Journal of Musculoskeletal Trauma

Original Articles

Comparison of the results between reamed and unreamed femoral nailing: Bum Soo Kim, Sung Do Cho, Yong Sun Cho, Tae Woo Park, Sogu Lew, Hyung Jin Cho, Soo Hyun Cho; J Korean Soc Fract 2001;14(2):208-213. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.208

Abstract PDF: PURPOSE
To evaluate the effectiveness between reamed and unreamed nailing in the treatment of femoral shaft fracture.
MATERIALS AND METHODS
Among the patients of femoral shaft fracture who were treated with reamed and unreamed nail, we reviewed 49 patients whose follow-up was possible for more than 1 year. The patients were divided into two groups: the reamed and the unreamed group. We reviewed union time, nonunion rate, complication and operation time and compared the effectiveness.
RESULTS
The average union time was 30.6 weeks in unreamed group and 27.8 weeks in reamed group, which was not different statistically. There were 5 cases of nonunion in 22 unreamed cases and 3 cases in 27 reamed cases, which meant no statistical difference. There was no significant difference of complications between the two groups. The mean operation time was 141 minutes in reamed group and 110 minutes in unreamed group, which meant statistical difference.
CONCLUSION
There was no significant difference in union time, nonunion rate and comlication between reamed and unremed group. The operation time was shorter in unreamed group, so unreamed nailing can be preferred in the treatment of multiply injured patient.

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Operative Treatment of Metacarpal Shaft Fracture: Bum Soo Kim, Sung Do Cho, Yong Sun Cho, Tae Woo Park, Hwa Chel Cheong, Soon Woo Hong, Soo Hyun Cho; J Korean Soc Fract 1999;12(3):720-726. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.720

The goal of treatment of fractures of the metacarpals includes the restoration or preservation of hand function. To accomplish this goal, the physician must select a method that will offer the least soft tissue damage and accelerate the mobilization of the injured part as soon as the fracture stability permits. The majority of fractures of metacarpals can be effectively treated by nonoperative approach, but when several metacarpals are fractured, when there is open soft tissue trauma, and when there are displaced fractures that cannot be reduced or cannot maintain the reduction, internal fixation is indicated. The authors reviewed 117 cases of metacarpal shaft fractures on which the operative treatment was performed. Closed reduction and percutaneous Kirschner wire fixation were performed on the 62 cases, open reduction and Kirschner wire fixation were performed on the 12 cases, closed reduction and percutaneous screw fixation were performed on the 16 cases, and open reduction and plate and screw fixation were performed on the 27 cases. The patient was followed up for 36 months in average. The results were evaluated on the basis of total active motion of the fingers. The results were satisfactory in 92 percent of the cases in closed reduction and percutaneous Kirschner wire fixation cases, 75 percent in open reduction and Kirschner wire fixation cases, 85 percents in open reduction and plate and screw fixation cases, and all the cases of the patients in the closed reduction and percutaneous screw fixation cases. The closed reduction and percutaneous screw fixation provided relatively stable fixation and minimal soft tissue injury, so the injured hand could be mobilized soon after the operation, and consequentely the excellent outcome was accomplished. So the authors suggest that in selected cases, the closed reduction and percutaneous screw fixation can be used as one of the good treatment methods in the treatment of metacarpal fractures.

Citations

Citations to this article as recorded by

A Comparative Study of Tensile Strength of Three Operative Fixation Techniques for Metacarpal Shaft Fractures in Adults: A Cadaver Study
Jin Rok Oh, Doo Sup Kim, Jun Seop Yeom, Sang Kyu Kang, Yun Tae Kim
Clinics in Orthopedic Surgery.2019; 11(1): 120. CrossRef
Modified Bouquet Technique for Treatment of Metacarpal Neck Fractures
Yong-Gyu Sung, Seok-Whan Song, Yoon-Min Lee
Journal of the Korean Society for Surgery of the Hand.2016; 21(3): 137. CrossRef
Antegrade Intramedullary Prebent K-wire Fixation for the 5th Metacarpal Neck Fracture
Tae-Hyung Kim, Bo Hyeon Kim, In-Ho Jung, Dong-Hyun Kim
Journal of the Korean Fracture Society.2011; 24(1): 67. CrossRef
Bouquet Pin Intramedullary Nail Technique of the 5th Metacarpal Neck Fractures
Myung-Ho Kim, Moon-Jib Yoo, Jong-Pil Kim, Ju-Hong Lee, Jin-Won Lee
Journal of the Korean Fracture Society.2007; 20(1): 64. CrossRef

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