Journal of Musculoskeletal Trauma

Pulmonary Embolism Complication after Surgical Treatment of Patella Fracture: A Case Report: Yong Beom Kim, Hyung Suk Choi, Dong Ill Chun, Jung Moo Seo, Byung Ill Lee; J Korean Fract Soc 2014;27(2):162-166. Published online April 30, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.2.162

Abstract PDF: Deep vein thrombosis and pulmonary embolism are serious and fatal complications in orthopedic surgery. Most cases of symptomatic pulmonary embolism in knee surgery have been reported after total knee arthroplasty, but rarely after patella fracture. We report on a case of symptomatic pulmonary embolism after surgical treatment of a patella fracture in a 42-year-old female patient.

Treatment of Comminuted Subtrochanteric Fractures of the Femur with Compression Hip Screw: You Sung Suh, Suk Bum Lim, Hyung Suk Choi, Yon Il Kim, Soo Kyoon Rah, Byung Ill Lee; J Korean Soc Fract 2001;14(2):181-188. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.181

Abstract PDF: PURPOSE
This study was performed to analyze the weight-bearing ambulation time, bony union time and complications after fixation of comminuted subtrochanteric fractures of the femur with compression hip screw and evaluate its effectiveness. MATERIAL & METHODS: From January 1993 to January 2000, 21 cases of S e i n s h e i m e r's Type IV and Type V comminuted subtrochanteric fractures of femur which were treated by compression hip screw and followed for more than 1 year were analyzed by weight-bearing ambulation time, bony union time and complications.
RESULTS
We recommended partial weight bearing ambulation from 6 weeks after operation and full weight bearing ambulation from 12 weeks after operation. All of 21 cases, primary bony union was achieved and mean time was 16 weeks(range 13 to 25 weeks). 2 cases of mechanical complications were occurred. Also 4 cases of malunion of lesser trochanter and 2 cases of nonunion of lesser trochanter were occurred, but none of them result in limitation of motion, limping nor pain.
CONCLUSIONS
We thought compression hip screw is a good implant for rigid fixation of comminuted subtrochanteric fractures, especially involve intertrochanteric region like Seinsheimer's Type IV and Type V.

Posterior Hip Dislocation with Femoral Head and Neck Fracture: Yoo Sung Seo, Hyung Suk Choi, Soo Jae Yim, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1995;8(4):784-791. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.784

Abstract PDF: Posterior hip dislocation with femoral head and neck fracture(Pipkin type III) was considered as a rare injury, However, the advance of high speed motor vehicle accidental injury has contributed to its increased incidence and the choice of treatment is still controversial. Mechanism of injury was considered as a kind of secondary trauma of inversion or internal rotation force with hip joint was flexed position state. Three cases of posterior hip dislocation with femoral head and neck fracture(Pipkin type III)have been experienced and follow up still now at Soon Chun Hyang University hospital. The results were evaluated by Thomson Epsteins clinicoradiologic criteria and Harris hip score and follow up radiologic findings. As a results of this study, we are more prefer primary open reduction and rigid internal fixation than primary joint replacement arthroplasty due to be occured in young age group. And futher evaluation should be needed.

Treatment of Intertrochanteric Fractures of Femur in Elderly Patients over 65 Years Old: Yoo Seong Seo, Hyung Suk Choi, Sang Gi Kim, Byung Joon Shin, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1995;8(1):54-60. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.54

Abstract PDF: The ipsilateral femur fracture after hip arthroplasty is rare, but serious complication. And its treatment is difficult and controversial. We experienced 6 patients who had the hip arthroplasty complicated by an ipsilateral femur fracture in postoperative period at the Department of Orthopaedic Surgery, Soonchunhyang Univesity from February 1990 to December 1993. The Type 1 fracture was 1 case, and 2 Type IV-A, and 1 Type IV-3, and 2 Type V according to AAOS classification. Bony union and satisfactory clinical results were achieved in all 6 cases.

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