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Bilateral Gluteal Necrosis and Deep Infection after Transarterial Embolization for Pelvic Ring Injury in Patient with Hemodynamic Instability: A Case Report
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Sung Jin Park, Chang Ho Jeon, Nam Hoon Moon, Yong Geon Park, Jae Hoon Jang
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J Korean Fract Soc 2019;32(1):56-60. Published online January 31, 2019
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DOI: https://doi.org/10.12671/jkfs.2019.32.1.56
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- Transarterial embolization is accepted as effective and safe for the acute management in hemodynamically unstable patients with pelvic ring injury. However, transarterial embolization has potential complications, such as gluteal muscle/skin necrosis, deep infection, surgical wound breakdown, and internal organ infarction, which are caused by blocked blood flow to surrounding tissues and organs, and many studies on the complications have been reported. Here, we report an experience of the management of gluteal necrosis and infection that occurred after transarterial embolization, with a review of the relevant literature.
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Simultaneous Dorsal Dislocation of Interphalangeal Joints in the Same Finger: Two Case Report
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Hyun Seok Song, Suk Ku Han, Sung Jin Park, Won Sik Nam, Hyuk Jae Yang, Nam Yong Choi
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J Korean Fract Soc 2006;19(3):388-391. Published online July 31, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.3.388
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- We treated 2 cases of simultaneous dorsal dislocation of interphalangeal joints in the 5th finger. One case was injured by herperextension during basketball, and treated by open reduction and K-wire fixation. Another case was injured by industrial accident, and treated by splint for 1 week.
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Citations
Citations to this article as recorded by  - Double Dislocation of Interphalangeal Joints in a Single Digit - A Case Report -
Jai Hyung Park, Jeong Hyun Yoo, Joo Hak Kim, In Hyeok Lee
Journal of the Korean Society for Surgery of the Hand.2012; 17(4): 196. CrossRef
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Snapping Metacarpo-Phalangeal Joint after Depressed Fracture of Metacarpal Neck: Case Report
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Hyun Seok Song, Nam Yong Choi, Sung Jin Park, Suk Ku Han, Ki Ho Nah, Sang Il Seo, Do Sung Lee
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J Korean Fract Soc 2004;17(4):359-361. Published online October 31, 2004
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DOI: https://doi.org/10.12671/jkfs.2004.17.4.359
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- We report one case of snapping metacarpo-phalangeal joint after depressed fracture of metacarpal neck which could be diagnosed by exploration for the snapping during extension in spite of conservative treatments.
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Avulsion Fracture of Calcaneus in Diabetic Patients
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Sung Jin Park, Nam Yong Choi, In Tak Chu, Suk Ku Han, Ki Ho Nah, Hyun Seok Song, Jung Ho Kim
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J Korean Fract Soc 2004;17(2):173-176. Published online April 30, 2004
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DOI: https://doi.org/10.12671/jkfs.2004.17.2.173
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- Avulsion fracture of the calcaneal tuberosity is an uncommon injury. Usually it occurs from indirect trauma, and can be seen in old patients with osteoporosis or in patients with diabetic neuropathy. Follow-up studies showed fracture healing in most cases, but skeletal deformity may develop in some cases. Therefore we should do plain X-ray evaluations in diabetic patients with foot and ankle pain, even though there have been no definite trauma history. Four cases of calcaneus avulsion fracture were treated operatively in diabetic patients, and reported.
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Citations
Citations to this article as recorded by - Avulsion Fracture of Calcaneal Apophysis in an Adolescent Gymnast : A Case Report
Youn Moo Heo, Whan Young Chung, Sang Bum Kim, Cheol Yong Park, Jin Woong Yi
Journal of the Korean Fracture Society.2009; 22(4): 288. CrossRef
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Treatment of Open Fractures of the Tibial Shaft by Sequential Compression technique in Ilizarov device
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Suk Ku Han, In Ju Lee, Nam Yong Choi, Sung Jin Park, Gyeol Yoo, Hyo Seng Ahn
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J Korean Soc Fract 1998;11(4):817-824. Published online October 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.4.817
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- External skeletal fixation is used widely in the management of open or closed tibial fractures, but delayed healing is common. There is concern that this might be due not only due to the severity of injury but also to the mechanical conditions imposed at the fracture site by the fixator. Since fractures treated by external skeletal fixation can rarely be reduced to perception nor held with absolute stability, union occurs by indirect healing, which is acutely sensitive to both the charactericstics and timing of mechanical stimulation. So, the achivevment of the optimum mechanical environment is particularly important where delay in bone healing is likely. Ilizarov external fixator is useful in treating open fractures of the tibial shaft because it permits axial micromotion which enhances bridging callus formation with stable fixation as well as its complications such as infected nonunion or limb length discrepancy. The impared healing with external fixation is often caused by wrong surgical technique, such as distraction of fracture fragments by fixation device. Sequential compression at fracture site may overcome any fracture gap in external skeletal fixation and also enhance endosteal bone formation. We applied sequential compression forces at the fracture site in 18 open fractures of the tibial shaft, trated by Ilizarov external fixator with or without autogenous bone grafting. Sequential compression technique is composed of initial compression with 1 mm/wk for 4 weeks and then compression 1 mm/10 days until adequate apposition of cortex and callus formation in radiograph. We acquired successful bony union in all cases except one which had additional bone grafting in open fractures of the tibial shaft by sequential compression technique using Ilizarov device.
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The Acute surgical Treatment in Superior Peroneal Retinacular Injury in Ankle
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Suk Goo Han, Nam Yong Choi, In Tak Choo, Sung Jin Park, Young Mok Kang, In Ju Lee
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J Korean Soc Fract 1998;11(3):605-610. Published online July 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.3.605
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- The superior peroneal retinacular injury in ankle is often diagnosed as an ankle sprain and treated conservatively because of normal bony contour in type 1,2 injury according to Eckery's classification and small bony fragment with early union, evenly displaced in type 3. But its complications such as peroneal tendinitis and recurrent subluxation or dislocation of peroneal tendons sometimes develop late. Compared to peroneal tendinitis, the surgical treatment method for recurrent subluxation or dislocation of peroneal tendons is known superor to conservative method in results. And many reconstructive methods have been reported. In spite of their good results, harmfulness to normal structures, recurrences and technical difficulties may be a problem. So we perfomed 10 cases of acute surgical repair in superior peroneal retinacular injuries in ankle from March 1993 to February 1997 and prospectively analysed their clinical and radiological results with complications. Preoperative radiological diagnosis was done by plain films, peroneal tenography with computed tomography and also postperatively evaluated with plain films and peroneal tenography. 1. The most common cause of injury was sports(6 cases) including ski injury(4 cases) and average age of the patient was 29(17-56) years. 2. 4 cases of bony avulsion(type 3) were fixed with mini-screws and mean duration of bony union was 3.6 months. 3. The incidental subluxation or dislocation of peroneal tendons was not found intraoperatively and postoperatively. 4. All patients are able to participate in active exercise postoperatively except one patient who complains of lateral ankle discomfort due to peroneal tendinitis. In conclusion, acute surgical repair of superior peroneal retinacular injury in ankle is a recommended method to prevent it's complications such as peroneal retinacular injury in ankle is a recommended method to prevent it's complications such as peroneal tendinitis and subluxation or dislocation of peroneal tendons especially, in young and active patients.
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