Journal of Musculoskeletal Trauma

The Role of Beta-Tricalcium Phosphate Graft in the Dynamic Hip Screw Fixation of Unstable Intertrochanter Fracture: Chul Ho Kim, Ji Wan Kim, Eic Ju Lim, Jae Suk Chang; J Korean Fract Soc 2016;29(4):250-257. Published online October 31, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.4.250

Abstract PDF: PURPOSE
The purpose of this study was to introduce our method of stabilizing unstable intertrochanteric fractures by using the dynamic hip screw (DHS) with a beta-tricalcium phosphate (Î²-TCP) graft and to compare the outcomes of this procedure with those of the conventional DHS without Î²-TCP.
MATERIALS AND METHODS
Patients who underwent surgery by using DHS between March 2002 and January 2016 were retrospectively reviewed for analysis of the outcomes. The inclusion criteria were: 1) age of 60 years and older; 2) low-energy fracture resulting from a fall from no greater than the standing height; 3) multifragmentary pertrochanteric fracture (AO classification 31-A2.2, 2.3); and 4) follow-up of over 3 months. We compared 29 patients (29 hips) who underwent surgery, using DHS without Î²-TCP, with 29 age-sex matched patients (29 hips) who underwent surgery using DHS with grafted Î²-TCP granules to empty the trochanter area after reaming. We investigated the fracture union rate, union time, and length of lag screw sliding.
RESULTS
Bone union was achieved in all cases. The mean union time was 7.0 weeks in the Î²-TCP group and 8 .8 weeks in the non-Î²-TCP group. The length of lag screw sliding was 3.6 mm in the Î²-TCP group and 5 .5 mm in the non-Î²-TCP group. There were no implant failure cases in both groups.
CONCLUSION
The Î²-TCP graft for reinforcement DHS acquired satisfactory clinical outcomes for treating unstable intertrochanteric fractures.

32 View
0 Download

The Character of Reverse Obliquity Intertrochanteric Fractures in Elderly Patients: Ji Wan Kim, Jae Suk Chang, Jung Hwan Sung, Jung Jae Kim; J Korean Fract Soc 2013;26(3):173-177. Published online July 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.3.173

PURPOSE
To discriminate the characteristics between reverse obliquity fractures in the elderly and that of young adults using three-dimensional computed tomography (3D CT).
MATERIALS AND METHODS
Eighteen patients who had reverse obliquity intertrochanteric fractures were enrolled from January 2007 to March 2012. The fracture pattern was analyzed using the 3D CT. The area showing low density (bone defect) of trochanter and femoral neck region was measured. Patients were divided into two groups: Group I, less than 65 years old and Group 2, 65 years and over.
RESULTS
In all 9 cases of group 1, the proximal fragment had a 'V' shape with an average of 5.6 cm below the vastus ridge; however, the fracture of 8 cases (88.97%) in group 2 had a 'Lambda' shape of the distal fragment at the level of vastus ridge and an additional fracture line extending to the greater trochanter tip. The bone defect volume of the trochanter and femoral neck region was larger significantly in group 2 than in group 1.
CONCLUSION
Reverse obliquity intertrochanteric fracture in the elderly demonstrated a pattern of bursting fracture with 4 parts, which had different patterns from that of young patients. We believe that the larger volume of bone defects resulted in the difference of fracture patterns between the two groups.

Citations

Citations to this article as recorded by

A Comparison of Internal Fixation and Bipolar Hemiarthroplasty for the Treatment of Reverse Oblique Intertrochanteric Femoral Fractures in Elderly Patients
Bong-Ju Park, Hong-Man Cho, Woong-Bae Min
Hip & Pelvis.2015; 27(3): 152. CrossRef

32 View
0 Download
1 Crossref

Anatomical Study of Symphysis Pubis Using 3 Dimensional Computed Tomography in Koreans: Ji Wan Kim, Jung Min Park, Jae Suk Chang; J Korean Fract Soc 2013;26(1):32-36. Published online January 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.1.32

Abstract PDF: PURPOSE
To acquire anatomical data for the normal pelvic bone structure using three-dimensional computed tomography (3D CT) and to propose the most appropriate angle and screw length for safe screw insertion during symphysis pubis plating.
MATERIALS AND METHODS
We performed 3D CT analysis in 52 patients who required plating and selected a medial and lateral insertion point between the symphysis pubis and the pubic tubercle. Using a three-dimensional medical image analysis program, we evaluated the appropriate screw length, sagittal angle, and oblique angle at each point in this cohort.
RESULTS
At the medial point, the sagittal angle was determined to be 49.1degrees with an average screw length of 49.4 mm. At the lateral point, we calculated an average screw length of 49.1 mm, oblique angle of 23.2degrees, and sagittal angle of 45.7degrees. The screw length was longer in men than in women (4.6 mm and 7.3 mm, respectively) at the medial and lateral point.
CONCLUSION
At the symphysis pubis diastasis, we can insert the screw caudally at 49degrees with a minimal length of 37 mm at the medial point. We can insert the screw caudally at 46degrees, medially at 23degrees, with a minimal 34 mm length at the lateral point.

28 View
0 Download

Osteoporotic Fracture-Medical Treatment: Jae Suk Chang; J Korean Fract Soc 2010;23(3):326-340. Published online July 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.3.326

Abstract PDF

No abstract available.

Citations

Citations to this article as recorded by

Effects of Extracts from Cnidium officinale and Angelica sinensis on Bone Fusion in Mice with Femoral Fracture
Sang Woo Kim, Min-Seok Oh
Journal of Korean Medicine Rehabilitation.2024; 34(2): 1. CrossRef
Treatment Options of Osteoporotic Vertebral Compression Fractures
Yu Mi Kim, Tae Kyun Kim, Dae Moo Shim, Kyeong Hoon Lim
Journal of the Korean Fracture Society.2018; 31(3): 114. CrossRef
Medical Treatment of Osteoporosis/Prevention of Falls
Hyoung Keun Oh
Journal of the Korean Fracture Society.2018; 31(4): 165. CrossRef
Cost-Effectiveness of Denosumab for Post-Menopausal Osteoporosis in South Korea
Green Bae, Hye-Young Kwon
Korean Journal of Clinical Pharmacy.2018; 28(2): 131. CrossRef
Survey on awareness and perceptions of bisphosphonate‐related osteonecrosis of the jaw in dental hygienists in Seoul
Y‐J Mah, G‐Y Kang, S‐J Kim
International Journal of Dental Hygiene.2015; 13(3): 222. CrossRef

30 View
0 Download
5 Crossref

Classification of Femoral Neck Fractures: Soo Ho Lee, Ewy Ryong Chung, Hyung Sun Ahn, Jae Suk Chang, Key Yong Kim; J Korean Soc Fract 1996;9(1):88-96. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.88

Abstract PDF: The authors have reviewed 45 cases of femoral neck fractures from January 1991 to September 1994 with special reference to fracture classification. Follow-up periods for these cases were more than 1 year for all of these cases. The results were as follows: 1. AO classification of femoral neck fractures is better than Garden's classification in its simplicity and less inter-observer variations. 2. AO classification of femoral neck fractures is better than Garden's classification in predicting healing complications of internal fixation of femoral neck fractures. 3. Another factors predicting healing complications are the accuracy of reduction and the postoperative bone scintigraphy. With the above results, we concluded that AO classification of femoral neck fractures seems to be useful in clinical application to femoral neck fractures together with Garden's classification.

27 View
0 Download

Search