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Treatment of Subtochanteric Fractures of the Femur by Interlocking Nailing
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Do Hyun Moon, Bum Gu Lee, Jin Hong Ko, Young Kab Shin
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J Korean Soc Fract 1997;10(3):548-555. Published online July 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.3.548
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 Abstract
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- Subtrochanteric fracture of the femur are difficult to treat successfully. Although performing operative treatment, the incidence of mechanical complication is higher than other sites of long bones.
During the period of January. 1990 to June. 1995, twe nty-four cases of subtrochanteric fracture of femur were treated by Interlocking intramedullary nail at the Department of Orthopedic Surgery, Gil Hospital, Incheon, and the results were obtained as follows : 1. Associated injuries, which were common in lower limb(7 cases), pelvic bone(3 cases) and upper limb(4 cases) made a fracture more difficult to treat.
2. Fieldings type III(12 cases) fracture and Seinsheimers type II(18 cases) fracture and Russel-T aylors Type I A(19 cases) fracture and Winqist-Hansen Type II(13 cases) fracture were most common.
3. The average union time was 19.3 weeks.
4. The complications were three cases. : delayed union(1 case), infection(1 cases), angular deformity(1 case).
5. Interlocking nail is one of the good implant for rigid fixation of subtrochanteric fracture, especially mechanical characteristics of interlocking nail have eliminated the requirement of surgically reconstituting the medial femoral cortex.
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Arthroscopic Management of the Tibial Condylar Fractures
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Do Hyun Moon, Beom Koo Lee, Jin Hong Ko, Ki Dong Kang, In Seok Oh, Young Kab Shin
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J Korean Soc Fract 1997;10(2):324-331. Published online April 30, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.2.324
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Abstract
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- The tibial condylar fracture is a fracture of the proximal end of the tibia, involving as they do weight-bearing articular sufaces and frequently accompanied by soft tissue injuries and menisci present a variety of problems in the treatment and prognosis.
We performed reduction of the depressed articular fragment under mornitoring of arthroscopy and under the control of image intensifier and fixed with cannulated cancellous screws and accompanied by bone graft in 7 cases of the 11 cases.
The results were satisfactory Arthroscopy bridges the advantage of accurate reduction and fixation without extensive operative exposure.
In addition, arthroscopy allows through lavage, removal of loose fragment and accurate of associated intraarticular pathology.
Since extensive exposure is avoided, rapid recovery with reduced pain and early full ROM us achieved in patients managed arthroscopically.
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Citations
Citations to this article as recorded by  - Arthroscopically Assisted Reduction and Internal Fixation of Intra-Articular Fractures of Tibial Plateau
Jeung Tak Suh, Jae Min Ahn, Tae Wan Kim, He Myung Cho
Journal of the Korean Orthopaedic Association.2012; 47(2): 96. CrossRef
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