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Original Articles
- Torsional Deformity Following Intramedullary Nailing for Treatment of the Tibia Fractures
- Ju O Kim, Sung Jun Lee, Yeub Kim, Hae Ryong Huh
- J Korean Soc Fract 2000;13(4):928-934. Published online October 31, 2000
- DOI: https://doi.org/10.12671/jksf.2000.13.4.928
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Abstract
PDF - PURPOSE
To determine the incidence and extent of torsional mal-alignment in patients with tibial shaft fractures treated with closed antegrade intramedullary(IM) nailing.
MATERIALS AND METHODS
We measured torsion using CT scanning in 35 patients. Affected tibiae were compared with the normal tibiae.
RESULTS
A torsional difference of 8degrees or more found in 22 cases(63%) as compared with the uninjured side. Only 7 of these cases could be clinically detected and only two patients noted the problem.
CONCLUSION
Torsional mal-alignment occurs in a significant number of tibial fractures treated by closed IM nailing in spited of careful attention to detail. We recommend that torsional mal-alignment be considered as a likely cause for less than optimal result after treatment of the tibial fractures by closed IM nailing and to investigate this further by performing CT scans.
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- Operative Treatment of Intertrochanteric Fractures in Elderly Patients oyer 65 Years old
- Ju Chul Chung, Jae Yul Koh, Sung Jun Lee, Eun Jun Lee
- J Korean Soc Fract 1996;9(2):392-400. Published online April 30, 1996
- DOI: https://doi.org/10.12671/jksf.1996.9.2.392
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Abstract
PDF
- The incidence of intertrochanteric fracture of femur is much higher than past because of recent prolongation of average life span and increased activity. The goal of treatment of an intertrochanteric fracture must be restoration of the patient to his or her preoperative status at the earliest possible time. The authors analysed the 51 patients of the intertrochanteric fracture over 65 years old age who were operatively treated from Jan. 1989 to Dec. 1994. The results obtained were as follows 1. According to Tronzo classiffication, the most common type was type 3 in 3B cases (61%), and according to Evans classification, unstable fracture were more common (65%). 2. The degree of osteoporosis by Singh index were 27 cases (53%) in Grade III, 15 cases (29%) in Grade II, 7 cases (14%) in Grade IV, and 2 cases (4%) in Grade V. The osteoporotic group (Singh index I, II, III) had statistically significant correlation with unstable type fracture. 3. The patterns of reduction were anatomical reduction in 33 cases (66%), and valgus reduction (9 cases ; 18%), varus reduction (6 cases ; 12%), medialization (2 cases ,4%). 4. The mean union time was 14.1 weeks on compression hip screw group, and 15.7 weeks on Ender nail group, 15.4 weeks on Gamma nail group, 16.2 weeks on multiple pinning gloup. The authors couldnt find significant difference among the each groups. 5. Postoperative complications were occurred in 23 cases(45%) and more frequently in unstable type fracture(19 cases).
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