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Treatment of unstable pertrochanteric fracture of the femur using compression hip screw and plate with 6 or more holes
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Jeong Woung Lee, Chi Weon Lee, Doo Hoon Sun, Myung Sang Moon
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J Korean Soc Fract 2001;14(4):592-600. Published online October 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.4.592
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 Abstract
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- PURPOSE
The objectives of this study are to observe and report the clinical results of the treatment of unstable pertrochanteric femur fracture extending into subtrochanter or shaft of the femur using compression hip screw and plate with 6 or more holes.
MATERIALS AND METHODS
Between February 1993 and December 1997, 39 patients were treated surgically for unstable pertrochanteric femur fracture. 26 patients who have been followed up over twelve months were included in this study. Surgery was performed within 2 weeks after injury, except one patient who had combined head injury. The fracture was fixed internally with compression hip screw and plate with 6 or more holes, and additional fixations were also performed with Cable wire, interfragmentary screw and Knowles pin.
The result was analyzed radiographically and clinically for blood loss, surgery time, bony union period and complication.
Average estimated blood loss was 910 cc. Average surgery time was one hundred ten minutes. The complications occurred in 7 cases (27%) ; 1 nonunion, 2 screw loosening and 4 cases of superficial wound infection.
There was no case of lag screw penetration to the femoral head or metal failure.
The bony union was obtained at average 22 weeks.
CONCLUSION
With use of the compression hip screw and long plate with 6 or more holes for stable internal fixation, we obtained satisfactory results for unstable pertrochanteric femur fracture extending into subtrochanter or shaft of the femur.
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Surgical Treatment for Tibial Condyle Fracture of the Proximal Tibia
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Won Tae Choi, Bo Yel Choi, Chul Hyung Lee, Eui Soon Kim, Jeong Woung Lee, Doo Hoon Sun, Myung Sang Moon
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J Korean Soc Fract 2001;14(2):291-297. Published online April 30, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.2.291
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Abstract
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- PURPOSE
To evaluate the results of operative treatment for tibial condyle fracture of the proximal tibia.
MATERIAL AND METHODS: From March 1995 to June 1999, 15 patients with more than one year follow-up periods were treated by operative method at Sun General Hospital. 10 of them were treated by open reduction and internal fixation(plate & screw for 8, screw & K-wire for 2) and 5 of them by closed reduction and Ilizarov fixation. Preoperative prognostic factors were considered as the fracture type of Schatzker classification, associated injury, and closed or open fracture. Functional outcome was evaluated results by Blokker`s criteria.
RESULTS
According to Schatzker classification, type III were 4 cases, type IV were 6 cases, and type V were 5 cases. At last follow up, average range of motion was 115degrees (Internal fixation was 110degrees, External fixation was 130degrees) The results was according to Blokker`s criteria, 11 cases(73%) had satisfactory acceptable results, among 4 cases(27%) of non-acceptable criteria.
CONCLUSION
For treatment of tibia condyle complicated communited fracture, we are able to consider that rigid internal fixation with anatomical reduction and external fixation for early range of motion.
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Problems in the use of Compression Hip Screw in the Treatment of Hip Fractures
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Myung Sang Moon, In Ju Lee, Nam Yong Choi, Dong Soo Choi
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J Korean Soc Fract 1990;3(1):96-102. Published online May 31, 1990
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DOI: https://doi.org/10.12671/jksf.1990.3.1.96
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Abstract
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- Though compression hip screw system has many advantages over the other fixation devices in the treatment of hip fractures, surgeons were frequently encountered by the intraoperative and postoperative complications leading to poor result.
In reviewing out series of hip fractures treated with this device, between January 1983 and December 1988, serious complications developed in 5 cases, Additionally, three cases who were referred to our hospital during the same period were included in this study.
The authors analyzed these 8cases, and found that the complications could have been prevented in using compression hip screw system for the treatment of hip fractures.
The purpose of this paper is to re-emphasize the importance of 1) strict application of indication, 2) familiarity with surgical technique and handing instruments, 3) radiologic examination during surgery, 4) good postoperative care.
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