PURPOSE To compare outcomes of humeral shaft fractures fixed with locking compression plate and those fixed with dynamic compression plate in elderly patients. MATERIALS AND METHODS Nineteen consecutive elderly patients with a fracture of the humeral diaphysis were evaluated retrospectively. Ten patients had been fixed with LC-DCP, and nine had been fixed with LCP. Radiological and clinical results were compared and comparison of implants was done. RESULTS Loosening of the plate occurred in one case each from the LCP group and the LC-DCP group. The rest of the patients achieved union uneventfully without any complications. Union rate, clinical score and hardware were not significantly different between the two groups. One patient who developed loosening in the LC DCP underwent reoperation whereas one patient with loosening in the LCP was successfully managed conservatively. CONCLUSION Principle of fracture fixation was more important than plate selection in humeral shaft fracture of elderly patient.
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Plate osteosynthesis of fractures of the shaft of the humerus: comparison of limited contact dynamic compression plates and locking compression plates Ashutosh Kumar Singh, Nidhi Narsaria, R. R. Seth, S. Garg Journal of Orthopaedics and Traumatology.2014; 15(2): 117. CrossRef
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
PURPOSE To analyze the factors predisposing to complications after internal fixation of femoral neck fracture. MATERIALS AND METHODS We reviewed retrospectively the results of percutaneous internal fixation of femoral neck fracture using multiple pinning, in 52 cases who were treated from Jan. 1996 to Dec. 2001. Relationship between the complications and several factors such as the age, sex, time interval from injury to operation, Garden stage, Singh index, internal fixation device and state of redction were analyzed. RESULTS The functional results by Lunceford criteria were excellent in 23 cases (44%), good in 15 cases (29%), fair in 2 cases (3.8%) and poor in 12 cases (23.1%). The avascular necrosis of the femoral head were occured in 14 cases (26.9%). Among these, 1 case of non-union, 2 cases of mal-union were accompanied. No stastically significant relationship between the age, sex, time interval from injury to operation, Garden stage, Singh index, internal fixation device, state of redction and complication. However, there was 4 times higher complication rate in Garden stage 3 or 4 group than its rate in Garden stage 1 (odds ratio 3.889), and 3 times higher complication rate in non-anatomical reduction group (odds ratio 3.22). CONCLUSION Factors predisposing to complications after internal fixation of femoral neck fracture seemed to closely relate with Garden stage and state of reduction.
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Bipolar Hemiarthroplasty for the Femoral Neck Fractures in Elderly Patients Woong-Kyo Jeong, Sang-Won Park, Soon-Hyuck Lee, Jong-Hoon Park, Suk-Ha Lee, Ji-Hoon Kang, Gi-Won Choi, Won Noh Journal of the Korean Fracture Society.2008; 21(1): 8. CrossRef
Most olecranon fractures are intraarticular and therefore can compromise the stability of the elbow joint. When dispaced, open reduction and internal fixation are usually requried to obtain anatomic realignment of the articular surface and restore normal elbow function.
In a retrospective study of 27 patients, fractures of the olecranon with operative treatment were analyzed for relationship between the treatment result and type of fracture, treatment method, articular involvement, and postoperative step-off of articular surface from July, 1986 to September 1992 and following results were obtained.
1. There were f type I, 19 type II and 1 type III according to Mayo classification.
2. The methods of treatment were 6 cases(21%) of open reduction and medullary nailing, 16 cases(55%) of open reduction and tension band wiring, 2 cases(7%) of proximal fragment excision, and 3 cases of screw fixation 3. Clinical results were good in 13 cases(48%), 9 fair(35%), 5 poor(17%) according to the criteria by Helm et al. Radiologic results were good in 12 cases(45%), 8 fair(30%), 5 poor(19%) except 2 cases of fragment excision.
4. The most common complication was protrusion of fixation device(14 cases:52%).
5. The poor result was noted mostly in Mayo fracture type III , articular involvement more than 60%, and postoperative step-off more than 2mm.
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Treatment of Ulnar Olecranon Fracture Using Acutrak Screw Hyungchun Kim, Kwangryul Kim, Moonsup Lim, Youngil Park, Inhwan Hwang, Jihoon Lee Journal of the Korean Fracture Society.2009; 22(4): 270. CrossRef
Double Tension Band Wiring for Olecranon Fractures Suk Kang, Chung Soo Hwang, Phil Hyun Chung, Young Sung Kim, Jin Wook Chung, Jong Pil Kim Journal of the Korean Fracture Society.2008; 21(2): 130. CrossRef