Journal of Musculoskeletal Trauma

Easily missed nondisplaced fractures accompanying complete fractures in the lower extremity and pelvis: a narrative review: Young-Chang Park; J Musculoskelet Trauma 2025;38(1):5-12. Published online January 24, 2025; DOI: https://doi.org/10.12671/jmt.2025.00017

Abstract PDF: Nondisplaced fractures accompanying complete fractures are often difficult to detect on plain radiographs or computed tomography scans, posing a diagnostic challenge. The diagnosis of these frequently overlooked injuries can be delayed, potentially leading to suboptimal patient outcomes. This review discusses four commonly missed fracture patterns in the lower extremity and pelvis, including posterior involvement in fragility fractures of the pelvis, intertrochanteric extensions in isolated greater trochanter fractures, ipsilateral femoral neck fractures in high energy femoral shaft fractures, and posterior malleolar fractures in distal spiral tibial shaft fractures. An accurate diagnosis of these accompanying nondisplaced fractures is critical for optimizing surgical outcomes. Surgeons should incorporate thorough preoperative evaluations into their clinical practice to facilitate early detection and appropriate treatment strategies. Prompt identification and comprehensive management remain essential for improving patient outcomes.

303 View
34 Download

Clinical and Radiological Analysis of Angular Deformity of Lower Extremities: Changhoon Jeong, Jong Ho Noh; J Korean Fract Soc 2017;30(3):156-166. Published online July 31, 2017; DOI: https://doi.org/10.12671/jkfs.2017.30.3.156

The alignment of lower extremities is an important consideration in many clinical situations, including fracture reduction, high tibia osteotomy, total knee arthroplasty, and deformity correction. Mal-alignment of lower extremities is not only a simple cosmetic problem, but it can also produce pain, limp, and early degenerative arthritis. An assessment of lower extremity alignment, including its location and magnitude of deformity, can be achieved via mal-alignment test and mal-orientation test, using a lower extremity standing full-length radiography. Proper evaluation allows the surgeon to determine an effective treatment plan for deformity correction.

Citations

Citations to this article as recorded by

A deep learning approach for fully automated measurements of lower extremity alignment in radiographic images
Ki-Ryum Moon, Byoung-Dai Lee, Mu Sook Lee
Scientific Reports.2023;[Epub] CrossRef
Comparison of Lower-Limb Alignment in Patients with Advanced Knee Osteoarthritis: EOS Biplanar Stereoradiography versus Conventional Scanography
Hyeong-Uk Choi, Du-Han Kim, Si-Wook Lee, Byung-Chan Choi, Ki-Cheor Bae
Clinics in Orthopedic Surgery.2022; 14(3): 370. CrossRef
Prevalence of proximal tibia vara in Indonesian population with knee osteoarthritis
John Christian Parsaoran Butarbutar, Tommy Mandagi, Lasa Dhakka Siahaan, Earlene Tasya Suginawan, Elson, Irvan
Journal of Clinical Orthopaedics and Trauma.2022; 29: 101871. CrossRef
Morphometric parameters of the proximal femoral epiphysis and their effect on the hip joint
Jovan Varda, Vanja Valčić, Valentina Blagojević
Medicinski podmladak.2022; 73(2): 28. CrossRef
Factors related to femoral bowing among Korean female farmers: a cross-sectional study
Sangyoon Do, Chul Gab Lee, Dong Hwi Kim, GwangChul Lee, Kweon Young Kim, So Yeon Ryu, Hansoo Song
Annals of Occupational and Environmental Medicine.2020;[Epub] CrossRef
Effectiveness Evaluation of Scanogram Using Longbone Detector
Su-han Jang, Ji-eun Heo
Journal of Radiological Science and Technology.2020; 43(4): 235. CrossRef

288 View
8 Download
6 Crossref

Treatment for Intractable Infected Nonunion of Lower Extremity in Elderly People using External Fixator: Seung Jun Park, Jong Sup Shim, Sung Kee Shin; J Korean Fract Soc 2004;17(2):177-183. Published online April 30, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.2.177

Abstract PDF

PURPOSE
To introduce and report the results of treatment of old patients' infected nonunion using external fixator.
MATERIALS AND METHODS
Nine patients more than 60 years old were included in the study. Four cases had combined medical problems of diabetes, hypertension, and vascular disorder. We used Ilizarov fixator in eight cases and uni-lateral external fixator in one. All patients were treated with debridement, broad sequestrectomy, segmental resection, bone graft and compression of fracture site about 1~1.5 cm. We evaluated the final results by functional result and complication according to the criteria of Paley.
RESULTS
Average length discrepancy was 1.7 cm before operation by initial bone loss and final follow-up shortening was average 2.6 cm. Mean duration of fixtor removal was 5.2 months. We acquired bony union lastly in 8 cases. Final functional result was 3 excellent, 2 good, 2 fair and 2 poor. Among them, 2 good, 1 fair and 1 poor cases had medical problem.
CONCLUSION
In old patients, compression of nonunion site and early joint motion using external fixator seemed to be very useful in the treatment of intractable infected nonunion of lower extremity and in minimizing duration of treatment.

Citations

Citations to this article as recorded by

Treatment of Infected Nonunion
Sang-Ho Ha
Journal of the Korean Fracture Society.2007; 20(2): 206. CrossRef

152 View
0 Download
1 Crossref

Limb Salvage versus Early Amputation according to Mangled Extremity Severity Score in Treatment of the Lower Extremity Open Fractures associated with Severe Soft Tissue Injury: Kyung Jin Song, Yong Min Kim, Kyung Rae Lee; J Korean Soc Fract 2002;15(1):28-35. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.28

Abstract PDF: PURPOSE
To evaluate the availability of the mangled extremity severity score(MESS) in deciding the early treatment modality for the patients with open lower extremity fractures and severe soft tissue injury.
MATERIALS AND METHODS
Analyzed 27 patients for the lower extremity open fractures with extensive soft tissue injury. A comparative study using a MESS, a cause of injury, vascular injury and a fracture pattern, average hospital stay and average hospital charges were analyzed, and daily living ability and subjective self-evaluation were assessed.
RESULTS
There was statistically significant correlation applying MESS to patient group that had been operated by early amputation because of severe soft tissue and vascular injury. But there was no significant difference in the subjective self-assessment score, admission period and total cost during admission between each treatment method.
CONCLUSION
MESS can be used as an objective assessment criteria in deciding the proper treatment modality for the cases of lower limbs fracture with extensive soft tissues and vascular injury.

114 View
0 Download

Search