Although calcaneal fracture is relatively common in ankle injury, open intraarticular calcaneal fracture with dorsal dislocation of the navicular from talus is extremely rare and severe injury. There are few data which are available concerning the injury mechanism and treatment options. The purpose of this report is to describe a case with bilateral open transcalcaneal fracture with talonavicular dislocation and to discuss the prevalence, mechanism of this injury, and treatment options.
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Results in Operative Treatment of Open Calcaneal Fracture Ba Rom Kim, Jun Young Lee, Donghyuk Cha Journal of Korean Foot and Ankle Society.2021; 25(3): 133. CrossRef
PURPOSE To compare the efficacy of the surgical treatment through the comparison of Minimally Invasive Plate Osteosynthesis (MIPO) and Intramedullary (IM) nailing in the treatment of the tibial shaft fractures expended to metaphysis retrospectively. MATERIALS AND METHODS Patients with proximal or distal third fracture of tibial shaft from May 2003 to Aug. 2006 were divided into two groups depending on the surgical method. Group A consisted of 30 patients treated with IM nailing, Group B was 29 patients treated with MIPO. The clinical outcomes were evaluated retrospectively from the time for bone union and callus formation confirmed by X-ray, functional score of knee or ankle joint, and complications including nonunion, malalignment and infection. RESULTS Bone union was seen radiologically at a mean of 17.4 weeks in group A, and 17.0 weeks in group B. In postoperative complications, group A showed two nonunion, two delayed-union, six malalignment, and two wound infection while group B showed only one delayed-union and one wound infection. CONCLUSION There were no significant differences in the time for bony union and functional score between IM nailing and MIPO. Conventional IM nailing with only interlocking technique showed higher incidence of malalignment and deformity than MIPO for the treatment of the proximal or distal third fracture of the tibial shaft.
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Effect of Korean Medicine Treatments in Patients with Proximal Tibia Fracture: A Retrospective Observational Study Jung Min Lee, Eun-Jung Lee Journal of Korean Medicine Rehabilitation.2020; 30(3): 141. CrossRef
We present a rare case that atlanto-occipital assimilation can be misdiagnosed as C1-2 anterior subluxation. This is a lack of familiarity in orthopedic surgeon that was not used to manage the upper cervical spine injury. So the treatment of this entity need to get careful diagnosis and attention.
PURPOSE This study summarizes the satisfactory results obtained using a composite fixation method for the surgical treatment of long bone fractures in elderly patients with osteoporosis. MATERIALS AND METHODS We reviewed 10 cases of long bone fractures, that were treated by composite fixation, involving patients over 60 years of age that presented with radiological osteoporosis. Composite fixation was applied incorporating, traditional plate and screw fixation in conjunction with bone graft, plate or intramedullary bone cement at four cases of humeral shaft fractures, three cases of femur supracondylar fractures, two cases of femur shaft fractures, and one case of tibia shaft fracture. Results were evaluated in methods of ambulation, range of motion, bony union and complications. RESULTS Satisfactory ambulation and range of motion was observed in all cases, which showed bony union without early implant failure. No re-operation were necessary due to nonunion. No medical complication was noted. CONCLUSION The results shows that the composite fixation method provided a stable reduction and a rigid fixation, which facilitated bony union, and allowed elderly patients with osteoporosis an early range of motion and mobility after the surgical treatment of long bone fractures.
Postoperative periprosthetic fracture of the femur after hip arthroplasty is a serious complication that can be difficult to treat. Moreover, it has become more common in recent years, as the cases of hip arthroplasty and revisonal hip arthroplasty increase. We have experienced a postoperative periprosthetic fracture of th femur probably caused by a surgical instrument left in the medullary canal during hip arthroplasty. We report this case with reference to other related articles.
Femur is one of the most frequent sites of nonunion and femoral nonunion imposes many complications secondary to repeated surgical procedures and immobilizations. Many kinds of treatment options have been used and studied for comparison, but still the classical principle is rigid fixation, bone grafting, and adequate postoperative immobilization. In this study, the results of surgical treatment for femoral nonunion were analyzed. From July 1995 to August 1997, a total of 14 cases of femoral nonunion were treated surgically at the department of Orthopedic Surgery of the Seoul National University Hospital. All cases were treated by autogenous bone graft and internal fixation. For internal fixation, plate and screws were used in 10 cases and intramedullary nail in 3 cases and compression hip screw in 1 case. Postoperatively, hip spica cast was applied in 8 cases, cast brace in 2 cases and long leg splint in 1 case. In the other 3 cases, no additional support was adopted. In all cases, clinical union was achieved at postoperative 5 months in average. There was no significant complication except one case of marked limited motion in knee followed by hip spica cast.
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Cause and Treatment of the Nonunion of Femoral Shaft Fracture after Interlocking Intramedullary Nailing Sung-Soo Kim, Sung-Keun Sohn, Chul-Hong Kim, Myung-Jin Lee, Lih Wang Journal of the Korean Fracture Society.2007; 20(2): 141. CrossRef