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Original Articles
Treatment of Proximal Tibia Fractures Using LCP by MIPO Technique
Sang Ho Ha, Dong Hui Kim, Jun Young Lee
J Korean Fract Soc 2010;23(1):34-41.   Published online January 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.1.34
AbstractAbstract PDF
PURPOSE
We wanted to evaluate the efficacy of MIPO (minimal invasive plate osteosynthesis) technique by LCP (locking compression plate) for treating proximal tibia fractures.
MATERIALS AND METHODS
Twenty-three patients, who had operation due to proximal tibia fracture and available for follow up for more than 1 year were included in this study. Cause of injury and accompanied injuries were checked. Operation time, period to bone union, range of joint motion and alignment were evaluated with complications.
RESULTS
Mean bone union time was 13.7 weeks (10~20). Twenty-one cases of the patients showed angulation of less than 5 degrees and 17 cases had normal range of motion. Five cases showed skin irritation by the plate and 2 cases had superficial infection.
CONCLUSION
LCP by MIPO technique for treating proximal tibia fracture showed excellent results. Delicate technique is required for the proper adjustment of LCP and the alignment of the lower leg.

Citations

Citations to this article as recorded by  
  • EVALUATION OF FUNCTIONAL OUTCOME OF SURGICAL TREATMENT FOR FRACTURE AROUND KNEE WITH LOCKING PLATE
    VIKAS KUNTWAD, AMOL WAGH, SATYAJEET A HORE
    Asian Journal of Pharmaceutical and Clinical Research.2023; : 213.     CrossRef
  • Medial Minimally Invasive Percutaneous Plate Osteosynthesis in Proximal Tibial Comminuted Fractures
    Jae-Ang Sim, Kwang-Hui Kim, Yong-Seuk Lee, Sang-Jin Lee, Beom-Koo Lee
    Journal of the Korean Orthopaedic Association.2014; 49(4): 278.     CrossRef
  • Minimally Invasive Percutaneous Plate Stabilization Using a Medial Locking Plate for Proximal Tibial Fractures - Technical Note -
    Jae Ang Sim, Beom Koo Lee, Kwang Hui Kim, Yong Seuk Lee
    Journal of the Korean Fracture Society.2013; 26(4): 327.     CrossRef
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  • 4 Download
  • 3 Crossref
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Treatment of Senile Osteoporotic Intertrochanteric Fracture using Proximal Femoral Nail
Dong Hui Kim, Sang Hong Lee, Young Lae Moon, Jun Young Lee, Kun Sang Song
J Korean Fract Soc 2007;20(3):215-221.   Published online July 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.3.215
AbstractAbstract PDF
PURPOSE
Clinical and radiologic results of femur intertrochanteric fractures treated with ITST nail in elderly patients with osteoporosis were analysized to evaluate the efficacy and complication of ITST nailing.
MATERIALS AND METHODS
32 patients who were treated with ITST nail due to femur intertrochanteric fracture and were followed up for more than 1 year were analysed. According to Evans classification, 11 cases were stable fractures and 21 cases were unstable fractures. Clinically, ambulatory function was compared and radiologically, BMD of healthy leg was checked with analysis of postoperative bone union and complication.
RESULTS
In ambulatory function comparison before and after the operation, there were 9 cases of good, 17 cases of moderate and 6 cases of poor. Considering social activity after the operation, 7 cases showed normal ambulation, 9 cases showed ambulatory with one cane, 5 cases showed two cane ambulation and 11 cases showed dependent ambulation. In radiologic evaluation, T-score of ward triangle in healthy femoral neck showed BMD of -3.12. In 20 cases, bone union was observed within 3 months. The patients with low BMD result had poor outcome. There were 2 cases of intraoperative proximal femur fracture, 3 cases of nonunion and 4 cases of death within 1 year.
CONCLUSION
In elderly patients with intertrochanteric fracture, ITST nailing is relatively efficient treatment. However, in pateint with severe osteoporosis (T-score<-3.0) and unstable fracture pattern, arthroplasty should be considered due to relatively high complicaton rate.

Citations

Citations to this article as recorded by  
  • The PFNA Nail for Pertrochanteric Fracture of the Femur without Fracture Table
    Jeoung Ho Kim, Sang Hong Lee, Kwang Chul Lee, Sung Won Cho
    Journal of the Korean Fracture Society.2011; 24(3): 217.     CrossRef
  • Results of Osteoporotic Treatment Drug after Periarticular Fracture of Hip
    Soo Jae Yim, Young Koo Lee, Cheong Kwan Kim, Hyun Seok Song, Hee Kyung Kang
    Journal of the Korean Fracture Society.2010; 23(2): 167.     CrossRef
  • 133 View
  • 1 Download
  • 2 Crossref
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Operative Treatment of Patellar Fractures
Dong Hui Kim, Jung Man Kim, In Jun Koh
J Korean Fract Soc 2004;17(4):314-318.   Published online October 31, 2004
DOI: https://doi.org/10.12671/jkfs.2004.17.4.314
AbstractAbstract PDF
PURPOSE
To establish a general guide line in the treatment of the patellar fracture MATERIALS AND METHODS: Twenty three patellar fractures followed for 2.2 years in average, treated with internal fixation were evaluated retrospectively. The primary fixations were the metal screw fixation in 7, the Dall-Miles' cable circumferential fixation in 14 and combination of both methods in 2 cases. The additional fixations were the tension band wiring in 9, the load sharing cable fixation in 3 and combination of both methods in 5 cases. The initial postoperative immobilazation of the knee joint in flexion, preferably 90degrees, for 7 days was effective to gain full range of motion RESULTS: Complete union without displacement was achieved in all cases. Full ROM was achieved in all cases except one.
CONCLUSION
The choice of internal fixation need to be individualized according to the level of comminution, bone strength, fracture site and soft tissue damage. A strong internal fixation, initial immobilization in flexion followed by early ROM exercise were important factors to gain good result.

Citations

Citations to this article as recorded by  
  • Clinical Effectiveness of Korean Medical Rehabilitation Treatment after Patellar Fracture: A Report of 4 Cases
    Ji-Hye Geum, Hyeon-Jun Woo, Jong-gyu Kim, Jung-Han Lee
    Journal of Korean Medicine Rehabilitation.2020; 30(4): 203.     CrossRef
  • Treatment of Transverse Patellar Fracture with Cannulated Screws
    Jung-Man Kim, Ju-Seok Yoo, Yong-Jin Kwon, Jang-Ok Cheon
    Journal of the Korean Fracture Society.2007; 20(2): 149.     CrossRef
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  • 2 Crossref
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