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Ji Hoon Chang 3 Articles
Alteration of the Patella Tendon Length after Intramedullary Nail in Tibial Shaft Fractures
Dong Eun Shin, Ki Shik Nam, Jin Young Bang, Ji Hoon Chang
J Korean Fract Soc 2012;25(4):283-287.   Published online October 31, 2012
DOI: https://doi.org/10.12671/jkfs.2012.25.4.283
AbstractAbstract PDF
PURPOSE
To compare and analyze length change of patella tendon after intramedullary nailing of tibial shaft fracture using transtendinous approach.
MATERIALS AND METHODS
Thirty-two cases were analyzed from December, 1999 to December, 2005. Insall Salvati ratios were estimated. Severity of initial trauma, duration of nail retension, knee function and pain on change of length of patellar tendon was evaluated.
RESULTS
Mean duration of nail retention was twenty-two months. The shortening of patella tendon was observed in 25 cases (p<0.001). The effect of AO type and the duration of nail retension on the decrease of Insall Salvati ratio was not significant (p>0.05, p=0.778). Lysholom score decrease to 89.5. There was no significant difference between the shortening of patellar tendon length and knee pain (p=0.058).
CONCLUSION
After intramedullary nailing for closed tibia fracture, shortening of patellar tendon length is observed. That is irrelevant to the fracture type and the duration of nail retension. The shortening of patella tendon length may contribute to decreasing of knee function, but it was no significance of knee pain after intramedullary nailing.
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Bipolar Hemiarthroplasty of Displaced Femoral Neck Fractures in Pakinsonism Patients
Hyung Ku Yoon, Byung Kuk Kim, Dong Eun Shin, Sang Jun Song, Hyung Kun Park, Ji Hoon Chang
J Korean Fract Soc 2005;18(2):126-130.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.126
AbstractAbstract PDF
PURPOSE
To evaluate clinical outcome and functional result after cemented bipolar hemiarthroplasty of displaced neck fracture in parkinsonism patients.
MATERIALS AND METHODS
12 parkinsonism patients treated by cemented bipolar hemiarthroplasty of displaced femur neck fracture from August 1994 to October 2002 were evaluated. Posterolateral approach was performed. Preoperative and postoperative walking ability, activity of daily life and severity of parkinsonism were compared. The effects of parkinsonism on clinical outcome were analyzed retrospectively.
RESULTS
The median difference of walking ability was 1 (p=0.001) and that of ADL scale was -3 (p=0.0005). There was no significant change in the severity of parkinsonism (p=0.5), and the severity and duration of parkinsonism were not correlated with postoperative functional status. 7 cases of voiding difficulty, 5 of temporary delirium, and 2 of temporary respiratory insufficiency were noted as general complications. 2 cases of dislocation and 1 of infection were noted as orthopaedic complications.
CONCLUSION
In parkinsonism patient, walking ability was worsened, activity was more independent, but severity of parkinsonism was not changed after hemiarthroplasty of displaced femur neck fracture. Orthopaedic surgeons should bear in mind that functional outcome is poor and orthopaedic complication rate high in parkinsonism.

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  • Failure of Long Spinal Construct and Pseudarthrosis in a Patient with Parkinson Disease for the Treatment of Degenerative Lumbar Spinal Disorder: Case Report
    Hong Kyun Kim, Hyun Woo Na, Kook Jin Chung
    Journal of Korean Society of Spine Surgery.2014; 21(4): 174.     CrossRef
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Pseudoaneurysm of Superficial Femoral Artery Following Proximal Femoral Nail Fixation
Hyung Ku Yoon, Byung Kuk Kim, Dong Eun Shin, Man Deuk Kim, Ji Hoon Chang
J Korean Fract Soc 2004;17(3):221-223.   Published online July 31, 2004
DOI: https://doi.org/10.12671/jkfs.2004.17.3.221
AbstractAbstract PDF
Pseudoaneurysm of the femoral artery is a rare complication following the fixation of the fracture of proximal femur or protruded bony fragment and reports injuring on superficial femoral artery is very rare compared to deep femoral artery complicated by the insertion of distal interlocking screw. The chance of injuring superficial femoral artery may increase by deep insertion of drill bit or the repetitive arterial pulsation on prominent distal interlocking screw tip during the perioperative period. Authors experienced one case of injury on the superficial femoral artery postoperative 42 hours followed by the use of proximal femoral nail advocated by the AO group recently and would like to call attention upon the possibilities of vessel injury complicated with the use of the distal interlocking screw.

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  • Huge Pseudoaneurysm of Popliteal Artery Following Conservative Treatment of a Distal Femur Fracture: A Case Report
    Won-Chul Cho, Chong Bin Park, Young-Jun Choi, Hyun-Il Lee, Hee-Jae Won, Jae-Kwang Hwang
    Journal of the Korean Fracture Society.2016; 29(2): 137.     CrossRef
  • Proximal femoral fractures and vascular injuries in adults: Incidence, aetiology and outcomes
    Antonio Barquet, Andrés Gelink, Peter V. Giannoudis
    Injury.2015; 46(12): 2297.     CrossRef
  • Delayed Pseudoaneurysm of the Femoral Artery after Intramedullary Nailing of a Femur Shaft Fracture
    Hyun Cheol Oh, Jae Wan Suh, Dae Kyung Kwak, Han Kook Yoon
    Journal of the Korean Orthopaedic Association.2013; 48(3): 240.     CrossRef
  • Diagnosis and Treatment for Delayed Pseudoaneurysm of Deep Femoral Artery - A Case Report -
    Seok-Hyun Lee, Ji-Hyun Ahn
    The Journal of the Korean Orthopaedic Association.2008; 43(1): 118.     CrossRef
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