of anterior, middle, posterior vertebral height and restoration rate of wedge angle, and local kyphotic angle were average of 0.41%, 0.31%, 0.16%, 1.47%, ?3.48% respectively. Group II was -3.19%, 0.11%, -3.02%, -1.23%, -4.63%. Group III was -2.28%, 4.72%, -1.01%, -2.41%, -13.12%. There are no significant differences among the groups except local kyphotic angle in Group III statistically.
CONCLUSION
The previous wedged collapse of adjacent vertebral body do not affect local sagittal segment performed vertebroplasty in the thoracolumbar compression fracture. However the previous wedged collapse of adjacent lower body affect significantly local kyphotic angle.

Citations

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  • Survival Rate and Risk Factor Analysis in Patients Who Experience a New Fracture after Kyphoplasty
    Jung-Hoon Kim, Dong-Hyok Kim
    Journal of Korean Society of Spine Surgery.2018; 25(3): 99.     CrossRef
  • Survival Rate and Risk Factor Analysis in Patients Who Experience a New Fracture after Kyphoplasty
    Jung-Hoon Kim, Dong-Hyok Kim
    Journal of Korean Society of Spine Surgery.2018; 25(3): 99.     CrossRef
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Complications in Femur Shaft Fracture treated with Interlocking Intramedullary Nailing
Ho Geun Chang, Woon Hwa Jeong, Ung Joo Lee, Seo Joong Choi, Jun Dong Chang, Won Ho Cho, Chang Ju Lee
J Korean Soc Fract 1996;9(4):891-898.   Published online October 31, 1996
DOI: https://doi.org/10.12671/jksf.1996.9.4.891
AbstractAbstract PDF
The interlocking IM nailing is one of the most commonly used treatment method of the femoral shaft fracture. Althrough it has many advantages, but various complications is reported including delayed union, nonunion, malunion, interlocking nail or screw breakage, joint stiffness and infection. In order to evaluate the complications we reviewed 38 cases in treated with interlocking IM nailing in femoral shaft fracture from january, 1991 to december, 1995 in Hangang Sacred-Heart hospital. The average follow up duration was 14 months (range ; 6 months to 38 months). The following results are obtained 1. There were 1 cases of nonunion. Nonunion was of no analytic significance in sex, age, the fracture site and associated fracture (P=0.186), but significant in segmental fracture (P=0.02). Because of the small number group, we considered that it would be necessary more clinical expenence. 2. There were 3 cases interlocking screw breakage, all of which were occured in proximal screw. Partial weight bearing was permitted average postoperation 4.3 months. Average duration between operation and screw breakage was 1.3 months, between operation and bone union was 11.7 months. 3. There was 1 case of interlocking nail breakage. we considered that it was resulted from usage of relatively small nail(11 mm) and postoperative early weight bearing(8 weeks).
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Treatment of Infected Nonunion in Supracondylar and Intercondylar Fractures of the Femur after Open Reduction and Internal Fixations
Ho Geun Chang, Eung Joo Lee, Sang Chun Ahn
J Korean Soc Fract 1996;9(4):921-929.   Published online October 31, 1996
DOI: https://doi.org/10.12671/jksf.1996.9.4.921
AbstractAbstract PDF
The postoperative complications in open reduction and internal fination of supracondylar and intercondylar fractures of the femur include leg length discrepanfy, infection, skin necrosis, irritation by implants, valgus or varus deformity, bony destruction associated with vascular disturbance, instability of thr knee joint and translation of the frartured surface. The most vulnerable complication among them may be infection. Then infected nonunion is dangerous to the patients and its treatment is very difficult. Authors evaluated 25 cases of 25 patients who were treated and followed up evaluation over one year in the department of Orthopaedic Surgery, College of Medicine, Hallym University from January, 1988 to June, 1995. All cases were treated by open reduction & internal fixations. Four cases of them had developed infected nonunion. After we treated these cases wr could reach following results: 1. The cause of infection was primarily staphylococcus aureus in all cases. 2. Among 4 cases of infected nonunion, external fixator was preformed in 3 patients and interlocking IM nailing in remainder. 3. The infection was managed with intravenous antibiotics, frequent irrigation. insertion of antibiotic impregnated beads and daily dressing. 4. Erythrocyte sedimentation rate was normalized at average 8.5 months(range, from 1.5 to 26 months). 5. The union was accomplished at mean 5.4 months in 21 cases without infection and at mean 17.7 months(range, from 10 to 35 months) in 4 cases with infued nonuion after infection developed. 6. The main complications were limitated range of motion of the knee(30 to 100 degree flexion) and shortening of affected extremity. 7. In conclusion, we suggest that early removal of implant in situ, external fination and bone graft after infection controlled is an adequate plan for the treatment of infected nonunion in supracondylar and intracondylar fractures of the femur.
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Surgical treatment of intercondylar fracture of distal humerus in adult
Chang Ju Lee, Won Ho Cho, Ho Geun Chang, Ju Sung Kim
J Korean Soc Fract 1991;4(1):15-21.   Published online May 31, 1991
DOI: https://doi.org/10.12671/jksf.1991.4.1.15
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No abstract available.
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A clinical investigation of ankle fractures associated withdiastasis
Chang Ju Lee, Won Ho Cho, Ho Geun Chang, Hyun Cheol Yang
J Korean Soc Fract 1991;4(1):75-84.   Published online May 31, 1991
DOI: https://doi.org/10.12671/jksf.1991.4.1.75
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No abstract available.
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