PURPOSE To determine more useful method by comparing the functional recovery and postoperative complications according to operative methods in treatment of unstable trochanteric fracture of the femur with osteoporotic bone. MATERIALS AND METHODS Of 45 cases with unstable femoral trochanteric fracture with osteoporosis who had been able to ambulate before injury, we compared postoperative functional recovery and complications between 25 cases treated by cemented bipolar hemiarthroplasty and 20 cases treated by dynamic compression hip screw. RESULTS Of 45 cases who had been treated by cemented bipolar hemiarthroplasty and dynamic compression hip screw, the functional results, according to the rating scale of Merle d Aubigne were rated as above good in 23 cases and 14 cases, respectively and postoperative mechanical complications were found in 2 cases and 7 cases, respectively. There was statistically significant difference(P<0.05). CONCLUSION Unstable trochanteric fracture of the femur with osteoporotic bone treated by cemented bipolar hemiarthroplasty showed good functional results and few mechanical complications for short term follow-up.
Isolated fracture dislocation of the tarsal navicular bone is a very rare injury. The mechanism of injury of this fracture dislocation is known as a horiBontal or axial load in plantar flexed foot. Anatomical reduction using closed or open methods is recommended for displaced navicular fractures to achieve a satisfactory result and early mobilization of the foot is required to get a good range of motion at the tarsal joint. Authors report one case of isolated fracture dislocation of the tarsal navicular which was treated with closed reduction and percutaneous K-wire fixation.
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Fractures of the Tarsal Bone Young Hwan Park, Hak Jun Kim, Soo Hyun Kim Journal of the Korean Fracture Society.2016; 29(4): 276. CrossRef