Journal of Musculoskeletal Trauma

Operative Positioning Technique for an Intertrochanteric Fracture in a Patient with an Ipsilateral Above-the-Knee Amputation - Technical Note -: Dae-Hyun Park, Yong-Uk Kwon, Dong-Seok Kim; J Korean Fract Soc 2021;34(4):137-141. Published online October 31, 2021; DOI: https://doi.org/10.12671/jkfs.2021.34.4.137

A 45-year-old man with a remote history of a left above-the-knee amputation presented to the emergency department with left hip pain after a mechanical fall. This case was an operative challenge because commonly used intraoperative traction methods could not be applied to a patient with an above-the-knee amputation. We describe a rarely utilized surgical technique of applying traction to an amputated extremity via a Steinmann pin during closed reduction and internal fixation of an intertrochanteric fracture.

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Periprosthetic Femur Fractures in Osseointegration Amputees
Jason Shih Hoellwarth, S. Robert Rozbruch
JBJS Case Connector.2022;[Epub] CrossRef

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Major Limb Replantation of Lower Leg Amputation with Ipsilateral Distal Femoral Comminuted Fracture in Old Age: A Case Report: Tae Young Ahn, Seung Joon Rhee, Sang Ho Kwak, Hyo Seok Jang, Sang Hyun Lee; J Korean Fract Soc 2019;32(4):227-231. Published online October 31, 2019; DOI: https://doi.org/10.12671/jkfs.2019.32.4.227

Abstract PDF: The development of microsurgical techniques has also increased the success rate of replantation surgery. This paper reports the results of limb replantation performed on a lower extremity amputation that was associated with crush amputation and an ipsilateral comminuted fracture in and elderly patient. A 68-year-old female presented with a right distal tibia amputation due to a traffic accident. At that time, with a comminuted fracture in the distal femoral condyle, simple wound repair was recommended, but the caregivers strongly wanted replantation. Three years after surgery, normal walking was possible without a cane and the patient was satisfied with the function and aesthetics. What used to be contraindicated in limb replantation in the past are now indications due to the development of microsurgical techniques, surgical experience, and postoperative rehabilitation treatment. If the patient is willing to be treated, good results in contraindications can be obtained.

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Femoral Neck Fracture in Bilateral Above Knee Amputee: A Case Report: Kye Young Han; J Korean Soc Fract 2003;16(1):116-119. Published online January 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.1.116

Abstract PDF: Femoral neck fracture is a common fracture in elderly or osteoporotic women. But femoral neck fracture in previously amputed patients is rare, so the guideline of appropriate treatment is rarely discussed. Especially, femoral neck fracture in patients with above knee amputation was more rare. Hereby I report a case of femoral neck fracture occurred to 58-year-old male bilateral above knee amputee with the review of literatures.

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Limb Salvage versus Early Amputation according to Mangled Extremity Severity Score in Treatment of the Lower Extremity Open Fractures associated with Severe Soft Tissue Injury: Kyung Jin Song, Yong Min Kim, Kyung Rae Lee; J Korean Soc Fract 2002;15(1):28-35. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.28

Abstract PDF: PURPOSE
To evaluate the availability of the mangled extremity severity score(MESS) in deciding the early treatment modality for the patients with open lower extremity fractures and severe soft tissue injury.
MATERIALS AND METHODS
Analyzed 27 patients for the lower extremity open fractures with extensive soft tissue injury. A comparative study using a MESS, a cause of injury, vascular injury and a fracture pattern, average hospital stay and average hospital charges were analyzed, and daily living ability and subjective self-evaluation were assessed.
RESULTS
There was statistically significant correlation applying MESS to patient group that had been operated by early amputation because of severe soft tissue and vascular injury. But there was no significant difference in the subjective self-assessment score, admission period and total cost during admission between each treatment method.
CONCLUSION
MESS can be used as an objective assessment criteria in deciding the proper treatment modality for the cases of lower limbs fracture with extensive soft tissues and vascular injury.

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Scapulothoracic Dissociation: Two cases report: Man Ho Byun, Sung Seok Seo, Hyun Duk Yu, Young Chang Kim, Jang Seok Choi, Young Ku Lee; J Korean Soc Fract 1995;8(3):467-470. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.467

Abstract PDF: Scapulothoracic dissociation is rare injury and as a result of severe shoulder girdle trauma. muptiple fractures of the upper extremity and closed disruption of scapula from the thorax are combined with damage to the local neurovascular structures, brachial plexus and subclavian artery. Tracitionally, above-the-elbow amputation and shoulder arthrodesis have been used to treat the flail upper extremity. Now we experienced two cases of scapulothoracic dissociation managed by forequarter amputation, shoulder and above-the elbow amputation and then present two cases of scapulothoracic dissociation through case and textbook review.

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Pain relief by postoperative infusional continuous regional analges ia: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Sang Ryoul Lee; J Korean Soc Fract 1992;5(1):161-167. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.161

Abstract PDF: No abstract available.

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