Skip Navigation
Skip to contents

J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

Search
Advanced Search
OPEN ACCESS
mobile search button mobile menu button

Previous issues

Page Path
HOME > Browse articles > Previous issues
30 Previous issues
Filter
Filter
Article category
Keywords
More +
Authors
More +
Volume 19(2); April 2006
Prev issue Next issue
Original Articles
Postoperative Mortality Rate of Hip Fracture in Elderly Patients
Duk Hwan Kho, Ki Hwan Kim, Ju Yong Shin, Jun Hyuck Lee, Dong Heon Kim
J Korean Fract Soc 2006;19(2):117-121.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.117
AbstractAbstract
PURPOSE
To evaluate the rate of mortality for the elderly patients after treatment of hip fractures and analyze the associated risk factors which might affect their mortality rate.
MATERIALS AND METHODS
About the clinical records on 305 patients who had undergone the treatment in hip fractures, we evaluated the mortality rate of the total number of 248 patients whose age between 70 and 103 who were followed more than 12 months of period between March 1994 and March 2003. The mean age was 81.3 years. The composition of each female and male were 176 and 72 cases respectively. 99 cases were femoral neck fractures, and 149 cases were femoral intertrochanteric fractures. The operation included bipolar hemiarthroplasty and internal fixation using multiple cannulated screws, compression hip screws and Ender nails. We compared and analyzed the relating factors for the mortality rate.
RESULTS
The mean postoperative mortality rate was 14.1% (35 cases). The highest mortality rate showed for the postoperative 3 months which was 57.1% (20 cases), between 4 and 6 months was 25.7% (9 cases), and 17.1% (6 cases) were presented for 7 and 12 months. The postoperative mortality rate within 1 year was affected by underlying diseases, ASA (American society of Anesthesiologists) and cemented bipolar hemiarthroplasty. but, there were no significant difference of the other factors such as the age, gender, osteoporosis and delayed operation.
CONCLUSION
The variable factors which affect the mortality rate of the hip fractures in the elderly patients whose age over 70 were mostly determined by underlying diseases, ASA grade, and cemented bipolar hemiarthroplasty. Further study should be necessary for the factors influencing on the mortality rate.

Citations

Citations to this article as recorded by  
  • Finite element modeling and simulation of hip joints in elderly women: for development of protective clothing against fracture
    Jinhee Park, Yun Ja Nam
    International Journal of Clothing Science and Technology.2020; 32(5): 661.     CrossRef
  • Anesthetic considerations for surgical treatment of geriatric hip fracture
    Dong Kyu Lee, Seunguk Bang, Sangseok Lee
    Anesthesia and Pain Medicine.2019; 14(1): 8.     CrossRef
  • The Influence of Stroke on Postoperative Prognosis of Femoral Intertrochanteric Fractures
    Youn Soo Hwang, Kyu Pill Moon, Kyung Taek Kim, Won Seok Park, Joon Yeon Song, Jeong Hoon Chae
    Journal of the Korean Orthopaedic Association.2016; 51(4): 273.     CrossRef
  • Analysis of the Risk Factors and Clinical Outcomes of Femoral Intertrochanteric Fractures in Patients over 65 Years Old
    Chul Hong Kim, Kyu Yeol Lee, Sung Soo Kim, Myung Jin Lee, Lih Wang, Hyeon Jun Kim, Jung Mo Kang
    Hip & Pelvis.2013; 25(2): 127.     CrossRef
  • Postoperative Mortality and the Associated Factors in Elderly Patients with Hip Fracture
    You-Sung Suh, Yong-Beom Kim, Hyung-Suk Choi, Hong-Kee Yoon, Gi-Won Seo, Byung-Ill Lee
    Journal of the Korean Orthopaedic Association.2012; 47(6): 445.     CrossRef
  • Risk Factors for Cardiovascular Complications Following Hip Surgery
    Kuen Tak Suh, Seung Joon Rhee, Jung Sub Lee, Jeung Il Kim
    Hip & Pelvis.2012; 24(2): 71.     CrossRef
  • Current Recommendations for Laboratory Testing and Use of Bone Turnover Markers in Management of Osteoporosis
    Jehoon Lee, Samuel Vasikaran
    Annals of Laboratory Medicine.2012; 32(2): 105.     CrossRef
  • The Daily Life Functions of Elderly Peritrochanteric Fracture Patients after Surgical Treatment
    Dae Moo Shim, Tae Kyun Kim, Jong Yun Kim, Duk Hwa Choi, Joung Suk Lee, Seong In Lee
    Journal of the Korean Fracture Society.2012; 25(1): 8.     CrossRef
  • One-Year Mortality Rate of Patients over 65 Years Old with a Hip Fracture
    Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Young Hwa Choi
    Hip & Pelvis.2011; 23(2): 137.     CrossRef
  • Usefulness of the Cementless Stem for the Treatment of Hip Fracture in Elderly Patients with Osteoporosis - Comparative Analysis between Cementless Stem and Cemented Stem -
    Joon Soon Kang, Kyoung Ho Moon, Rhu Seop Kim, Sang Ho Lee, Jong Min Choi
    Journal of the Korean Fracture Society.2011; 24(1): 16.     CrossRef
  • Bipolar Hemiarthroplasty for Hip Fractures in Patients Aged over 90 Years - The Factors Influencing the Postoperative Mortality -
    Jun-Dong Chang, Je-Hyun Yoo, Sang-Soo Lee, Tae-Young Kim, Kyu-Hak Jung, Yong-Kuk Kim
    Hip & Pelvis.2010; 22(4): 283.     CrossRef
  • Determination of an Applicable FRAX Model in Korean Women
    Dong-Yun Lee, Seung-Jae Lim, Young-Wan Moon, Yong-Ki Min, DooSeok Choi, Byung-Koo Yoon, Youn-Soo Park
    Journal of Korean Medical Science.2010; 25(11): 1657.     CrossRef
  • Postoperative Mortality and the Associated Factors for Senile Hip Fracture Patients
    Dong-Soo Kim, Hyun-Chul Shon, Yong-Min Kim, Eui-Sung Choi, Kyoung-Jin Park, Se-Hyuk Im
    The Journal of the Korean Orthopaedic Association.2008; 43(4): 488.     CrossRef
  • 119 View
  • 0 Download
  • 13 Crossref
Close layer
Treatment of the Hip Fracture in Elderly Patients with Cerebrovascular Accident (CVA)
Ki Hwan Kim, Duk Hwan Kho, Ju Yong Shin, Dong Heon Kim, Jun Hyuck Lee
J Korean Fract Soc 2006;19(2):122-127.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.122
AbstractAbstract
PURPOSE
To evaluate the results of the treatment of the hip fractures in elderly hemiplegic CVA patients with disuse osteoporosis. Hemiplegic CVA patients have much difficulties in rehabilitation such as walking, daily activity of living and so forth.
MATERIALS AND METHODS
The clinical records on thirty-four CVA patients who had undergone the treatment in hip fracture and followed more than 12 months of period between March 1998 and March 2004 were retrospectively reviewed. The treatment methods were 22 cases of bipolar hemiarthroplasty, 6 cases of compression hip screw, 3 cases of ender nail, 3 cases of multiple cannulated screw. We compared the groups underwent bipolar hemiarthroplasty (Group I), internal fixation (Group II), fracture in ipsilateral (Group A), fracture in contralateral (Group B). We evaluated the results by modified Harris hip score, walker ambulation time, walking ability and activity of daily living.
RESULTS
The mean postoperative modified Harris hip score was decreased in Group I (11.7 points), Group II (9.6 points), Group A (10.0 points), Group B (12.3 points). Recovery of preoperative walking ability was achieved in total 21 cases (62%) that 7 cases (58%) were observed in Group I, 14 cases (64%) in Group II, 18 cases (67%) in Group A and 3 cases (43%) in Group B. Basic activity of daily living was possible in 18 cases (53%).
CONCLUSION
Hemiplegic CVA patients with hip fracture have much difficulties in rehabilitation. However, with appropriate treatment and confident positive attitude for rehabilitations of the patients, doctors and family members, we can expect more reliable results close to the pre-injury status in terms of walking ability and activity of daily living.
  • 51 View
  • 0 Download
Close layer
Comparative Study of Bipolar Hemiarthroplasty and Second Generation Intramedullary Nailing on Treatment of Elderly Unstable Peritrochanteric Femoral Fractures
Ho Hyun Yun, Gil Yeong Ahn, Il Hyun Nam, Gi Hyuk Moon, Jae Wook Lee, Jae Cheol Kim
J Korean Fract Soc 2006;19(2):128-134.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.128
AbstractAbstract
PURPOSE
To evaluate and compare the clinical and radiological outcome of bipolar hemiarthroplasty and second generation intramedullary nailing for elderly unstable peritrochanteric femoral fracutre.
MATERIALS AND METHODS
From January 2000 to July 2004, 56 elderly unstable peritrochanteric fractures were treated with a bipolar hemiarthroplasty (34 cases) or a ITST intramedullary nailing (22 cases). The fractures were classified using the OTA/AO classification. The clinical results were evaluated by walking capability, hip joint pain, and thigh pain. The radiological results were evaluated on the basis of the radiographs at follow-up.
RESULTS
In bipolar hemiarthroplasty group, The mean operation time was 134 minute, the mean blood loss was 648 ml. In intramedullary nailing group, The mean operation time was 103 minute, the mean blood loss was 386 ml. There were no different walking ability between prefracture and postoperative state in 22 cases (65%) of bipolar hemiarthroplasty group, 18 cases (80%) of intramedullary nailing group respectively. There were 5 cases (14%) hip joint pain in bipolar hemiarthroplasty group and 4 cases (18%) thigh pain in ITST intramedullary nailing group postoperatively.
CONCLUSION
Comparing the operation time, blood loss, and walking ability, ITST intramedullary nailing group show superior clinical outcomes than bipolar hemiarthroplasty group. However, The effort for decreasing postoperative thigh pain might be required.
  • 86 View
  • 0 Download
Close layer
Treatment of Comminuted Subtrochanteric Fractures of the Femur by High-Energy Trauma
Taek Soo Jeon, Woo Sik Kim, Sang Bume Kim, Cheol Mog Hwang, Kyu Tae Kim, Sun Hong Kim
J Korean Fract Soc 2006;19(2):135-140.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.135
AbstractAbstract
PURPOSE
The purpose is to evaluate the effectiveness of open reduction and internal fixation in comminuted subtrochanteric fractures caused by high energy trauma at a non-osteoporotic young age.
MATERIALS AND METHODS
Of all cases of subtrochanteric fractures caused by high energy trauma under 60 years old from February 2000 to February 2004, we analyzed 16 patients who had severe comminuted fractures (Seinsheimer classification type IV, V). The mean age is 43.5 (31~54) years old. Mean follow-up period was 22 (14~38) months. We tried to reduce anatomically as much as possible and fixed firmly using a compression hip screw in all cases. Additional procedures such as interfragmentary screw fixation, cerclage wiring or lateral stabilization plating were performed in 13 cases. Bone grafting was performed in 8 cases. We evaluated bony union rate, time to union, status of reduction, varus deformity and rate of implant failure using a simple X-ray. We also analyzed the clinical result using the Harris hip score including range of motion, pain and limping gait, so on.
RESULTS
In all 16 cases, bony union was achieved and the mean time to union was 24 (20~32) weeks. There was no intra-operative complication. Postoperative complications such as loss of reduction, varus deformity, implant failure or infection did not occur. Clinically, the Harris hip score was 98.9 (97~100) points.
CONCLUSION
Optimal open reduction and firm internal fixation with or without additional fixation was thought to be a recommendable method of treatment for comminuted subtrochanteric fractures of the femur caused by high energy trauma at a young age.

Citations

Citations to this article as recorded by  
  • Treatment of Subtrochanteric Femur Fractures Using Intramedullary Devices
    Chung Soo Hwang, Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Chong Suk Park, Sang Ho Lee
    Journal of the Korean Fracture Society.2008; 21(1): 13.     CrossRef
  • 105 View
  • 0 Download
  • 1 Crossref
Close layer
Reamed versus Unreamed Interlocking Intramedullary Nailing in the Treatment of Femoral and Tibial Shaft Fracture
Sung Soo Kim, Chul Hong Kim, Myung Jin Lee, Jin Hun Kang
J Korean Fract Soc 2006;19(2):141-146.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.141
AbstractAbstract
PURPOSE
To comparative analysis of clincal difference between reamed and unreamed interlocking intramedullary nailing in the treatment of femoral and tibial shaft fractures.
MATERIALS AND METHODS
We reviewed femoral and tibial shaft fracture who were treated with reamed or unreamed nail. They were followed for a minimum of 16 months. Winquist-Hansen and Johner-Wruhs criteria were applied for the classification of the fractures. Retrospectively we evaluated the duration of operation, the amount of bleeding, the first time of callus formation, union time, the time of partial weight bearing, isthmic ratio, complications.
RESULTS
The average duration of operation for femoral fractures with reamed and unreamed nail were 104 minutes, 95 minutes, respectively. And those for tibial fractures were 96 minutes, 87 minutes, and the difference was statistically significant (p<0.05). The amount of bleeding in femoral fractures with reamed and unreamed nail were 360 ml, 223 ml, respectively. And those in tibial fractures were 280 ml, 205 ml, respectively, and the difference was statistically significant (p<0.001). The isthmic ratio in femoral fracture with reamed and unreamed nail were 105.5%, 87.0%, respectively and those in tibial fracture were 106.3%, 85.3%, respectively. There were 2 delayed unions in femoral fractures and 1 delayed union in tibial fracture with unreamed nail, and 1 metal failure in tibial fracture with unreamed nail.
CONCLUSION
Unreamed femoral intramedullary nailing involves fewer steps and less intraoperative blood loss than reamed nailing. There was no statistical difference the first time of callus formation, union time, the time of partial weight bearing. It must be consider that delayed union and metal failure in the unreamed intramedullary nailing due to high grade fracture, lower isthmic ratio, combined with multiple trauma.
  • 87 View
  • 0 Download
Close layer
Ender Nailing of the Tibial Shaft Fractures under the Local Anesthesia
Sang Ho Ha, Jun Young Lee, Deog Yong Kim
J Korean Fract Soc 2006;19(2):147-152.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.147
AbstractAbstract
PURPOSE
To evaluate the clinical result of ender nailing under local anesthesis was done to patient with tibia shaft fracture who had high risk for general anesthesia or spinal anesthesia.
MATERIALS AND METHODS
10 cases with ender nailing procedure under local anesthesia due to high anesthetic risk were selected from total of 20 cases with tibia shaft fracture operated with ender nailing. In each patient, hepatic, diabetic, cadiopulmonary complication and thromboembolism which can be initiated or aggravated by general or spinal anesthesia, were evaluated. Radiologic and clinical evaluation were used to check bone union.
RESULTS
There were no complication of local anesthesia. Bone union were acquired in all cases with average bone union period of 18 weeks. There were no evidence of flexion deformity, limb shortening or joint contracture.
CONCLUSION
Ender nail fixations under local anesthesia enable close reduction and intramedullary nailing and is effective in patient care but has no problem with bone union. For this reason, ender nail fixation under local anesthesia seem to be effective method if general of spinal anesthesia is difficult.
  • 42 View
  • 0 Download
Close layer
Relationship of Tibial Nonunion with Fibular Nonunion in the Tibio-fibular Shaft Fracture
Sang Bong Ko
J Korean Fract Soc 2006;19(2):153-156.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.153
AbstractAbstract
PURPOSE
The purpose of this study is to know the relationship of tibial nonunion with fibular nonunion in the tibio-fibular shaft fracture.
MATERIALS AND METHODS
From March 1998 to February 2004, 98 tibio-fibular shaft fractures which did not involve adjacent joints and were followed up at least 1 year were selected. The characteristics of patients and tibia shaft fracture were analyzed statistically to know the above relationship.
RESULTS
The patient's factor and tibia shaft fracture factor were not significant statistically. In patients with the fibular union, there was 1 case (1/68) of tibia nonunion, but in patients with the fibular nonunion, there were 6 cases (6/30) of tibia nonunion. So fibular nonunion was significant statistically associated with tibia nonunion (p=0.003).
CONCLUSION
Fibular nonunion was presumed to have a higher risk of tibia nonunion.

Citations

Citations to this article as recorded by  
  • The Risk Factors Associated with Nonunion after Surgical Treatment for Distal Fibular Fractures
    Jun Young Lee, Kwi Youn Choi, Sinwook Kang, Kang Yeol Ko
    Journal of Korean Foot and Ankle Society.2018; 22(3): 95.     CrossRef
  • 98 View
  • 0 Download
  • 1 Crossref
Close layer
Delayed Operative Treatment of Long Bone Fractures in Patients with Brain Injury
Hong Moon Sohn, Sang Ho Ha, Jun Young Lee, Young Kwan Lee
J Korean Fract Soc 2006;19(2):157-162.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.157
AbstractAbstract
PURPOSE
To evaluate the postoperative progress and outcomes of bone injured patients with long bone fracture showing callus formation and deformity due to delayed surgical treatment.
MATERIALS AND METHODS
10 cases with more than 1 year follow up were chosen from 12 patients with long bone fracture whose surgical treatment was delayed due to brain injury. Exuberant callus formation and deformations were observed. Average delayed period was 6.7 weeks (4~10 weeks). Preoperative callus formation, shortening and angulation were evaluated using plain radiographs. Total operation time and transfusion amount were compared with that from operations done within 2 weeks following accident. Postoperative bone union was checked.
RESULTS
In all cases, preformed angulation and hypertrophic ossification made reduction difficult and this increased total operation time and transfusion amount but had no statistical importance. In patients with humerus and femur fractures accompanying brain injury, massive hypertrophic ossification was observed both in preoperative period and in postoperative period. Average bone union period was 13.5 weeks in humerus fractures, 17.9 weeks in femur fractures. The bone union period was shorter in subject group but had no statistical importance.
CONCLUSION
Early surgical treatment is essential to patients with long bone fracture accompanying brain injury but if early surgical treatment can not be done, proper immobilization to fracture site should be done.

Citations

Citations to this article as recorded by  
  • Alterations in Serum Levels of Receptor Activator of Nuclear Factor-κB Ligand and Osteoprotegerin in Patients with Head Injury and Fracture
    Shin Young Park, Kuen Tak Suh, Chang Hoon Ryu, Seung Hun Woo, Jung Sub Lee, Seong-Gang Kim
    Journal of the Korean Fracture Society.2008; 21(2): 145.     CrossRef
  • 127 View
  • 0 Download
  • 1 Crossref
Close layer
Free Vascularized Fibular Grafts for Treatment of Infected Nonunion of the Tibia
Hyoung Min Kim, Il Jung Park, Youn Soo Kim, Kee Haeng Lee, Chan Woong Moon, In Ho Jeong, Changhoon Jeong
J Korean Fract Soc 2006;19(2):163-169.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.163
AbstractAbstract
PURPOSE
To analyze the result of free vascularized fibular grafting for treatment of infected nonunion of the tibia with radical bone and soft tissue defect.
MATERIALS AND METHODS
17 patients with infected nonunion of the tibia who underwent a reconstruction using free vascularized fibular grafting were reviewed retrospectively. The mean follow-up period was 70.3 months. We analyzed the results radiographically which included the time of bone union, the amount of hypertrophy of grafted bone and complications.
RESULTS
The average length of bone defect was 8.8 cm (5~15 cm), and the average length of fibular graft was 14.1 cm (10~17.5 cm). Bony union was achieved in 11 of 17 cases and the average time of bone union was 5.2 months (4~6 months). There were 6 cases of nonunion. All nonunions developed at the proximal end of graft in patients who underwent fixation using pin and external fixator. Union was eventually achieved in all cases in 6.0 months (5~8 months) after the cancellous bone graft and plate internal fixation. Hypertrophy of grafted bones with more than 20% developed only in 4 cases out of 17. There were 3 cases of stress fracture, however there was no recurrence of infection or serious donor site morbidity.
CONCLUSION
Free vascularized fibula grafting is one of the most effective reconstruction options for the infected nonunion of the tibia with radical bone and soft tissue defect. Strong internal fixation using plate and screws is required to reduce the rate of nonunion and stress fracture of grafted fibulas.

Citations

Citations to this article as recorded by  
  • Treatment Strategy of Infected Nonunion
    Hyoung-Keun Oh
    Journal of the Korean Fracture Society.2017; 30(1): 52.     CrossRef
  • 100 View
  • 0 Download
  • 1 Crossref
Close layer
Internal Fixation with Two Lowprofile Plates in Fractures of the Distal Tibia
Dong Eun Shin, Duck Yun Cho, Hyung Ku Yoon, Tae Hyung Kim
J Korean Fract Soc 2006;19(2):170-175.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.170
AbstractAbstract
PURPOSE
To evaluate the functional results after internal fixation with two low profile plates in fractures of the distal tibia.
MATERIALS AND METHODS
From March 1998 to October 2002, twelve patients with fractures of the distal tibia were treated with internal fixation using two low profile plates and followed for at least one year. Fractures according to AO/OTA classification were one Type A1, four Type A2, two Type C1, two Type C2 and three Type C3. We analyzed the functional results by the Olerud and Molander ankle scoring system and the postoperative complications.
RESULTS
The average functional score was 81.2 points and the results were three excellent, six good, one fair and two poor. Bony union was achieved in all cases. There was 1 case of superficial wound infection as a complication.
CONCLUSION
Internal fixation with two low profile plates in fractures of the distal tibia may minimize the incidence of soft tissue complications and provide good bony union and functional results. Therefore, we consider internal fixation with two low profile plates as a good alternative treatment of the distal tibial fracture.
  • 82 View
  • 0 Download
Close layer
Arthroscopically Assisted Limited Open Reduction and Ilizarov External Fixation of Tibial Pilon Fractures
Jin Young Lee, Gab Lae Kim, Hyung Seok Oh, Kun Ho Shin, Deok Yong Park
J Korean Fract Soc 2006;19(2):176-181.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.176
AbstractAbstract
PURPOSE
To evaluate the clinical results of the pilon fractures treated with arthroscopically assisted limited open reduction and Ilizarov external fixation.
MATERIALS AND METHODS
This is a retrospective study of the clinical result, bone union, complication and postoperative ankle function of 22 pilon fractures treated with arthroscopically assisted limited open reduction and Ilizarov external fixation between January 1999 to March 2004.
RESULTS
Clinical follow up averaged 16 months, with an average age of 39.2. All patients with type 1 and 2 fracture had excellent or good score by Ovadia and Beals criteria. Closed fractures healed within 13 weeks and open fractures within 16 weeks after surgery in average. Average range of motion of the ankle was 12o dorsiflexion (0~20 degree) and 25o plantar flexion (15~35 degree).
CONCLUSION
Minimal soft tissue dissection and anatomical reduction are very important factor for minimizing complication and satisfactory ankle function. So, arthroscopically assisted limited open reduction and Ilizarov external fixation is an effective treatment option for tibial pilon fractures.
  • 47 View
  • 0 Download
Close layer
Two-part and Three-part Fractures of the Proximal Humerus Treated with the Polarus Interlocking Nail: A Comparison of Fracture Types
Kyu Cheol Noh, Yung Khee Chung, Kook Jin Chung, Sung Ku Hong
J Korean Fract Soc 2006;19(2):182-187.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.182
AbstractAbstract
PURPOSE
To evaluate the radiographic and clinical outcomes of patients with displaced proximal humerus fractures (two-part and three-part) treated with the Polarus interlocking nail, comparing their fractures types.
MATERIALS AND METHODS
There were 22 patients with displaced proximal humerus fractures. There were 10 surgical neck (SN) and 1 anatomical neck (AN) two-part fractures and 10 greater tuberosity/surgical neck (GT/SN) and 1 GT/AN three-part fractures. All patients were surgically treated solely with the Polarus interlocking nail using a closed technique. Functional assessment was obtained using the American Shoulder and Elbow Surgeons (ASES) score, which grade outcomes as excellent (>75), satisfactory (50~75), poor (<50) results. Radiographic outcome measurements included fracture alignment (neck-shaft angle), loosening of screw, fixation and hardware failure, and malunion and nonunion.
RESULTS
Overall, the average ASES score was 80.2 (range 46.0 to 98.0). There were 15/22 (68.2%) excellent, 6/22 (27.3%) satisfactory, and 1/22 (4.5%) poor results. All shoulders healed radiographically without evidence of avascular necrosis of the humeral head. When comparing patients with two-part fractures (n=11) with patients having three-part fractures (n=11), there were statistically significant differences with ASES outcome measures (p<0.05). But, there were no statistically significant differences in age-related analysis (p>0.05).
CONCLUSION
Both displaced two-part fractures and three-part GT/SN fractures can have above satisfactory functional and radiographic outcomes with the Polarus interlocking nail using a closed technique. Even though displaced three-part GT/SN fractures in elderly osteopenic patients (>60 years), we treated successfully with the Polarus interlocking nail.

Citations

Citations to this article as recorded by  
  • Polarus Intramedullary Nail for Proximal Humeral and Humeral Shaft Fractures in Elderly Patients with Osteoporosis
    Youn-Soo Hwang, Kwang-Yeol Kim, Hyung-Chun Kim, Su-Han Ahn, Dong-Eun Lee
    Journal of the Korean Fracture Society.2013; 26(1): 14.     CrossRef
  • Intramedullary Nailing for Complex Fractures of the Proximal and Midshaft of the Humerus
    Chul-Hyun Cho, Gu-Hee Jung, Kyo-Wook Kim
    Journal of the Korean Fracture Society.2011; 24(3): 237.     CrossRef
  • 100 View
  • 0 Download
  • 2 Crossref
Close layer
Fixation Failure of LCP during the Treatment of Proximal Humerus Fractures
Woo Kie Min, Sang Jin Sin, In Ho Jeon, Ki Bong Cha, Chang Wuk Oh, Poong Taek Kim, Sang Ho Cheon
J Korean Fract Soc 2006;19(2):188-192.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.188
AbstractAbstract
PURPOSE
To evaluate the causative factors in the catastrophic failure of LCP in the proximal humerus fracture.
MATERIALS AND METHODS
Six patients (6 cases) were collected between October 2003 and July 2005. The mean age was 55.6 years (range: 38~70). The cause of injury was road traffic accident in four, fall down in one and slip down in one. According to the Neer classification, four were 2 part fractures, each one in 3 part fracture and 4 part fracture.
RESULTS
Fixation failure occurred due to back-out of the plate and screw in five and plate breakage in one. Analysis of the preoperative radiographs revealed medial cortical defect in all and no bone graft and tension band wiring in the greater tuberosity fragment were carried out. Postoperative radiographs showed the anatomical reduction in three and non-anatomical in three.
CONCLUSION
Non-anatomical reduction, insufficient medial bony buttress, inadequate screw length to the head and the neglect for the greater tuberosity fragment were the contributing factors to the failure of LCP. Knowledge of these factors will enable the surgeon to avoid failure of the LCP. Augmentation fixation and bone graft procedures with careful preoperative planning are necessary for successful fixation of LCP.

Citations

Citations to this article as recorded by  
  • The Result of Conservative Treatment of Proximal Humerus Fracture in Elderly Patients
    Seung-Gil Baek, Chang-Wug Oh, Young-Soo Byun, Jong-Keon Oh, Joon-Woo Kim, Jong-Pil Yoon, Hyun-Joo Lee, Hyung-Sub Kim
    Journal of the Korean Fracture Society.2013; 26(4): 292.     CrossRef
  • A Separate Approach and Cephalo-Diaphyseal Plate Fixation for the Comminuted Metadiaphyseal Fractures of the Proximal Humerus
    Sung-Weon Jung
    Journal of the Korean Fracture Society.2013; 26(1): 8.     CrossRef
  • Internal Fixation of Proximal Humerus Fracture with Polyaxial Angular Stable Locking Compression Plate in Patients Older Than 65 Years
    Ki Won Lee, Young Joon Choi, Hyung Sun Ahn, Chung Hwan Kim, Jae Kwang Hwang, Jeong Ho Kang, Han Ho Choo, Jun Seok Park, Tae Kyung Kim
    Clinics in Shoulder and Elbow.2012; 15(1): 25.     CrossRef
  • Open Intramedullary Nail with Tension Band Sutures & Lock Sutures on Proximal Humeral Three-part Fracture
    Jin-Oh Park, Jin-Young Park, Sung-Tae Lee, Hong-Keun Park
    Journal of the Korean Fracture Society.2007; 20(1): 45.     CrossRef
  • 69 View
  • 0 Download
  • 4 Crossref
Close layer
The Treatment of Unstable Proximal Humerus Fracture Using Locking Plate
Eun Sun Moon, Myung Sun Kim, Kyung Soon Park, Jae Yoon Chung, Keun Bae Lee
J Korean Fract Soc 2006;19(2):193-200.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.193
AbstractAbstract
PURPOSE
The purpose of this study was to determine the results of internal fixation with locking plate system for the unstable proximal humerus fracture.
MATERIALS AND METHODS
Sixteen cases of unstable proximal humerus fracture were treated using locking plate system between September 2004 and June 2005. Average age of the patients was 55.6 years (range, 22 to 78), male was four patients, female was twelve. The clinical outcomes were evaluated by using Neer's evaluation criteria and Constant socring system. We analyzed the radiological results by bony union time and Paavolainen method. All data was analyzed statistically.
RESULTS
According to Neer's evaluation ciriteria, eleven cases (69%) showed excellent or satisfactory results and according to Constant scoring system, twelve cases (75%) showed excellent or good result. Twelve cases (75%) showed good results by Paavolainen method. In all cases, bony union was obtained in average 12.8 weeks after operation. There were two complications; one screw irritation and one screw loosing.
CONCLUSION
The patients treated using locking proximal humerus plate could exercise earlier due to good initial stability. And the clinical and radiological results were relatively good. The treatment of unstable proximal humerus fracture with locking plate system was considered as a good method.

Citations

Citations to this article as recorded by  
  • Open Intramedullary Nail with Tension Band Sutures & Lock Sutures on Proximal Humeral Three-part Fracture
    Jin-Oh Park, Jin-Young Park, Sung-Tae Lee, Hong-Keun Park
    Journal of the Korean Fracture Society.2007; 20(1): 45.     CrossRef
  • 110 View
  • 0 Download
  • 1 Crossref
Close layer
Surgical Treatment of Displaced Intra-articular Calcaneal Fractures: Minimum of 2-year Follow-up
Myung Ho Kim, Hong Geun Jung, Joong Bae Seo, You Jin Kim, Je Wook Yu
J Korean Fract Soc 2006;19(2):201-207.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.201
AbstractAbstract
PURPOSE
To evaluate the overall clinical features and postoperative functional results of the intra-articular calcaneal fractures at more than 2 years follow-up, and also to compare the results at postoperative 1 year with the results at more than 2-year follow-up.
MATERIALS AND METHODS
The study is based on 39 intra-articular calcaneal fractures (34 patients) that underwent surgical treatment from March 1997 to May 2002 with at least 2 years follow-up. The overall postoperative results were evaluated with Creighton-Nebraska functional scale. The comparison of results at postoperative 1 year was also performed with results at more than 2-year follow-up.
RESULTS
By Sanders classifications, there were 13 type II fractures (33.3%), 20 type III (51.3%), and 6 type IV fractures (15.4%). Average follow-up period was 35 months (range: 24~87 months) and at final follow-up of more than 2 years, Creighton-Nebraska score was average 76.0 (range: 30~100) which significantly improved from postoperative 1-year results of 67.1 (range: 22~95) (p<0.05).
CONCLUSION
The clinical outcome at more than 2 years after surgical treatment of intra-articular calcaneal fractures was quite promising, which significantly improved compared to 1-year results. Therefore, we concluded that functional results of calcaneal fractures should be evaluated at least 2 years after the treatment.
  • 54 View
  • 0 Download
Close layer
Comminuted Intercondylar Fracture of the Distal Humerus in Adults
Jin Rok Oh, Yeo Seung Yoon, Dong Kyu Lee, Man Seung Her
J Korean Fract Soc 2006;19(2):208-214.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.208
AbstractAbstract
PURPOSE
To evaluate the therapeutic results of communited intercondylar fractures of the distal humerus that were treated by surgical treatment.
MATERIALS AND METHODS
From January, 1998 to December, 2004, we reviewed fifteen cases of intercondylar fracture of the distal humerus, which were treated by surgical treatment. The follow up period ranged from six month to 5 years. The functional results were evaluated using Broberg and Morrey's functional scale according to surgical approach, type of plate and location of plating.
RESULTS
The functional results were as follows; seven excellent, six good, one fair and one poor. The mean range of motion in elbow joint was 7~106 degrees. The mean functional score was 86.6 points through olecranon osteotomy, 90.5 points through Campbell's posterior approach. The mean functional score was 91.6 points in cases using 2 reconstruction plate, 78 points in cases using 1 reconstruction plate and 1/3 semitubular plate, and 86 points in case using 1 reconstruction plate and lag screws. The mean functional score was 88.9 points in cases by posterior and lateral fixation, 86 points in cases by both posterior fixation and 97 points in case by both lateral fixation.
CONCLUSION
There are no significant differences in treatment outcome according to surgical approach, different plate and location of plating.

Citations

Citations to this article as recorded by  
  • Double Parallel Plates Fixation for Distal Humerus Fractures
    Young Hak Roh, Moon Sang Chung, Goo Hyun Baek, Young Ho Lee, Hyuk-Jin Lee, Joon Oh Lee, Kyu-Won Oh, Hyun Sik Gong
    Journal of the Korean Fracture Society.2010; 23(2): 194.     CrossRef
  • 112 View
  • 0 Download
  • 1 Crossref
Close layer
Treatment of Diaphyseal Fractures of Forearm Both Bones: Comparison between Plate Fixation and Rush Pin Intramedullary Nailing
Myung Ho Kim, Moon Jib Yoo, Hong Geun Jung, Hee Gon Park, Woo Sup Byun, Ji Yong Chun, Suk Ha Jeon
J Korean Fract Soc 2006;19(2):215-220.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.215
AbstractAbstract
PURPOSE
To compare the functional results between the plate fixation and Rush pin insertion for the treatment of diaphyseal fractures of the forearm both bones.
MATERIALS AND METHODS
We reviewed 51 patients who were treated for diaphyseal fractures of the both forearm bones from 1995 to 2003, and evaluated them with Anderson's method. Eighteen patients were treated with plate fixation of both bones (group I), 14 patients treated with of the Rush pin insertion of the radius and plate fixation of the ulna (group II), 11 patients treated with plate fixation of the radius and Rush pin insertion of the ulna (group III), and 8 patients treated with Rush pin insertion of forearm both bones (group IV).
RESULTS
Seventeen out of eighteen cases obtained favorable result (94.4%) in group I, 12 out of 14 cases (85.7%) in group II, 7 out of 11 cases (63.3%) in group III, and 4 out of 8 cases (50.0%) in group IV with statistically significant differences between the groups (p=0.04).
CONCLUSION
Plate fixation of forearm both bones yield the best result. Thus, plate fixation of both forearm bones is recommended in treating the diaphyseal fractures of both forearm bones. At least one bone is recommended to be fixed with a plate if it is not possible to fix both forearm bones with plates.

Citations

Citations to this article as recorded by  
  • Shaft Fractures of Both Forearm Bones: The Outcomes of Surgical Treatment with Plating Only and Combined Plating and Intramedullary Nailing
    Sang Bum Kim, Youn Moo Heo, Jin Woong Yi, Jung Bum Lee, Byoung Gu Lim
    Clinics in Orthopedic Surgery.2015; 7(3): 282.     CrossRef
  • Treatment of Forearm Shaft Fracture with Modified Interlocking Intramedullary Nail
    Kwang-Yul Kim, Moon-Sup Lim, Shin-Kwon Choi, Hyeong-Jo Yoon
    Journal of the Korean Fracture Society.2008; 21(2): 157.     CrossRef
  • 109 View
  • 0 Download
  • 2 Crossref
Close layer
Distal Radioulnar Joint Injuries Associated with Intra-articular Fracture of Distal Radius
Woo Sik Kim, Yong Sang Kim, Whan Yong Chung, Woo Suk Lee, Taek Soo Jeon, Seung Ryul Ryu
J Korean Fract Soc 2006;19(2):221-227.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.221
AbstractAbstract
PURPOSE
To evaluate the significance of distal radioulnar joint injury which may affect the postoperative radiologic and clinical results of AO classification, type C distal radius fractures.
MATERIALS AND METHODS
From October 2000 to October 2005, 58 patients of AO classification, type C distal radius fracture, who had been treated with operative methods were studied. They are thirty-six men and twenty-two women. The average follow up period was 14 months. The patients were divided into five groups. In the first group (13 cases), there was no distal radioulnar joint injuries. In the second group (20 cases), there were ulnar styloid fractures. In the third group (11 cases), there were separation of distal radioulnar joint. In the fourth group (9 cases), there were ulnar styloid fractures with separation of distal radioulnar joint. In the fifth group (5 cases), there were displacement of ulna in sagittal plane. We measured the radial length, radial inclination and volar tilt in plain radiograph in each group and analyzed the results through Scheck's methods. To analyzed the clinical results, we used the Demerit Point System by Sarmiento.
RESULTS
There was no significant differences in radiologic and clinical results among the five groups.
CONCLUSION
According to compairing the radiologic results of each group which was suspicious of distal radioulnar joint injuries, in the intraarticular comminuted fractures of distal radius, the distal radioulnar joint injuries did not affect the results of treatment when anatomical reduction of distal radius was achieved.

Citations

Citations to this article as recorded by  
  • Treatment of Distal Radioulnar Joint Injuries Associated with a Distal Radius Fracture
    Ki-Bum Choi, Sung-Woo Huh, Seong-Eun Kim, Jung-Woo Lee, Seok-Whan Song, Seung-Koo Rhee
    Journal of the Korean Society for Surgery of the Hand.2012; 17(4): 147.     CrossRef
  • 137 View
  • 0 Download
  • 1 Crossref
Close layer
Treatment of Distal Radius Fractures Using the Percutaneous K-wire Reduction-Fixation and External Fixator
Sang Jin Cheon, Ja Gyung Ku, Dong Ho Lee, Hui Taek Kim, Jeung Tak Suh
J Korean Fract Soc 2006;19(2):228-235.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.228
AbstractAbstract
PURPOSE
To analyse the results of treatment of unstable intra-articular distal radius fractures using the percutaneous K-wire reduction-fixation and external fixator.
MATERIALS AND METHODS
A retrospective follow-up study of 22 cases was carried out. With use of the system of AO classification 9 cases were in C1 and 7 in C2, and 6 in C3. The average duration of follow-up for all fractures was 35 months. We evaluated the radiologic results, the functional results according to clinical evaluation scoring system by Green and O'Brien and osteoarthritis grade according to arthritic grading system by Knirk and Jupiter.
RESULTS
Excellent and good results were rated in 17 cases (77%) of all cases. At last follow-up the mean loss of radial length, radial inclination and volar tilt were 1.4 mm, 1.0o, and 1.4o respectively. Also 7 patients had grade I, 1 patient grade II, and 1 patient grade III arthritis.
CONCLUSION
We think that percutaneous K-wire reduction-fixation and external fixation is useful treatment method for the unstable intra-articular distal radius fracture. But severely comminuted AO type C3 fractures would need additional treatments such as open reduction and bone graft to acquire and maintain the articular reduction for better results.

Citations

Citations to this article as recorded by  
  • Management of Comminuted Intra-articular Fractures of the Distal Radius: Arthroscopically Assisted Reduction and Pin Fixation Supplemented with External Fixation
    Jong-Pil Kim, Hyun-Jin Yu
    The Journal of the Korean Orthopaedic Association.2009; 44(2): 233.     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
  • 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
  • 103 View
  • 0 Download
  • 3 Crossref
Close layer
The Result of the Modified Extension Block Technique in Bony Mallet Finger
Seung Rim Yi, Sung Ho Hahn, Bo Kyu Yang, Yang Joon Ahn, Jae Hoo Yoo, Yong Beom Yeo, Sung Woo Bin
J Korean Fract Soc 2006;19(2):236-240.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.236
AbstractAbstract
PURPOSE
To evaluate the treatment outcomes of the modified extension block technique for bony mallet finger.
MATERIALS AND METHODS
This study included 16 patients who had been treated with the modified extension block technique for bony mallet finger from December 2002 to January 2004. The average duration of follow up was 13 (12~17) months. The indication of operation was the presence of a large bony fragment invading more than 1/3 of the articular surface or the palmar subluxation in the distal interphalangeal joint.
RESULTS
The average extension lag was 2.3 degrees, and the range of motion of the distal interphalangeal joint was 68.8 degrees. Radiograph showed bony union state in all cases. By the Crawford's evaluation criteria, 12 cases (75%) was excellent or good. Postoperative complications occurred in 3 cases, which were reduction loss within postoperative 2 weeks in 2 cases and mild pain with motion in 1 case.
CONCLUSION
The modified extension block technique is a easy and simple method. It shows a good result without complications from skin incision. So, it seems a useful method for bony mallet finger.

Citations

Citations to this article as recorded by  
  • Percutaneous Kirschner Wire Fixation of Acute Mallet Fractures Percutaneousely Reduced by Towel Clip
    Chung Soo Han, Duke Whan Chung, Bi O Jeong, Hyun Chul Park, Jin Young Kim, Cheol Hee Park, Jin Sung Park
    Journal of the Korean Fracture Society.2009; 22(4): 283.     CrossRef
  • 108 View
  • 0 Download
  • 1 Crossref
Close layer
The Efficacy of the Treatment of Thoracolumbar Spine Fractures with Short-segment Posterior Instrumentation and Fusion
Hwa Yeop Na, Joon Cheol Choi, Jun Won Choi, Sang Ho Lee, Young Sang Lee, Woo Sung Kim, Sang Yoon Lee, Jong Won Won, Sang Ho Han
J Korean Fract Soc 2006;19(2):241-246.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.241
AbstractAbstract
PURPOSE
To evaluate the safety and usefulness of the short-segment posterior instrumentation and fusion in the treatment of thoracolumbar spine fractures.
MATERIALS AND METHODS
Forty-two patients were treated by short-segment pedicle screw instrumentation and fusion between Oct. 1998. and Jan. 2004 by single surgeon. All patients were treated posteriorly and all the pedicle screws are monoaxial. Intraoperative rod bending and fixation technique was used to reduce the collapsed vertebral body and correct the kyphotic angle. The follow up duration is mean 2.1 year (1~6 year). The mean age is 40.2 year (18~60 year) old. The fractures were classified by Denis' classification and Load-Sharing Classification. Preoperative and postoperative changes of kyphotic angle and vertebral body height were measured. Denis' Pain Score and Work scales, Frankel neurologic grade were obtained during follow-up evaluation for patients.
RESULTS
All the cases got solid bony union. Mean Load-Sharing Score was 7.3. Clinical results were good. The mean kyphotic angle was preoperatively 14.5 degree, immediate postoperatively 7.5 degree, and last follow up 9.2 degree. The mean anterior vertebral heights s were 60.8% preoperatively, 83.4% immediate postoperatively, and 79.5% last follow up. There was only one case of screw breakage but no revision operation due to loss of reduction. All the cases showed satisfactory clinical results.
CONCLUSION
This study suggest that short-segment instrumentation and fusion using pedicle screw system for thoracolumbar spine fractures could lead to good results, if comminution of vertebral body is considered in the selection of approach.

Citations

Citations to this article as recorded by  
  • Comparison of Percutaneous versus Open Pedicle Screw Fixation for Treating Unstable Thoracolumbar Fractures
    Jin Young Han, Ki Youn Kwon
    Journal of the Korean Fracture Society.2020; 33(1): 1.     CrossRef
  • 95 View
  • 0 Download
  • 1 Crossref
Close layer
Treatment of Osteoporotic Stable Burst Fracture with Percutaneous Vetebroplasty
Shin Kwon Choi, Kwang Yul Kim, Moon Sup Yim, Do Young Lee
J Korean Fract Soc 2006;19(2):247-253.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.247
AbstractAbstract
PURPOSE
To evaluate the result of percutaneous vertebroplasty in the treatment of osteorporotic stable burst fracture that has not neurologic symptom.
MATERIALS AND METHODS
A retrospective review was conducted in 37 vertebrae of 33 patinets with osteoporotic stable burst fracrure treated by percutaneous vertebroplasty from February 2000 to May 2003. Stable burst fracture was classified by McAfee. The operation was performed in the patient without neurologic symptom, BMD T-score was below -2.5 and hot uptake was seen in (99m)Tc bone scan. The operation was held from post-traumatic 7 to 32 days, average 17 days. Follow up period was from 5 months to 38 months, average 11 months. The result of the treatment was assesed by clinical finding (pain scale and work status by Denis) and radiologic findings (percentage height restored and change of kyphotic angle).
RESULTS
In clinical assessment, 27 had a satisfactory pain scale below the P3, 25 had a satisfactory work status below the W3. In the radiologic findings, percentage height restore was increased from 0% to 62%, average 23.3%. The preop. kyphotic angle was from -20 degree to 42 degree, average 8.9 degree. The postop. kyphotic angle was from -20 to 42 degree, average 6.5 degree. The kyphotic angle was decreased average 2.4 degree after operation.
CONCLUSION
Treatment of osteoporotic stable burst fracture with percutaneous vertebroplasty is the minimal invasive treatment that has satisfactory pain relief and reduction of fracture.

Citations

Citations to this article as recorded by  
  • Outcome Comparison between Percutaneous Vertebroplasty and Conservative Treatment in Acute Painful Osteoporotic Vertebral Compression Fracture
    Hwa-Yeop Na, Young-Sang Lee, Tae-Hoon Park, Tae-Hwan Kim, Kang-Won Seo
    Journal of Korean Society of Spine Surgery.2014; 21(2): 70.     CrossRef
  • 65 View
  • 0 Download
  • 1 Crossref
Close layer
Correlation between Progression of Compression and Bone Densiometry Index in Osteoporotic Compression Fracture of Thoracolumbar Spine
Jung Hoon Kim, Jeong Gook Seo, Jong Ho Ahn
J Korean Fract Soc 2006;19(2):254-258.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.254
AbstractAbstract
PURPOSE
To evaluate whether progression of compression correlates with bone densiometry index in patients who were treated conservatively for osteoporotic compression fracture of thoracolumbar spine.
MATERIALS AND METHODS
Using the results of bone densiometry, 30 patients who were treated conservatively for osteoporotic compression fracture of thoracolumbar spine between March 2002 to March 2005 were categorized into 4 groups; above 80%, 70 to 80%, 60 to 70%, and below 60%. We compared the measurements of sagittal index and anterior vertebral height from the plain radiographs taken at the time of injury and following three consecutive months after the injury.
RESULTS
Patients with lower bone densiometry index had greater amount of compression at the time of injury and more rapid progression of compression. We also found that progression of compression was lowest during the first month after injury in all groups.
CONCLUSION
Patients with low bone densiometry index in osteoporotic thoracolumbar compression fracture are susceptible to more rapid progression of compression and should have early brace application and longer duration of treatment for osteoporosis.

Citations

Citations to this article as recorded by  
  • Comparison of Outcomes of Conservative Treatment, Early Vertebroplasty, and Delayed Vertebroplasty in Patients with Osteoporotic Vertebral Compression Fractures
    Se-Hyuk Im, Young-Joon Ahn, Bo-Kyu Yang, Seung-Rim Yi, Ye-Hyun Lee, Ji-Eun Kwon, Jong-Min Kim
    Journal of Korean Society of Spine Surgery.2016; 23(3): 139.     CrossRef
  • Progression of Compression and Related Factors in Conservative Management of Osteoporotic Vertebral Compression Fractures
    Young Do Koh, Jeong Soo Park
    Journal of the Korean Fracture Society.2015; 28(2): 132.     CrossRef
  • 121 View
  • 0 Download
  • 2 Crossref
Close layer
Percutaneous Vertebroplasty in the Treatment of Osteoporotic Compression Fracture (99 Patients, 171 Vertebral Bodies)
Chung Hwan Kim, Hyung Sun Ahn, Jae Kwang Hwang, Jung Suk Song, Eui Jung Bae
J Korean Fract Soc 2006;19(2):259-264.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.259
AbstractAbstract
PURPOSE
This study was designed to compare the clinical and radiologic outcome of the patients who underwent percutaneous vertebroplasty among the groups based on follow-up period and BMD.
MATERIALS AND METHODS
A total of 99 patients (171 vertebral bodies) underwent percutaneous vertebroplasty from January 2001 to September 2003. The patients were divided into 3 groups by follow-up periods, and also divided into 2 groups by BMD. We investigated the difference of radiologic and clinical effects among the groups. Radiologic findings was assessed as vertebral height restoration rate and rate of reduction loss by measurement of the height of vertebral body. The clinical outcomes were graded into 5. The statistical analysis was done using Chi-squire test and Independent-samples T test.
RESULTS
Among the groups divided by follow-up period, there was no statistically significant difference of clinical and radiologic results except the rate of reduction loss between group I and group III (p>0.05). Between the groups divided by BMD, there was no statistically significant difference of clinical and radiologic results.
CONCLUSION
Percutaneous vertebroplasty with bone cement for the osteoporotic compression fracture is an efficient procedure and considered as technique producing pleasurable clinical and radiologic results regardless of follow up-period and BMD.
  • 91 View
  • 0 Download
Close layer
Thoracolumbar Fracture with Posterior Ligament Complex Injury
Won Ju Shin, Deuk Soo Jun, Young Do Koh, Jea Yoon Cho
J Korean Fract Soc 2006;19(2):265-270.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.265
AbstractAbstract
PURPOSE
To evaluate the clinical features and radiographical landmarks of patients who has a thoracolumbar fracture combined with posterior ligament complex injury retrospectively.
MATERIALS AND METHODS
The preoperative plain radiographys, axial CT, MRI and medical records of 27 patients were reviewed who were confirmed the posterior ligament complex injury in operation from January, 2002. to December, 2004.
RESULTS
The patients were from 15 years to 75 years of age (mean 39.1 years), 20 males and 7 females. The mechanisms of injury were 17 falls from a height, 7 traffic accidents and 3 direct blow injuries. There were 17 cases (63%) in thoracolumbar transitional zone, such as 11 cases in T11-T12, 6 cases T12-L1. There were 9 cases of compression fracture and 18 cases of burst fracture according to the shape of fractured vertebra. In the plain radiograph, the degree of kyphotic angle was between 6~49 degrees (mean 22 degrees), anterior vertebral height loss was 7~70% (mean 39%), and posterior vertebral height loss was 0~8% (mean 3%). 21 cases (78%) were the anterior vertebral height loss below 50%, 23 cases (85%) were the degree of kyphotic angle below 30 degrees. Neurological deficits were not registered. 23 cases (85%) were positive in MRI and 24 cases (89%) were positive in direct focal tenderness in the view of posterior ligament complex injury. Conclusions: The posterior ligament complex injury is common finding of the thoracolumbar fracture. The high resolution MRI findings and direct focal tenderness are very importance in identifying the posterior ligament complex injury that is important prognostic factor particularly in mild anterior vertebral height loss and mild kyphotic angle in the plain radiograph.
  • 82 View
  • 0 Download
Close layer
Flexible Intramedullary Pin Fixation of Both Forearm Bone Fractures in Children
Young Jin Sohn, Yong Woon Shin, Hyung Jin Chung, Sang lim Lee, Jae Kwang Yum, Yerl Bo Sung, Jong Kuk An, Eul O Choi
J Korean Fract Soc 2006;19(2):271-276.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.271
AbstractAbstract
PURPOSE
To evaluate the efficacy of Flexible intramedullary pin fixation in pediatric forearm diaphyseal fractures.
MATERIALS AND METHODS
In this retrospective study, we reviewed 15 cases of forearm diaphyseal fractures operated using flexible intra-medullary nail fixation technique between January 2000 and December 2004. Of these 15 children, there were 11 boys and 4 girls with an average age of 11.6 years (range, 7~15 years). The implants were introduced in the distal radius and proximal ulna in all patients. An average duration of fixation was 5.3 months in the radius, 4.7 months in the ulna. After operation, all patient were applied with a long arm cast and the duration of immobilization was 5.2 weeks (range, 4~6 weeks) on average.
RESULTS
All fractures in this series healed with normal range of supination (average 80.0) and pronation (average, 71.6 degrees). Average operation time including anesthesia was 123 minutes and hospital stay was 5.4 days. Time to union was 8.4 weeks on average. Range of motion and functional results were satisfactory in all cases. There were one case of incomplete ulnar nerve injury and two cases of refracture which were treated conservatively without any permanent complication.
CONCLUSION
Flexible intramedullary pin fixation technique is a good method in case of unstable displaced fracture and difficult or failed closed treatment.
  • 108 View
  • 0 Download
Close layer
Comparison of Open Fixation and Closed Percutaneous Pinning in Jakob Stage II Lateral Condylar Fractures of Children
Eui Sung Choi, Dong Soo Kim, Hyun Chul Shon, Yong Min Kim, Kyoung Jin Park, Jun Mo Jeon, Gee Kang Park
J Korean Fract Soc 2006;19(2):277-282.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.277
AbstractAbstract
PURPOSE
To compare the results of open fixation and closed percutaneous pinning in managing Jakob stage II lateral condylar fractures of children's elbow.
MATERIALS AND METHODS
Since Febuary 2000, We operated 21 children with Jakob stage II lateral condylar fractures of elbow. Eleven of the 21 were treated with closed percutaneous pinning, open fixation was done to the other 10 children. Each patient was evaluated about range of motion, carrying angle, scar satisfaction and radiologic findings for comparison between closed pinning and open fixation groups.
RESULTS
Open fixation group showed 3.8 degrees decrease of elbow motion while closed pinning group showed no significant decrease. Carrying angle and radiologic findings were not different between the two groups. Open fixation group expressed dissatisfaction to their scars (average 5.2 cm) whereas all the patients of closed pinning group were satisfied with their functional and cosmetic outcomes.
CONCLUSION
In managing Jakob stage II lateral condyle fractures of children's elbow, closed percutaneous pinning was thought to be superior to open fixation because of the same functional outcome and much better cosmetic results.
  • 83 View
  • 0 Download
Close layer
Stripping of the Hexagonal Recess in the Process of LCP (Locking Compression Plate) Removal
Jong Keon Oh, Chang Wug Oh, Hoon Jung, Kwon Jae Roh, Tae Ho Kim
J Korean Fract Soc 2006;19(2):283-287.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.283
AbstractAbstract
PURPOSE
To report the difficulties in the process of locking head screw removal due to the stripping of the hexagonal recess of the screw head.
MATERIALS AND METHODS
We have removed 113 5.0-self tapping locking head screws and 202 3.5-self tapping locking head screws from 34 patients with fracture healing and 5 patients complicated with infection. All of the operations were done by one surgeon. All the screws were placed with the use of torque limiting attachment or driver.
RESULTS
All of 113 5.0-self tapping locking head screws were removed without difficulties with an usual manner. 21 out of 202 3.5-self tapping locking head screws were removed with many difficulties due to the stripping of the hexagonal recess. 3 screws were removed successfully with the use of conical extraction screw. 12 screws were taken out by further stripping and destruction of the screw head. In 6 situations where the only one screw was left stripped, the plate was bent around the stripped screw and then it was removed by turning the plate as a handle. One screw was removed with the partial breakage of the near cortex upon lifting the plate after failed attempt of using conical extraction screw.
CONCLUSION
Although we have followed the guidelines at the time of insertion we have experienced difficulties in the removal of 3.5 locking head screws due to the stripping of the hexagonal recess. Care should be taken at the time of removal of the locking plate especially for the 3.5 locking screws.

Citations

Citations to this article as recorded by  
  • An inexpensive and rapid method for removal of multiple stripped locking screws following locking plating: A case report
    Won Ro Park, Jae Hoon Jang
    International Journal of Surgery Case Reports.2019; 57: 134.     CrossRef
  • Factors affecting accurate drill sleeve insertion in locking compression plates
    J.-J. Kim, J.-W. Kim, H.-S. Yu, H.-S. Lee, H.-K. Oh
    Orthopaedics & Traumatology: Surgery & Research.2013; 99(7): 823.     CrossRef
  • Pitfalls and Complications in the Application of the Locking Plate
    Jong-Keon Oh
    Journal of the Korean Fracture Society.2007; 20(4): 355.     CrossRef
  • 118 View
  • 0 Download
  • 3 Crossref
Close layer
Case Report
Medial Plantar Nerve Injury after Screw Fixation of the Calcaneus Fracture
Bong Cheol Kwon, Yong Woon Shin, Duck Joo Kwon, Nam Kyou Rhee
J Korean Fract Soc 2006;19(2):288-290.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.288
AbstractAbstract
We present a case of medial plantar nerve injury by screw tip after open reduction and internal fixation of intraarticular calcaneus fracture. We reviewed the risk and prevention technique of medial plantar nerve injury in fixing the calcaneus fracture.
  • 63 View
  • 0 Download
Close layer
Review Article
MedicalTreatmentinthePatientswithOsteoporoticFracture
Seong Hwan Moon
J Korean Fract Soc 2006;19(2):291-294.   Published online April 30, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.2.291
AbstractAbstract
No abstract available.
  • 37 View
  • 0 Download
Close layer
J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
© The Korean Fracture Society.
Close layer
TOP