Journal of Musculoskeletal Trauma

Clinical Applications of Autologous Cultured Osteoblasts: Case Report: Seok Jung Kim, In Young Ok, Cheong Ho Chang, Young Sik Kim, Jae Deog Jang, Won Jong Bahk, Joo Hyung Lee; J Korean Fract Soc 2004;17(2):197-201. Published online April 30, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.2.197

Abstract PDF: We treated 3 cases of fracture and 1 case of avascular necrosis of femoral head using autologous cultured osteoblasts injection. The stromal cells from the bone marrow were cultured to differentiate to osteoblasts for 4 weeks. The fracture sites of each patients were right ulnar shaft, left radial shaft, and left 5th metatarsal base. All of the fractures showed callus formations after 1 week of osteoblasts injection to the fracture site. After 4 weeks, callus formations were progressed. Avascular necrosis of femoral head was bilateral and both were Ficat stage II. Core decompression and allograft impaction were performed to the left, and core decompression and autologous cultured osteoblasts injection percutaneously after 4 weeks of the decompression operation were done to the right femoral head. CT images of 1 year from the operations showed trabecular bone formation and well maintained femoral head contour of the right femur, but resorption of the grafted bone for the left.

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A Slipped Capital Femoral Epiphysis following Ipsilateral Femoral Subtrochanteric fracture: A Case Report: In Young OK, Yang Soo Kim, Yong jin Kwon; J Korean Soc Fract 2002;15(4):526-530. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.526

It was known that the etiologies of slipped capital femoral epiphysis(SCFE) were trauma, hormonal or endocrine disorder, genetic factor, radiation, renal osteodystrophy which render the epiphyseal plate susceptible to displacement. We report the case of a 6 year old boy who had SCFE following malunion of the ipsilateral subtrochanteric fracture. The alteration of shear force on epiphyseal plate can be one of the contributing factors in SCFE.

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Delayed slipped capital femoral epiphysis after orif for subtrochanteric femur fracture
Zied Mansi, Mohsen Chamakh, Ltifi Atef, Wajdi Chermiti, Haggui Ali, Gazzah Wael
International Journal of Surgery Case Reports.2024; 118: 109593. CrossRef
Slipped capital femoral epiphysis following a delbet type 3 intertrochanteric fracture fixation
Babak Mirzashahi, Mohammad Moshirfar, Alireza Moharrami
Archives of Trauma Research.2022; 11(2): 97. CrossRef

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Ender Nailing of Tibial Shaft Fractures: In Young Ok, Yang Guk Chung, Tec Soo Kim; J Korean Soc Fract 2000;13(1):87-95. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.87

Abstract PDF

PURPOSE
Though Ender nailing in tibial shaft fractures is a good method of treatment, there were several reports about complications such as angulation or shortening. Most of those complications were associated with improper surgical technique and might be avoidable. So, we analyzed the results of tibial Ender nailing in view of the complications and their contributing factors. MATERIAL AND METHOD: Thirty-five tibial shaft fractures were treated with Ender nailing and followed up for 12 to 51 months. We evaluated the bony union, angulation, shortening, proximal migration of nail and infection, and analyzed the results in association with the type and the location of fractures, the number and the length of nails and the divergency of distal tip of nails.
RESULTS
Average bony union time was 18.5 weeks and there were 2 delayed unions, 2 nonunions, 5 angulations, 1 shortening, 3 soft tissue irritations by proximal tips of nails, 1 proximal migrations of nails and one nail breakage. Most of them were associated with technical faults such as few number, short length or insufficient divergency of nails. According to the type of fractures, the highest rate of complications was seen in segmental fractures.
CONCLUSION
Performed by proper surgical technique based on detailed fracture analysis, most of the complications of Ender nailing for tibial shaft fractures might be avoidable. Therefore, Ender nailing is one of the useful alternatives for tibial shaft fractures.

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Manoeuvring Distal Tibial Shaft Fractures with Ender’s Nailing: Case Series
Aditya Pundkar, Chandrashekar Kulkarni
Journal of Datta Meghe Institute of Medical Sciences University.2023; 18(3): 481. CrossRef

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