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Combined Ipsilateral Fracture and Dislocation of Hip, Knee and Foot Joints: A Case Report
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Hyoung Soo Kim, Ju Hak Kim, Sang Joon Park, Jae Won Hyung
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J Korean Fract Soc 2012;25(1):73-76. Published online January 31, 2012
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DOI: https://doi.org/10.12671/jkfs.2012.25.1.73
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 Abstract
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- Although clinical cases of ipsilateral knee and hip joint dislocation have been reported, there are no reports of simultaneous ipsilateral hip, knee, and foot dislocations. We report here a case of a patient who had ipsilateral hip, knee, and foot joint dislocations, and review the relevant literature.
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Treatment with Modified Steinmann Pins and Tension Band Wiring Technique in Proximal Humeral Comminuted Fractures with Osteoporosis
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Soo Tai Chung, Joo Hak Kim, Hyung Soo Kim, Sang Joon Park
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J Korean Fract Soc 2007;20(2):184-189. Published online April 30, 2007
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DOI: https://doi.org/10.12671/jkfs.2007.20.2.184
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Abstract
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- PURPOSE
To evaluate the usefulness of internal fixation with modified Steinmann pins and tension band wiring technique in comminuted proximal humeral fracture with osteoporosis and the correlations among bone mineral density, age, Neer's score and period of union.
MATERIALS AND METHODS
Twelve cases of comminuted proximal humeral fracture with osteoporosis were surgically treated with modified Steinmann pins and tension band technique, and followed up for an average 20.8 months (range, 6~39 months). Average age was 73.6 years old (range, 59~85 years old). Results were assessed using Neer's evaluation criteria.
RESULTS
Excellent results were noted in eight cases and satisfactory results in four cases. Radiological union was obtained in all cases. Two cases showed impingement syndrome of the proximal portions of Steinmann pins, which were managed by early removal of the metal. One case developed operative wound infection, which were managed by antibiotics therapy, irrigation and secondary closure.
CONCLUSION
Internal fixation using modified Steinmann pins and tension band wiring technique for proximal humeral fracture, with osteoporosis, makes complete union of fracture, minimizes risk of complications, and enables early rehabilitation by rendering relatively rigid fixation.
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