Journal of Musculoskeletal Trauma

Original Articles

Delayed Diagnosed Thrombosis Associated with Closed Fractures Around the Knee: Byung Moon Park, Hyung Koo Yoon, Kwang Pyo Jeon, Kyung Hoom Kang, Jin Il Kim, Dong Soo Kim, Yong Jae Lee; J Korean Soc Fract 2000;13(2):289-295. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.289

Abstract PDF: PURPOSE
: The goal of this study is to decrease the chance of the lower limb loss resulting from the delayed diagnosis of arterial thrombosis after first operation in a patient of the closed fractures around the knee by early diagnosis and proper management via studying several prognostic factors.
MATERIALS AND METHODS
: We have reviewed 8 cases of delayed diagnosed arterial thrombosis patient who was follow up for 1 year or more March 1987 to February 1997, retrospectively. We have followed ip the clinical results.
RESULTS
: The amputation rate was 50%(4/8), and among associated injuries, tibial or peroneal nerve palsy was combined in 75%(6/8). The time interval from initial trauma to diagnosis was significantly different between amputation group(77hours) and non amputation group(34.25hours). Better results were obtained in cases who had early diagnosis and treated with end to end anastomosis than vein graft.
CONCLUSION
: It is very important that the vascular status should be assessed not only at the first examination but also repeatedly over the ensuing hours and days with caution, even though there was absence of ischemic sign.

Postoperative Infection in the Closed Fractures of the Long Bone: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Bab Jae Lee, Il Jong Yang; J Korean Soc Fract 1997;10(4):866-871. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.866

Abstract PDF: Operative treatment for closed fractures of the long bone has many advantages including early restoration of function by stable fixation, but has untoward problems including postoperative infection. The authors reviewed 19 cases of postoperative infection for closed long bone fracture during the period from January, 1990 to December, 1995 and analyzed about clinical, radiologic, pathologic findings and found causes of infection. Most cases were associated with multiple fractures of major bones or injuries to the vital organs and delayed over 48 hours after injury to operation. Operation time was prolonged due to the simultaneous operations for multiple fractures and associated open fractures at the same time. Staphylococcus aureus was the most frequent offending organism. Irregular resorption of plate-bone interface with resultant gap between the plate and bone, on the radiographic follow up, may indicate postoperative infection.

Search