Journal of Musculoskeletal Trauma

Original Articles

Treatment of the Difficult Supracondylar Fracture of the Femur with the Intramedullary Supracondylar Nail: Bum Gu Lee, Yong Ju Kim, Suk Woong Yoon, Shin Young Kang, Jae Hee Cho, Myong Se Jang; J Korean Soc Fract 1996;9(4):943-950. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.943

Abstract PDF: Open reduction and internal fixation should be considered for the AO classification type C supracondylar fracture of the femur. However serious complications such as infection and nonunion can occur after extensive stripping of the soft tissue. We will analyze the usefulness of the intramedullary supracondylar nail for treatment of the 1 cases of the difficult supracondylar fracture such as AO type C fracture, nonunion and supracondylar fracture associated with ipsilateral hip fracture. Follow up period of 7 cases was at least 18 months. 1. 5 cases of 7 were AO type C and 2 cases of 7 were associated with ipsilateral hip fracture. 2. 2 cases of 1 rere nonunion and 2 cases of 7 were grade III open fracture in Gustilo classification. 3. 5 cases of 7 had bone union and average range of motion of the knee was 90 degree. 4. There was no infection, but t case was complicated with the femoral shaft fracture near the proximal nail tip, and 2 cases were complicated with the metal failure at the fracture site resulting nonunion. 5. Intramedullary supracondylar nail was very useful tool for the very difficult supracondylar fracture of the femur due to minimal incision, minimal soft tissue dissection and rigid fixation. But this nail was not available for the proximally extended fracture of the femoral shaft.

Femoral Shaft Fracture Treated with Flexible Intramedullary Ender Nail: Beom Koo Lee, Young Ju Kim, Suk Woong Yoon, Jae Hee Cho, Byung Gug Lee; J Korean Soc Fract 1995;8(4):792-798. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.792

Abstract PDF: Various methods have been used in the treatment of femoral shaft fractures. Recently closed intramedullary interlocking nailing is recommended as one of the most successful methods, but its use is technically demanding and much exposure to radiation is needed. In comparison, flexible intramedullary nail such as Ender nail is easy to use and cause less damage to the patient. We used the Ender nail in the treatment of femoral shaft fracture from 1989 to 1993 and the result were as follows; 1. Average patient age is 38.2 years old and major cause of the fracture was traffic accident. 2. Bony union was obtained in 14 cases of 17 cases with primary operation. Average bony union time was 14.2 weeks. 3. Mean operative time was 40 minutes in Winquist-Hansen type I and II ,90 minutes in Winquist-Hanserl type III and IV. 4. Ender nail migration over 10mm was noted in 9 of 17 cases. Average migration was 10mm in knee and 24mn in trochanteric area. 5. Complication were as follows ; Nail migration causing pain in 9 cases, delayed union 4 cases, non-union 3 cases, varus deformity in 3 cases, shortening in 4 cases. In Winquist-Hansen type III and IV ,76.9% of cases suffered from some complication. 6. Flexible intramedullary nail was easy to apply but we thought that Ender nail is inadequate treatment method for Winquist-Hansen type III and IV because of high complication rate.

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