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Volume 18(2); April 2005
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Original Articles
Modified Phemister Technique with Mersilene Tape Augmentation in the Acute Acromioclavicular Joint Dislocation
Hyun Dae Shin, Kwang Jin Rhee, Young Mo Kim, Kyung Cheon Kim, Choong Hui Lee
J Korean Fract Soc 2005;18(2):83-88.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.83
AbstractAbstract PDF
PURPOSE
To find out the consequences of the surgical treatment of acromioclavicular joint dislocation, using modified Phemister technique with Mersilene tape augmentation.
MATERIALS AND METHODS
We chose 26 patients who were able to follow up 1 year or more among the patients who were diagnosed as acromioclavicular joint dislocation in our hospital through February 2001 to March 2003 and took modified Phemister surgery with Mersilene tape augmentation. Patients with clavicle fracture were excluded. Evaluation of the surgical results was done with the condition or pain, function, range of motion by using Imatani evaluation system, and preoperative, postoperative and last follow up radiographs.
RESULTS
Most of the cases showed satisfactory result. Clinical evaluations were 16 excellent (62%), 10 good (38%), radiological evaluations were 14 excellent (54%), 10 good (38%), 2 fair (8%), and no poor group. On the final follow up six cases showed vertical translation, but none had clinical symptoms. Seven cases showed a little inflammation at where pin were inserted, but after the removal of the pin, the inflammation was gone.
CONCLUSION
The modified Phemister surgery for acromioclavicle dislocation is simple, but we can obtain strong fixation, and there is no burden of the removal of the metal plate, or complication of re- dislocation after the removal of the pin, so it is thought as a very effective surgery.
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Intramedullary Fixation in the Fracture of the Shaft of the Clavicle by Threaded Kirschner Wire
Jae Kwang Yum, Se Jin Park
J Korean Fract Soc 2005;18(2):89-92.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.89
AbstractAbstract PDF
PURPOSE
To evaluate and report the clinical result of the intramedullary fixation by threaded Kirschner wire in the clavicle shaft fracture.
MATERIALS AND METHODS
From May 2000 to April 2004, twenty patients who had the fracture of the shaft of the clavicle were treated by the intramedullary fixation with threaded Kirschner wire. Thirteen patients were followed up and the clinical and radiological results were analyzed.
RESULTS
All of the cases had satisfactory fracture union but there were four cases of skin irritation signs by the tip of threaded Kirschner wire. In one case, the Kirschner wire was bent at the fracture site with malunion. According to the clinical scoring system of Kang et al, eight cases were excellent and five cases were good.
CONCLUSION
Authors think that intramedullary fixation with threaded Kirschner wire in the fracture of the shaft of the clavicle is one of a good operative method because of small operative incision, easy operative method, satisfactory fracture union and easy removability of the implant.
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Operative Treatment of Traumatic Humeral Shaft Fracture: Comparision of Interlocking IM Nailing and Plate Fixation by Posterior Approach
Hyun Dae Shin, Kwang Jin Rhee, Kyung Cheon Kim, Ho Sup Song
J Korean Fract Soc 2005;18(2):93-99.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.93
AbstractAbstract PDF
PURPOSE
To compare the results and complications of interlocking IM nailing and plate fixation by posterior approach in the treatment of traumatic humeral shaft fracture MATERIALS AND METHODS: From March 1997 to March 2003, 49 patients undergone operation due to traumatic humeral shaft fracture. Follow-up was over one year. 28 patients operated with interlocking IM nailing initially and 21 operated with plate fixation by posterior approach prospectively. Statistics were compared using clinical and radiological outcomes and complications.
RESULTS
Radiologically, bone union was observed after an average of 14.3 weeks in IM nailing, and 11.7 weeks in plate fixation. So plate fixation showed earlier bone union (p=0.012). Nonunion occurred in 4 cases (14.3%) operated with IM nailing, and 1 case (4.8%), that was open shaft fracture, with plate fixation. Nonunion occurred more frequently when operated by IM nailing. 6 cases showed limitation of shoulder movement due to damage of the rotator cuff by IM nail entry site. 1 case showed radial nerve palsy, and 1 case showed axillary nerve palsy in the case of IM nailing. Also, secondary surgery due to complications was operated in 9 cases (32.1%) in IM nailing and 1 case (4.8%) in plate fixation (p=0.03).
CONCLUSION
In the case of traumatic humeral shaft fracture plate fixation by posterior approach was more useful than IM nailing in the decrease of complications and bone union. Such approach is thought to be an excellent method for anatomic reduction and nerve exploration in the case of open and comminuted fracture which accompany nerve injuries

Citations

Citations to this article as recorded by  
  • Clinical and Radiographical Follow-up for Residual Displacement of Fracture Fragments after Interlocking Intramedullary Nailing in Humeral Shaft Fractures
    Jae-Kwang Yum, Dong-Ju Lim, Eui-Yub Jung, Su-Een Sohn
    The Journal of the Korean Shoulder and Elbow Society.2013; 16(2): 107.     CrossRef
  • Minimally Invasive Anterior Plating of Humeral Shaft Fractures
    Hyun-Joo Lee, Chang-Wug Oh, Do-Hyung Kim, Kyung-Hyun Park
    Journal of the Korean Fracture Society.2011; 24(4): 341.     CrossRef
  • Result of Interlocking Intramedullary Nailing for Humeral Shaft Fracture Evaluation of Post-operative Shoulder Function
    Seung Rim Park, Tong Joo Lee, Ryuh Sub Kim, Kyoung Ho Moon, Dong Seok You
    Journal of the Korean Fracture Society.2007; 20(2): 166.     CrossRef
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Treatment of Fractures of the Distal Radius using Locking Compression Plate
Jae Cheon Sim, Nam Sik Chung, Ki Do Hong, Sung Sik Ha, Ji Hoon Kang
J Korean Fract Soc 2005;18(2):100-104.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.100
AbstractAbstract PDF
PURPOSE
To evaluate the usefulness of locking compression plate (LCP) and volar plating through anterior approach for distal radius fracture.
MATERIALS AND METHODS
We retrospectively analysed that 15 distal radius fracture, which would not be reduced by closed reduction or too comminuated to maintain reduction or articular surface inconguency, were treated by open reduction through anterior approach and volar plating using LCP. The results were evaluated by preoperative and postoperative radiographs. Functional results were analysed using the Modified Mayo Wrist Scoring System.
RESULTS
All cases achieved anatomical articular surface reduction postoperatively. In terms of radiologic analysis, mean radial length (9.0 mm vs. 11.8 mm), radial inclination (14.7degrees vs. 20.9degrees ), volar tilt (-6.3degrees vs. 8.3degrees ) and articular step-off (1.4 mm vs. 0.3 mm) were improved. The average Modified Wrist Score was 89. Nonunion or malunion was not occurred.
CONCLUSION
Open reduction through anterior approach and volar plating using LCP is a useful method that provides excellent results with few complications in the treatment of fracture of the distal radius.

Citations

Citations to this article as recorded by  
  • Periprosthetic Fracture after Locked Plating in the Osteoporotic Long Bone Fracture
    Ki-Chul Park, Hong-Sik Kim, Jeong-Han Oh
    Journal of the Korean Orthopaedic Association.2012; 47(3): 222.     CrossRef
  • 2.4 mm Volar Locking Compression Plate for Treatment of Unstable Distal Radius Fractures
    Sung-Jin Kim, Chul-Hyun Cho
    Journal of the Korean Fracture Society.2011; 24(2): 151.     CrossRef
  • Treatment of Femur Supracondylar Fracture with Locking Compression Plate
    Seong Ho Bae, Seung Han Cha, Jeung Tak Suh
    Journal of the Korean Fracture Society.2010; 23(3): 282.     CrossRef
  • Comparison of Outcomes for Unstable Distal Radius Intraarticular Fractures - T-locking Compression Plate versus External Fixator -
    Chul-Hyun Cho, Su-Won Jung, Sung-Won Sohn, Chul Hyung Kang, Ki-Cheor Bae, Kyung-Jae Lee
    Journal of the Korean Fracture Society.2008; 21(1): 51.     CrossRef
  • Basic Principle of the Locking Compression Plate
    Keun Bae Lee
    Journal of the Korean Fracture Society.2008; 21(3): 261.     CrossRef
  • Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures
    Chul Hyun Cho, Ki Choer Bae, Doo Hyun Kwon
    Journal of the Korean Fracture Society.2008; 21(3): 220.     CrossRef
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Operative Treatment of Metacarpal Shaft Fracture>: Comparision of Low-Profile Miniplating System and Kirschner Wire Fixation
Hyun Dae Shin, Kwang Jin Rhee, Kyung Cheon Kim, Ho Sup Song
J Korean Fract Soc 2005;18(2):105-109.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.105
AbstractAbstract PDF
PURPOSE
To compare Kirschner wire fixation and low profile miniplating system in metacarpal shaft fracture.
MATERIALS AND METHODS
Patients, available at least 1 year, who received the operative treatment after being diagnosed as metacarpal shaft fracture from 1997 May to 2003 May were the subjects with the exclusion of thumb fracture and intraarticular metacarpal bone fracture and also cases involving Kirschner wire fixation on severe laceration or open fracture. On the last follow up total action motion (TAM) and plain radiographes was checked.
RESULTS
In 7 cases (38.9%) where closed reduction and Kirschner wire fixation were carried out, 8 cases (61.5%) where open reduction and Kirschner wire fixation were carried out and 24 cases (88.9%) where open reduction using miniplate and screw showed either excellent or good results on TAM. 5 cases of dorsal angulation occured in closed reduction and Kirschner wire fixation group and 4 cases of dorsal angulation in open reduction and Kirschner wire fixation group however no cases of dorsal angulation occured in open reduction and miniplate and screw fixation group, and in all cases no rotational deformity, complications through ulnar or radial angulation occured. Internal fixation was carried out on 2 cases of nonunion which had closed reduction and Kirschner wire fixation carried out, while the rest all showed bony union.
CONCLUSION
Selective use of low profile miniplate and screw fixation in the metacarpal shaft fracture is more effective than in cases of comminuted fracture which can not be achieved firm fixation by Kirschner wire fixation. Low profile miniplate and screw fixation can get more precise anatomical reduction and firm fixation so it allow early return to daily living activity and show low complication rate.
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Sliding after Internal Fixation of Stable Intertrochanteric Fracture of the Femur
Woo Suk Lee, Whan Young Chung, Woo Sik Kim, Yong Chan Kim, Taek Soo Jeon, Sung Kwun Jo, In Tak Bae, Young Su Lim
J Korean Fract Soc 2005;18(2):110-114.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.110
AbstractAbstract PDF
PURPOSE
To evaluate the risk factors of sliding after internal fixation with sliding compression hip screw in stable intertrochanteric fracture of the femur.
MATERIALS AND METHODS
From March 2000 to April 2003, 61 stable intertrochanteric fractures (Kyle-Gustilo type II) were treated operatively with sliding compression hip screws. The patients were 40 females and 21 males with an average age of 74 (range, 54~99). We measured vertical and horizontal shortening in regard to age, sex, bone mineral density, neck-shaft angle, cancellous bone defect, and the existence of lessor trochanter fracture on postoperative 6 months.
RESULTS
The average vertical shortening was 4.1 mm (0~22 mm) and the average horizontal shortening was 7.3 mm (0~30 mm). Age, sex, bone density and neck-shaft angle were not significantly related with vertical and horizontal shortening (p>0.05). Vertical shortening was significantly greater in the group with cancellous bone defect and in the group without lesser trochanter fracture (p<0.05).
CONCLUSION
Proper management for fracture site and fixation was needed to make it stable because the stable intertrochanteric fracture with cancellous bone defect and intact lesser trochanter could be induced into unexpected sliding.

Citations

Citations to this article as recorded by  
  • Benefits of a Demineralized Bone Matrix in Osteoporotic Intertrochanteric Femoral Fracture Patients
    Se Jin Kim, Hong-Man Cho, Myung Cheol Jung
    Journal of the Korean Fracture Society.2022; 35(4): 151.     CrossRef
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Radiologic Result of Treatment of Intertrochanteric Fracture Using Compression Hip Screw: Involvement of Lateral Cortex
Suk Ha Lee, Sung Tae Lee, Kwang Jun Oh, Yong Bae Kim, Woo Seung Lee, Ji Sung Jun, In Rok Yoo, Jung Sup Keum
J Korean Fract Soc 2005;18(2):115-119.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.115
AbstractAbstract PDF
PURPOSE
To assess the meaning of the unstable intertrochanteric fracture of femur with involvement of lateral cortex by analysing the radiologic result of the surgical treatment using a compression hip screw.
MATERIALS AND METHODS
Classifing patients (who has taken the surgical treatment for intertrochanteric fracture of femur using compression hip screw from January 1999 to June 2002) in our hospital with 24 patients who had not much difference statistically in the compression screw located within the femur, Tip-Apex distance (TAD) the Singh Numerical Value of osteoporosis. The results were divided into two groups, group A (without fracture extends through lateral cortex of femur: 16 cases) and B (fracture extends through lateral cortex of femur: 8 cases), when analyzing it. And then analyzed the final examination in the evaluation of electrical potential level by radiology, change of the inside and outside of neck-shaft angle, descent level of the screw and the change of the neck-shaft angle.
RESULTS
In the latest follow up, the sliding amount of the screw in group B, the average was 14.9+/-9.3 mm, and 6.7+/-3.6 mm in group A. There was no difference statistically (p value>0.05). In the varus change in group B, the average was 8.00+/-8.12degrees and in group A it ws 2.75+/-2.63degrees There was statistical difference(p value<0.05). In displacement after operation, it was 7.60+/-2.61 mm in group B and 0.5+/-1.80 mm in group A. There was statistical difference (p value<0.05).
CONCLUSION
The intertrochanteric fracture with involvement of lateral cortex of femur have to be considered as unstable fracture having tendency of displacement.

Citations

Citations to this article as recorded by  
  • Analysis of the Causes for Failed Compression Hip Screws in Femoral Intertrochanteric Fracture and Hip Reconstruction Operation
    Ui Seoung Yoon, Jin Soo Kim, Jae Sung Seo, Jong Pil Yoon, Seung Yub Baek
    Journal of the Korean Fracture Society.2010; 23(3): 270.     CrossRef
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Treatment of Failed Internal Fixation of Intertrochanteric Fractures of Femur
Hyung Gyu Kim, Byeong Mun Park, Kyeong Seop Song, Chang Hun Sung, Jong Min Kim, Jae Hyung Cho, Nam Heun Kim
J Korean Fract Soc 2005;18(2):120-125.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.120
AbstractAbstract PDF
PURPOSE
To compare the result of failed internal fixation of intertrochanteric fractures treated with arthroplasty and 95degrees angled blade plate.
MATERIALS AND METHODS
From June 2000 to may 2003, there were 12 cases with failed internal fixation of intertrochanteric fractures among 185 cases treated with dynamic hip screw and followed up for more than 1 year. The 4 cases were treated with bipolar hemiarthroplasty, 1 case with total hip arthroplasty, and other 7 cases were treated with 95degrees angled blade plate with allograft, evaluated clinically the operation times, blood loss, walking ability and complication.
RESULTS
In the 7 cases, which treated with 95degrees angled blade plate, the average operation time was 109 minutes, the average blood loss was 431 ml. The result of keeping abreast of 1 year, no aid ambulation was 4 cases, the cane ambulation was 2 cases, the walker ambulation was 1 case, and there was no pain in 3 cases, mild pain in 4 cases, and no moderate pain. In the 5 cases, which treated with arthroplasty, the average operation time was 157 minutes, the average blood loss was 618 ml. During 1 year, no aid ambulation was 3 cases, the cane ambulation was 1 case, the walker ambulation was 1 case, and no pain in 2 cases, mild pain in 1 case, moderate pain in 1 case.
CONCLUSION
Both 95degrees angled blade plate and arthroplasty can be useful for failed internal fixation of intertrochanteric fractures, and the choice of implant must be determined with caution, considering the surgical conditions of patient, as well as benefits of each devices
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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.

Citations

Citations to this article as recorded by  
  • 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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Management of Ipsilateral Femur and Tibia Fractures, with Retrograde and Antegrade Nailings from the Knee
Chang Wug Oh, Jong Keon Oh, Woo Kie Min, In Ho Jeon, Hyung Soo Ahn, Hee Soo Kyung, Poong Taek Kim, Jung Ho Noh
J Korean Fract Soc 2005;18(2):131-135.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.131
AbstractAbstract PDF
PURPOSE
To review the results in the management of ipsilateral femur and tibia fractures, using femoral and tibial intramedullary nailings with single incision on the knee.
MATERIALS AND METHODS
We treated 19 cases of ipsilateral femur and tibia fractures (floating knee), and the retrograde femoral nailing and antegrade tibial nailing were done with single incision on the knee. Except one patient of early death, 18 patients were included in this study. The mean age of index procedure was 34.1 years, and all of them had follow-up study for a mean of 2.4 years. The mean injury severity score was 18.8, and 12 patients had other fractures in the lower extremity.
RESULTS
Primary union was achieved in all, but one patient of femur and two of tibia. The average period for union was 27.6 weeks for femur and 24.5 weeks for tibia. One femoral nonunion occurred due to the metal failure after using short nail, and two tibial nonunion were caused by the bone loss with open tibial fractures. Most patients showed no limitation in knee motion. According to Karlstrom-Olerud criteria, functional results showed 14 excellent, 3 good and 1 acceptable. The protrusion of nail tip into the knee joint made the acceptable result with moderate limitation of knee motion, but it improved after the removal of nail.
CONCLUSION
CONCLUSION: Simultaneous retrograde femoral and antegrade tibial nailing with single incision on the knee, with an appropriate technique, can achieve the satisfactory result in the management of the ipsilateral femur and tibia fractures.

Citations

Citations to this article as recorded by  
  • Ipsilateral Femoral Segmental and Tibial Fractures: A Case Report
    Oog Jin Sohn, Chul Hyun Park, Sang Keun Bae
    Journal of the Korean Fracture Society.2009; 22(3): 193.     CrossRef
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Instability of Knee Associated with Ipsilateral Femoral and Tibial Shaft Fractures
Whan Yong Chung, Woo Suk Lee, Woo Sik Kim, Yong Chan Kim, Taek Soo Jeon, Sun Hong Kim, Ji Hyuk Lim, Young Su Lim
J Korean Fract Soc 2005;18(2):136-143.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.136
AbstractAbstract PDF
PURPOSE
To establish the incidence, type and significance of knee instability in patients with ipsilateral femoral and tibial shaft fracture, comparing with the patients with femoral shaft or tibial shaft fracture alone.
MATERIALS AND METHODS
Two hundreds and seventy-nine consecutive patients were retrospectively reviewed from February 2000 to April 2004. They were composed of 80 patients with femoral shaft fracture alone, 176 patients with tibial shaft fracture alone and 23 patient with ipsilateral femoral and tibial shaft fracture. We evaluate the instability of knee based on physical examinations, plain stress films and MRI. We analyze incidence and period to diagnosis of instability, period to complete bony union and Hospital for Special Surgery (HSS) knee score respectively.
RESULTS
There were 6.3% of knee instability in femoral shaft fracture alone, 9.7% in tibial shaft fracture alone and 30.4% in ipsilateral femoral and tibial shaft fracture. The average period to diagnosis of instability, average period to complete bony union and average HSS knee score were 9.2 months, 4.7 months and 65 points in femoral shaft fracture alone, 9.1 months, 4.2 months and 69 points in tibial shaft fracture alone, 8.7 months, 5.3 months (femur), 4.7 months (tibia) and 57 points in ipsilateral femoral and tibial shaft fracture respectively.
CONCLUSION
We should consider MRI to evaluate the knee instability in patient with ipsilateral femoral and tibial shaft fracture at the time of injury and make a plan early about the treatment of knee instability.
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Effect of Alternative Splinting at Extension and 90degrees Flexion on Range of Motion after Open Reduction and Internal Fixation of Distal Femur Fracture
Chong Kwan Kim, Jong Ho Yoon, Byung Woo Ahn, Chin Woo Jin, Dong Wook Kim, Young Il Kwan, Young Ho Lee
J Korean Fract Soc 2005;18(2):144-148.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.144
AbstractAbstract PDF
PURPOSE
To evaluate the usefulness of early range of motion exercise by using 90degrees knee flexion splint after open reduction and internal fixation in fracture of distal femur.
MATERIALS AND METHODS
We reviewed twenty-six cases of distal femur fractures which were treated with open reduction and internal fixation from February 2002 to November 2003. One group (group A) were treated by using 30degrees knee flexion splint, the other group (group B) were treated by using 90degrees flexion and full extension splint alternativley by post-operative 1 week. The follow up period was minimally 12 months. The range of motion and Schatzker and Lambert criteria were evaluated.
RESULTS
The mean period to gain 90degrees knee flexion was 11.4 (7~14) weeks in group A, and 6.6 (3~8) weeks in group B. Mean range of motion was 94.7degrees (average flexion contracture 9.5degrees ) in A group and 108.7degrees (average flexion contracture 6.3degrees ) in B group at 12 weeks follow-up. According to Schatzker and Lambert criteria, excellent result was achieved in 10 cases (38%), good result in 13 cases (50%), fair result in 3 cases (12%).
CONCLUSION
This study demonstrates that alternative splinting at extension and 90degrees flexion contribute to early recovery of range of motion in distal femur fractures treated with internal fixation.

Citations

Citations to this article as recorded by  
  • Treatment of Femur Supracondylar Fracture with Locking Compression Plate
    Seong Ho Bae, Seung Han Cha, Jeung Tak Suh
    Journal of the Korean Fracture Society.2010; 23(3): 282.     CrossRef
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Treatment of Displaced Transverse Patellar Fractures with Cannulated Screws and Figure-Eight Wiring
Shin Kwon Choi, Dong Kil Ham, Moon Sup Yim, Kwang Yul Kim, Hung Sup Shin
J Korean Fract Soc 2005;18(2):149-154.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.149
AbstractAbstract PDF
PURPOSE
To evaluate the radiographic and clinical results of displaced transverse patellar fractures using a tensioned anterior figure-eight wire placed through two cannulated screws MATERIALS AND METHODS: 9 patients with displaced transverse patellar fractures treated with cannulated screws and figure-eight wiring were analyzed retrospectively. The mean age was 53 years (range, 22 to 68 years). Controlled passive range of motion exercise were started on the first postoperative day. Full weight bearing was allowed as tolerated. The patients were evaluated with radiographs, clinical examination and Levack's scoring system.
RESULTS
All fractures healed and mean time elapsed for union was 9.4 weeks (range, 8 to 12 weeks). All patients regained full knee range of motion. Clinical results according to the Levack's scoring system were excellent in 8 cases and good in 1 case. We found no complications like loss of reduction and soft tissue irritation caused by the wire and screw, loosening or migration of hardware.
CONCLUSION
Anterior figure-eight wiring through paired cannulated screws is appropriate for transverse patellar fractures, is possible early knee motion exercise and weight bearing.

Citations

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  • Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture
    Young Min Lee, Kook Jin Chung, Ji Hyo Hwang, Hong Kyun Kim, Yong Hyun Yoon
    Journal of the Korean Fracture Society.2014; 27(3): 206.     CrossRef
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Minimally Invasive Plate Osteosynthesis in Unstable Fractures of the Distal Tibia
Se Ang Chang, Hyug Soo Ahn, Young Soo Byun, Ji Hwan Kim, Hoon Ho Bang, Do Yop Kwon
J Korean Fract Soc 2005;18(2):155-159.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.155
AbstractAbstract PDF
PURPOSE
evaluate the effectiveness of minimally invasive plate osteosynthesis (MIPO) in unstable fractures of the distal tibia.
MATERIALS AND METHODS
From March 2001 to December 2003, 21 cases with unstable fractures of the distal tibia were treated with MIPO technique and followed for at least one year. Eighteen cases were extra-articular and three cases were intra-articular fractures. According to AO classification, six cases were 42-A, four 42-B, one 42-C, seven 43-A, and three 43-C. There was only one case of Gustilo-Anderson type II open fracture. We reviewed the results of fracture healing, axial and rotational deformity, ankle motion, and complications RESULTS: All fractures were healed in an average of 16.1 weeks (range, 11 to 24 weeks). There was only one case of 7-degree posterior angular deformity, but no cases of rotational malalignment. Recovery of ankle motion was satisfactory in all patients within 5-degree loss of motion. Subcutaneous abscess was developed in one case after fracture healing and cured by a drainage with implant removal.
CONCLUSION
Although MIPO technique is technically more demanding than the traditional open technique, MIPO technique is an effective method for unstable fractures of the distal tibia because it minimizes incidence of soft-tissue compromise and infection and provides good fracture healing.

Citations

Citations to this article as recorded by  
  • Clinical Outcomes of Locking Compression Plate Fixation through Minimally Invasive Percutaneous Plate Osteosynthesis in the Treatment of Distal Tibia Fracture
    Jae-Sung Yoo, Hyun-Woo Park
    Journal of the Korean Fracture Society.2012; 25(2): 117.     CrossRef
  • Staged Protocol in Treatment of Open Distal Tibia Fracture: Using Lateral MIPO
    Oog Jin Sohn, Dong Hwa Kang
    Clinics in Orthopedic Surgery.2011; 3(1): 69.     CrossRef
  • Staged Minimally Invasive Plate Osteosynthesis of Distal Tibial Fractures
    Sung-Ki Park, Chang-Wug Oh, Jong-Keon Oh, Kyung-Hoon Kim, Woo-Kie Min, Byung-Chul Park, Won-Ju Jeong, Joo-Chul Ihn
    Journal of the Korean Fracture Society.2010; 23(3): 289.     CrossRef
  • Management of Fractures of Distal Tibia by Minimally Invasive Plate Osteosynthesis through an Anterior Approach
    Gu-Hee Jung, Jae-Do Kim, Jae-Ho Jang, Sung-Keun Heo, Dong-won Lee
    Journal of the Korean Orthopaedic Association.2010; 45(6): 473.     CrossRef
  • Comparative Study Using of Treatment with Minimally Invasive Plate Osteosynthesis Using Periarticular Plate and Interlocking Intramedullary Nailing in Distal Tibia Fractures
    Chang Hwa Hong, Jong Seok Park, Sang Seon Lee, Soo Ik Awe, Woo Jong Kim, Ki Jin Jung
    Journal of the Korean Fracture Society.2010; 23(3): 296.     CrossRef
  • A Comparison between Minimally Invasive Plate Osteosynthesis & Interlocking Intramedullary Nailing in Distal Tibia Fractures
    Kee-Byung Lee, Si-Young Song, Duek-Joo Kwon, Yong-Beom Lee, Nam-Kyou Rhee, Jun-Ha Choi
    Journal of the Korean Fracture Society.2008; 21(4): 286.     CrossRef
  • Basic Principle of the Locking Compression Plate
    Keun Bae Lee
    Journal of the Korean Fracture Society.2008; 21(3): 261.     CrossRef
  • Treatment of High-energy Distal Tibia Intraarticular Fractures with Two-staged Delayed Minimal Invasive Plate Osteosynthesis
    Hong-Moon Sohn, Jun-Young Lee, Sang-Ho Ha, Jae-Won You, Sang-Hong Lee, Kwang-Chul Lee
    Journal of the Korean Fracture Society.2007; 20(1): 19.     CrossRef
  • Minimally Invasive Plate Osteosynthesis, MIPO
    Young-Soo Byun
    Journal of the Korean Fracture Society.2007; 20(1): 99.     CrossRef
  • Minimally Invasive Percutaneous Plate Osteosynthesis Using Periarticular Plate for Distal Tibial Fractures
    Young Mo Kim, Jae Hoon Yang, Dong Kyu Kim
    Journal of the Korean Fracture Society.2007; 20(4): 315.     CrossRef
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Comparison between X-ray and Three Dimensional Computed Tomography in Trimalleolar Ankle Fractures
Sang Jun Song, Hyung Ku Yoon, Dong Eun Shin, Soo Hong Han, Jae Hwa Kim, Hyung Kun Park, Yong Sub Han
J Korean Fract Soc 2005;18(2):160-164.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.160
AbstractAbstract PDF
PURPOSE
To evaluate the accuracy of X-ray evaluation in classification, displacement and size of posterior malleolar fragment, comparing with three dimensional computed tomography (3D CT) in trimallelar ankle fractures.
MATERIALS AND METHODS
20 cases of trimalleolar ankle fractures evaluated with preoperative 3D CT, and followed up periods were at least 2 years. All cases were classified according to the Danis-Weber and Lauge-Hansen classification. Displacement and size of posterior malleolar fragment were measured using PACS. The reliability between simple X-ray and 3D CT was evaluated in the Danis-Weber and Lauge-Hansen classification (kappa analysis). The correlation between simple X-ray and 3D CT was evaluated in displacement and size of posterior malleolar fragment (correlation analysis).
RESULTS
Degree of agreement of Danis-Weber classification in simple X-ray and 3D CT was 0.700 kappa value, and that of Lauge-Hansen was 0.605 kappa value. Measurement of simple X-ray and 3D CT about displaced status of posterior malleolar fragment showed statistically significant positive linear correlation (p= 0.000), but correlation of measurement of size in simple X-ray and CT was not statistically significant (p=0.102).
CONCLUSION
CT or operative field will be more accurate than simple X-ray to select the method of treatment and operation, especially when the displacement and size of posterior malleolar fragment are important to decide.

Citations

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  • Comparison of the Size of the Posterior Malleolar Fragment in Trimalleolar Ankle Fractures Measured Using Lateral Plain Radiography and Three-Dimensional Computed Tomography
    Gun-Woo Lee, Dong-Min Jung, Woo Kyoung Kwak, Keun-Bae Lee
    Journal of the Korean Fracture Society.2022; 35(3): 91.     CrossRef
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Evaluation of Rotational Displacement of the Posterior Facet on the Sagittal Plane in Computed Tomographic Images of Calcaneal Fractures
Su Young Bae, Yi Kyoung Shin, Jong Oh Kim, Jung Hee Lee, Churl Woo Lee, Jae Hung Shin
J Korean Fract Soc 2005;18(2):165-169.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.165
AbstractAbstract PDF
PURPOSE
To find out whether or not the computed tomographic (CT) classification systems of the calcaneal fracture are efficient in illuminating displaced posterior facet fragment and the degree of displacement can be evaluated by analyzing serial CT images.
MATERIALS AND METHODS
Seventy-seven hundred calcaneal fractures were classified by CT classification systems including Sanders classification, and the sagittal rotation angle of the posteior facet fragment was measured on the plain lateral radiograph. Among the serial axial CT images, a number of images with the cortical bone embedded in the cancellous portion were recorded and any significant relationship between each data were evaluated.
RESULTS
The conventional CT classification systems are rather insufficient in illuminating the extent of sagittal rotatory displacement. However, the number of CT images in which the cortical radiodensity was observed showed a significantly related with the degree of displacement.
CONCLUSION
The conventional CT classification of the calcaneal fractures is unsatisfactory in expressing the degree of sagittal rotatory displacement of the posterior facet fragment; this problem may be alleviated by observing the number of axial CT images in which cortical radiodensity was revealed within the calcaneal body.

Citations

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  • Tricortical-allobone Grafting in Screw Fixation for Intra-articular Calcaneal Fracture via Ollier Approach
    Taejung Bang, Su-Young Bae, Seung Hun Woo, Hyung-Jin Chung
    Journal of Korean Foot and Ankle Society.2017; 21(1): 27.     CrossRef
  • The Effect of Temporary K-wire Fixation in the Plate Fixation for Displaced Intra-articular Calcaneal Fracture
    Kiwon Young, Jin Su Kim, Jinseon Moon
    Journal of Korean Foot and Ankle Society.2014; 18(3): 119.     CrossRef
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Operative Treatment of Intraarticular Calcaneal Fracture: Comparison of Outcomes between Open Reduction and Closed Reduction
Chang Hun Sung, Byeong Mun Park, Kyeong Seop Song, Hyung Gyu Kim, Jong Min Kim, Tae Eun Kim
J Korean Fract Soc 2005;18(2):170-175.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.170
AbstractAbstract PDF
PURPOSE
To evaluate the clinical outcomes and radiographic results of operative treatment for intraarticular calcaneal fracture.
MATERIALS AND METHODS
We reviewed 57 cases of intraarticular calcaneal fracture managed with operative treatment, from January, 2000 to June, 2003. The type of intraarticular calcaneal fracture is classified by the Essex-Lopresti classification and Sanders by computed tomography. The 20 cases were managed by open reduction, 37 cases by closed reduction.
RESULTS
On clinical outcomes in the case of open reduction and internal fixation, above good in 13 cases, poor in 2 cases; closed reduction, above good in 16 cases, poor in 10 cases. Averages of Bohler angle were increased from 11degrees (preoperative state) to 21degrees (last follow up) in open reduction, and from 14degrees to 20.9degrees in closed reduction.
CONCLUSION
Open reduction was considered to be one of good treatment option if the anatomical reduction and stable fixation can be obtained.

Citations

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  • Comparative Study of Open Reduction and Internal Fixation and Primary Subtalar Arthrodesis for Sanders Type 4 Intra-Articular Calcaneal Fractures
    Seung Hun Woo, Hyung-Jin Chung, Su-Young Bae, Sun-Kyu Kim
    Journal of the Korean Orthopaedic Association.2017; 52(1): 49.     CrossRef
  • Joint Depression Type of Intraarticular Calcaneal Fractures Treated with Essex-Lopresti Method
    Gyu Min Kong, Byoung Ho Suh, Dong Joon Kim
    Journal of the Korean Fracture Society.2007; 20(2): 178.     CrossRef
  • Treatment of Calcaneus Fractures: Recent Trend for Acute Fractures and Complications
    Woo-Chun Lee
    Journal of the Korean Fracture Society.2007; 20(4): 361.     CrossRef
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Differences of Fracture Types and Associated Injuries in Thoracolumbar Fractures Caused by Fall from Height and by In-Car Accident
Eui Sung Choi, Yong Min Kim, Dong Soo Kim, Kyung Jin Park, Kyeong Il Jeong, Yoon Moo Hur, Young Chan Cha, Jun Mo Jeon, Jong Won VKang
J Korean Fract Soc 2005;18(2):176-180.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.176
AbstractAbstract PDF
PURPOSE
To evaluate the differences of associated factors in thoracolumbar fractures according to the mechanism of injury, level and type of the fracture, associated injuries were investigated for comparison between injuries by fall from height and by in-car accident injury.
MATERIALS AND METHODS
Medical records and X-ray findings of 249 patients with fractures of thoracolumbar spine were reviewed retrospectively. Among them, 169 patients were injured by the two main causes. McAfee classification was adopted to determine the type of fracture. Associated injuries were classified as head and neck, chest and abdomen, pelvis, proximal and distal extremity, and neurologic deficit. Statistical analysis using Chi-square method was used for comparison between the two groups.
RESULTS
In overall patients, the most common cause of thoracolumbar fracture was fall from height (44.6%) followed by in-car accident (23.3%) and fall down (16.9%). In fall-from height gruoup, burst fracture was the most common (44.1%) while flexion-distraction injury was the most popular (39.7%) in in-car accident group (p=0.05). Comparison according to height of fall showed significant increase of multiple fractures (p=0.0326). Associated injuries of distal lower and upper extremities and pelvis were common in fall-from-height group, while injuries of head and neck, proximal part of upper extremity, chest and abdomen were common in in-car accident patients.
CONCLUSION
Type of fracture and distribution of associated injuries were significantly different between the two main causes of thoracolumbar injury, which seemed to be useful for understanding the mechanical events of injury and detecting associated injuries in each victim.

Citations

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  • Injury Severity and Patterns of Accompanying Injury in Spinal Fracture
    Hun Park, Kyung-Jin Song, Kwang-Bok Lee, Joo-Hyun Sim
    Journal of the Korean Fracture Society.2012; 25(3): 203.     CrossRef
  • Differences in Thoracolumbar Burst Fractures by Falls from Height with Associated Foot and Ankle Fractures
    Chung-Shik Shin, Eea-Sub Chung, Chang-Eon Yu, Byeong-Yeol Choi
    Journal of Korean Society of Spine Surgery.2012; 19(2): 47.     CrossRef
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Differences of Bone Mineral Density between Spine and Hip in Osteoporotic Patients
Gyu Min Kong, Sang Eon Lee, Dong Jun Kim, Tae Hyun Yoon
J Korean Fract Soc 2005;18(2):181-184.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.181
AbstractAbstract PDF
PURPOSE
To evaluate differences and correlations of spine and hip region BMD in osteoporotic patients with or without spine fracture.
MATERIALS AND METHODS
From January 1999 to December 2002, We measured and evaluated BMD of L3 and hip by DXA in 52 patients with spine fracture (fracture group) and 96 osteoporotic patients without spine fracture (non-fracture group) above 60 years.
RESULTS
The average age of patients with spine fracture is 72.1 years and without spine fracture is 66.9 years. There were no statistical significant differences of BMD of spine, neck of femur and trochanteric area between 2 groups. But the BMD of Ward triangle of fracture group decreased significantly in statistics. The correlation coefficient between the lumbar spine and trochanteric area were 0.674 in fracture group and 0.794 in non-fracture group. They had statistical significance (<0.01).
CONCLUSION
The BMD of Ward triangle of fracture group had lower value, but the BMD of lumbar spine had no differences between 2 groups. Therefore in these persons who have decreased BMD in Ward triangle should be concerned about high vertebral compression fracture risk vertebral compression fracture.

Citations

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  • Comparison of vertebral and femoral bone mineral density in adult females
    Han Seong Choe, Jae Hong Lee, Dong Ki Min, So Hong Shin
    Journal of Physical Therapy Science.2016; 28(6): 1928.     CrossRef
  • Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis
    Ki-Chan An, Gyu-Min Kong, Jang-Seok Choi, Hi-Chul Gwak, Joo-Yong Kim, Sung-Yub Jin
    Journal of the Korean Fracture Society.2013; 26(4): 248.     CrossRef
  • Comparison of Bone Mineral Density in Elderly Patients over 65 Years according to Presence and Types of Hip Fracture
    Myung-Ho Kim, Moon-Jib Yoo, Joong-Bae Seo, Hyun-Yul Yoo, Sang-Young Moon
    Journal of the Korean Fracture Society.2010; 23(3): 263.     CrossRef
  • Comparison of Bone Mineral Density in Elderly Patients according to Presence of Intertrochanteric Fracture
    Sang Ho Moon, Byoung Ho Suh, Dong Joon Kim, Gyu Min Kong, Hyeon Guk Cho
    Journal of the Korean Fracture Society.2007; 20(3): 222.     CrossRef
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Minimally Invasive Anterior Approach in Open Reduction of Displaced Supracondylar Fractures of Humerus in Children
Chang Ryung Hur, Seung Woo Suh, Chang Ug Oh, In Jung Chae, Jun Gyu Moon, Chan Eung Park, Jae Young Hong
J Korean Fract Soc 2005;18(2):185-190.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.185
AbstractAbstract PDF
PURPOSE
To evaluate the outcomes of minimal anterior approach and thumb assisted technique, in children with Gartland type III supracondylar humerus fracture, who were operated by this technique.
MATERIALS AND METHODS
Forty two children with Gartland type III supracondylar fractures of the humerus with severe swelling were taken up for minimal open reduction and K-wire fixation. The technique used was a minimal incision in the cubital fossa and thumb assisted reduction of the fracture. Stabilization of fractures was done with 1.6 mm Kirschner wires.
RESULTS
The outcomes were excellent in 40 cases good in 2 cases. No complications including malunion or scar contracture were seen.
CONCLUSION
This technique is safe, effective and can be used for irreducible, displaced supracondylar fractures of the humerus in children

Citations

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  • Supracondylar Humerus Fractures: Classification Based Treatment Algorithms
    Mudit Shah, Mandar Vikas Agashe
    Indian Journal of Orthopaedics.2021; 55(1): 68.     CrossRef
  • Recent Trends in Treatment of Supracondylar Fracture of Distal Humerus in Children
    Soon Chul Lee, Jong Sup Shim
    Journal of the Korean Fracture Society.2012; 25(1): 82.     CrossRef
  • Treatment of displaced supracondylar fractures of the humerus in children by a pin leverage technique
    H.-Y. Lee, S.-J. Kim
    The Journal of Bone and Joint Surgery. British volume.2007; 89-B(5): 646.     CrossRef
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Development and Accuracy Test of a Robot-arm Type Image-guided Surgery System for Percutaneous Screw Fixation of the Sacro-iliac Joint
Jin Sup Yeom, Won Sik Choy, Hayong Kim, Jong Won Kang, Kwang Won Lee, Whoan Jeang Kim, Jae Hoon Ahn, Seong Kyu Park, Jong Hwa Won, Hyungmin Kim, Namkug Kim
J Korean Fract Soc 2005;18(2):191-197.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.191
AbstractAbstract PDF
PURPOSE
To develop a robot-arm type image-guided surgery system for percuatneous screw fixation of the sacro-iliac joint and to evaluate its accuracy.
MATERIALS AND METHODS
We have developed an image-guided surgery system using a three-dimensional digitizer (Microscribe 3-D G2, Immersion, USA) and a personal computer. The registration error and target localization error at fiducial registration were measured 30 times for each using a phantom made with plastic pelvic bone model (Sawbones, USA). Sixteen 6.5 mm cannulated screws were inserted into four plastic bone models, and the accuracy was evaluated.
RESULTS
The target localization error was 1.46+/-0.47 mm while the registration error was 0.73+/-0.23 mm. All of the 16 screws were inserted well across the sacro-iliac joint, and there was neither cortical breach nor collision between screws or washers.
CONCLUSION
The accuracy of the developed system was similar to that of optical tracker-based navigation systems, and its helpfulness and usefulness was proven with simulation surgery using plastic bone models.
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Case Reports
Acute Osteomyelitis in the Shaft of the Radius after Contusion of the Forearm: A Case Report
Jae Kwang Yum, Yu Min Oh
J Korean Fract Soc 2005;18(2):198-201.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.198
AbstractAbstract PDF
Acute osteomyelitis after the contusion is a rare clinical entity. The complications of contusion are large hematoma formation, compartment syndrome, myositis ossificans and acute osteomyelitis. Authors experienced an acute osteomyelitis in the shaft of the radius after contusion of the forearm and report this case with references.

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  • Acute Primary Hematogenous Osteomyelitis in the Epiphysis of the Distal Tibia: A Case Report With Review of the Literature
    Hyun-Jung Hwang, Woong-Kyo Jeong, Dae-Hee Lee, Soon-Hyuck Lee
    The Journal of Foot and Ankle Surgery.2016; 55(3): 600.     CrossRef
  • Acute Osteomyelitis following Closed Femoral Shaft Fracture in a Child - A Case Report -
    Changhoon Jeong, Hyoung-Min Kim, Kee-Heang Lee, Chan-Woong Moon, Il-Jung Park, Chan-Kyu Kim, Youn Soo Kim
    The Journal of the Korean Orthopaedic Association.2008; 43(5): 651.     CrossRef
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Fat Embolism in a Patient with Multiple Fractures of Cancellous Bones: A Case Report
Eui Sung Choi, Yong Min Kim, Dong Soo Kim, Hyun Chul Shon, Kyung Jin Park, Jun Mo Jeon
J Korean Fract Soc 2005;18(2):202-204.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.202
AbstractAbstract PDF
Fat embolism is a rare complication of multiple long bone fracture or extensive soft tissue injury. The pathogenesis of fat embolism has been poorly understood and definite pathogenesis and treatment were not fully established. Respiratory failure associated with fat embolism is a major cause of death, but is usually self-limited, and is responsive to intensive treatment. We have experienced fat embolism in cancellous bone fracture which occurred in spine, distal radius and talus. Patient's fractures were treated with conservative management. The patient was recovered from fat embolism with supportive treatment.

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  • A case of fat embolism syndrome in juvenile rheumatoid arthritis patient
    Kyung Hoon Kim, Ju Kyung Lee, Young Hun Choi, Woo Sun Kim, June Dong Park, Young Yull Koh, Dong In Suh
    Allergy Asthma & Respiratory Disease.2013; 1(1): 94.     CrossRef
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Superior Gluteal Artery Pseudoaneurysm without Pelvic Bone Fracture: A Case Report
Hyung Ku Yoon, Jae Hwa Kim, Man Deuk Kim, Hyung Kun Park, Soon Chul Lee
J Korean Fract Soc 2005;18(2):205-208.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.205
AbstractAbstract PDF
Pseudoaneurysm is defined as the aneurysmal cyst resulted from partial or total rupture of vessel membrane, and it can be caused by fracture, operation, laceration, blunt trauma, osteochondroma and so on. When the displaced pelvic bone fracture is diagnosed, the traumatic pseudoaneurysm, which is frequently related by the direct injury of vessel, is one of the common complications, and it can result the massive hemorrhage even death. In case of the displaced pelvic bone fracture, surgeon should check the hemoglobin level and vital sign carefully for the possibility of vascular injury. Authors report the rare case of superior gluteal artery pseudoaneurysm without pelvic bone fractrure.
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Note
New Wiring Method for Lesser Trochanter Fixation in Unstable Intertrochanteric Fractures: Technical Note
Joong Myung Lee, Jeong Hee Lee, Churl Woo Lee, Hyun Min Kim
J Korean Fract Soc 2005;18(2):209-212.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.209
AbstractAbstract PDF
In unstable femoral trochanteric fracture, we usually used transversing K-wires through the lesser trochanter to achieve an anatomical reduction, and using sliding hip screws. However, in patients with comminuted lesser trochanter or osteoporosis, an intrusion of the wire into the lesser trochanter and/or iatrogenic intertrochanteric fractures were often resulted. Those who were not familiar with a technique of puncturing two holes through the lesser trochanter might have had to face some difficulties. In order to overcome aforementioned drawbacks, the authors had quite satisfactory results by employing the method of passing each of two wires above and below the iliopsoas muscle, and they were twisted posteriorly and then anteriorly; and finally they were pulled together posteriorly. Through this technique, both firm fixation of the lesser trochanter and more stable bony union were obtained.

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  • The lesser trochanter “Sling fixation technique” in proximal intramedullary nailing of unstable intertrochanteric fractures: A polymer-based cerclage wiring
    Marco Villano, Matteo Innocenti, Roberto Civinini, Christian Carulli, Alessandro Civinini, Zyad Ayman Taha, Andrea Cozzi Lepri
    Journal of Orthopaedics.2022; 34: 94.     CrossRef
  • Unstable Intertrochanteric Fracture: Do We Know Everything? A Review
    Balaji Zacharia, Harshitha Hayavadana Udupa
    SN Comprehensive Clinical Medicine.2022;[Epub]     CrossRef
  • When to Reduce and Fix Displaced Lesser Trochanter in Treatment of Trochanteric Fracture: A Systematic Review
    Ao-Lei Yang, Wei Mao, Jun-Guo Wu, Yi-Qun He, Hao-Fei Ni, Hai-Long Li, You-Hai Dong
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • Medial wall fragment involving large posterior cortex in pertrochanteric femur fractures: a notable preoperative risk factor for implant failure
    Pengfei Li, Yang Lv, Fang Zhou, Yun Tian, Hongquan Ji, Zhishan Zhang, Yan Guo, Zhongwei Yang, Guojin Hou
    Injury.2020; 51(3): 683.     CrossRef
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    David J. Ciufo, John P. Ketz
    Journal of Orthopaedic Trauma.2018; 32(9): e382.     CrossRef
  • Three-Dimensional Computed Tomography Reduced Fixation Failure of Intramedullary Nailing for Unstable Type of Intertrochanteric Fracture
    Wei-Yu Li, Kai-Cheng Lin
    Journal of Orthopaedic Trauma.2018; 32(9): e381.     CrossRef
  • Wiring Techniques for the Fixation of Trochanteric Fragments during Bipolar Hemiarthroplasty for Femoral Intertrochanteric Fracture: Clinical Study and Technical Note
    Joong-Myung Lee, Yongsuk Cho, Junhyun Kim, Dong-Won Kim
    Hip & Pelvis.2017; 29(1): 44.     CrossRef
  • Wiring technique for lesser trochanter fixation in proximal IM nailing of unstable intertrochanteric fractures: A modified candy-package wiring technique
    Gyeong Min Kim, Kwang Woo Nam, Kyu-Bum Seo, Chaemoon Lim, Jiyun Kim, Yong-Geun Park
    Injury.2017; 48(2): 406.     CrossRef
  • Bipolar Hemiarthroplasty with Cementless Femoral Stem for Unstable Intertrochanteric Fractures
    Joong-Myung Lee, Hee-Tae Nam, Sang-Hun Lee
    Journal of the Korean Orthopaedic Association.2012; 47(2): 79.     CrossRef
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