Journal of Musculoskeletal Trauma

False Negative Bone Scan in 56-year Old Man with L2 Compression Fracture Performed 78 Hours after Trauma: A Case Report: Jeong Gook Seo, Hae Kyun Joo, Sung Tae Kim; J Korean Fract Soc 2010;23(4):386-390. Published online October 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.4.386

Abstract PDF: It is very rare that the bone scan after 72 hours from the trauma doesn't exhibit the increased radio-nuclide uptake in the patient with fracture. The purpose of this study is to report the case that indicate the false negative finding in the bone scan performed after 78 hours from the trauma in the 56-year-old man with L2 compression fracture, including a review of the relevant literatures.

49 View
0 Download

Primary Bipolar Hemiarthroplasty for the Treatment of Unstable Intertrochanteric Fractures in Elderly Patients: You Sung Suh, Sung Tae Kim, Soo Jae Yim, Yon Il Kim, Soo Kyoon Rah, Chang Uk Choi; J Korean Soc Fract 2000;13(2):222-229. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.222

PURPOSE
: The purpose of this paper was to present the clinical and roentgenographic results were obtained with bipolar hemiarthroplasty as a primary treatment for comminuted unstable intertrochanteric fracture in elderly patients with severe osteoporosis. The goal of this treatment is early ambulation with early weight bearing to prevent the complications such as a deep vein thrombosis, pulmonary embolism, pneumonia or atelectasis, and pressure sore.
MATERIALS AND METHODS
: Twenty consecutive patients who were more than seventy years old with severe osteopotosis and had an comminuted unstable intertrochanteric fractures were treated by primary bipolar hemiarthtoplasty from January 1995 through January 1998 at the Department of Orthopaedic Surgery of Soonchunhyang University Hospital. If there were fractured at the lesser or the greater, a circlage wire or Dall-Miles system (trochanter cable grip system) was passed through the lesser and the greater trochnater to permit its subsequent fixation to the medial and the lateral side of the femoral component. The functional results were judged according to the hip rating scale of Merle d' Aubigne.
RESULTS
: The mean age at operation was 79.8(70 to 92) years old. The most common type according to the Evans classification system was I -d(10 cases, 50%). Singh index was case(5%) of Grade I , 7 cases(35%) of Grade II, 10 cases(50%) of Grade III and 2 cases(10%) of Grade IV. The mean bone mineral density(BMD) was -4.24(-6.95 - -3.17). The functional results in 75% of the patients were rated as excellent, very good, or good and in 25% as fair, poor, or bad.
CONCLUSION
: Primary bipolar hemiarthroplasty for the treatment of comminuted unstable intertrochanteric fractures in elderly patients with severe osteoporosis could return these patients to their pre-injury level of activity quickly, thus obviating the postoperative complications caused by immobilization.

Citations

Citations to this article as recorded by

A STUDY OF PRIMARY CEMENTED BIPOLAR HEMIARTHROPLASTY OF HIP IN ELDERLY PATIENTS WITH OSTEOPOROTIC, UNSTABLE INTERTROCHANTERIC FRACTURE
Maheshwar Lakkireddy, Radhakrishna Rapaka, Naveen Gouru, Shivaprasad Rapur
Journal of Evidence Based Medicine and Healthcare.2015; 2(35): 5447. CrossRef

68 View
0 Download
1 Crossref

Interlocking Intramedullary Nailing for femoral Shaft Fracture: Closed and Open Nailings: Ju Hai Chang, Jong Min Sohn, Dong Reon An, Sung Tae Kim; J Korean Soc Fract 1995;8(4):760-766. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.760

Abstract PDF: Femoral shaft fractures are caused by violent external forces like motor vehicle or falling down accident and associated with multiple injuries of other parts of the body, so that accurate reduction and rigid fixation is mandatory to ensure early fracture healing and mobilization of patients. Authors thought that the interlocking intramedullary nailing may be one of methods that can provide rigid and stable fixation for the unstable fracture of femoral shaft. Thus this study was carried out to assess the effectiveness of open reduction and interlocking intramedullary nailing to the comminuted unstable femoral shaft fracture. Twenty-seven femoral shaft fractures were treated by closed or open interlocking intramedullary nailing from July 1990 through August 1994 and followed-up at least for 12 months. Closed nailings were 11 and open nailings were 16 cases. Radiological union was obtained at an average of 15 weeks in closed nailing cases and at an average of 21 weeks in open nailing cases. However, comparative anlysis of union times was meaningless because of different fracture patterns in both open and closed nailings. Clinical results by Thoresens classification were excellent in all cases. Complications were 3 iatrogenic cortical fractures developed by closed nailing procedures and 3 deep infections, one after closed nailing and two after open nailing. There was no sequela related directly to the intramedullary nailing. Authors thought is that open intramedullary nailing is beneficial to the unstable comminuted fracture of femoral shaft in spite of increasing risk of infection, because that permits accurate reduction and secure fixation of the comminuted fragments and sometimes bone grafting with compatible clinical results.

39 View
0 Download

Search