Journal of Musculoskeletal Trauma

Total Hip Arthroplasty Following Acetabular Fracture: Myung Chul Yoo, Yoon Je Cho, Kang Il Kim, Young Soo Chun, Dong Oh Ko, Jin Woong Yi; J Korean Soc Fract 2003;16(2):121-127. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.121

Abstract PDF: PURPOSE
We evaluated the results of secondary total hip arthroplasty (THA) after acetabular fracture. MATERIAL & METHODS: Twenty cases of THA were performed to treat acetabular fracture as a secondary treatment after conservative management (6 cases) or internal fixation (14 cases). The mean follow up period was 5 years 2 months. The cause of secondary THA was post traumatic arthritis in 15 hips and osteonecrosis of the femoral head in 5. Cementless acetabular cup was used in 18 cases and cemented in 2 cases. Cementless femoral component was used in 18 cases and cemented in 2 cases. Serial Harris hip score (HHS), pain, limb length discrepancy and radiographs were evaluated.
RESULTS
HHS improved from 57 points to 91 points. Osteolysis in the acetabular component occurred in 2 cases and 5 cases in the femoral component. Loosening occurred in 2 cases of cemented acetabular components and 1 case in the femoral component. In this study, 3 cases (15%) required revision of the acetabular component and 2 cases (10%) of the femoral component.
CONCLUSION
The clinical results of THA after acetabular fracture was inferior to that of conventional arthroplasty. The secure cementless acetabular fixation with proper bone grafting is mandatory to improve the survival of acetabular component.

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Treatment of Peritrochanteric Fracture of Femur with Angulated Blade Plate: Myung Chul Yoo, Yoon Je Cho, Kang Il Kim, Young Soo Chun, Chang Hyeok Kwon, Dong Jin Shin; J Korean Soc Fract 2001;14(3):351-357. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.351

Abstract PDF: PURPOSE
To clarify the efficacy of angulated blade plate fixation in the treatment of complex peritrochanteric fracture of femur.
MATERIALS AND METHODS
Thirty peritrochanteric fractures treated with angulated blade plate, with a follow-up period of more than twelve months, were included. There were twenty subtrochanteric fractures and ten intertrochanteric fractures in which compression hip screw could not be applied due to comminution of trochanteric area. Average age was fifty six years(range, 17 to 76). Average follow-up period was 22.4 months(range, 12 to 31).
RESULTS
Average time to bony union for those fractures that healed primarily was 5 months. Solid union occurred in all cases with two malunion. Infection, implant failure, femoral head protrusion was not occurred.
CONCLUSION
Angulated blade plate can be a useful alternative for the fixation of comminuted peritrochanteric fracture if appropriate fixatives are not available.

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Treatment of comminuted supracondylar fractures of the femur using Ilizarov method: Myung Chul Yoo, Yoon Je Cho, Ki Tack Kim, Young Soo Chun, Na Sil Pyo, Sung Gun Kim; J Korean Soc Fract 1999;12(3):529-537. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.529

Abstract PDF: PURPOSE
To evaluate the effectiveness of the Ilizarov method as a treatment of open or comminuted supracondylar fractures which are uncommon, and difficult to manage because of the wide range of potential complications.
MATERIALS and METHODS
Between 1992 and 1999, we treated open or comminuted supracondylar fractures of the femur by Ilizarov method in whole period or conversion to OR/IF with or without bone graft after transient Ilizarov fixation. There were 13 cases in 11 patients. Open comminuted fractures were seven cases and closed comminuted fracutres were six cases. We compared Ilizarov method in all procedures and temporary mode followed by internal fixation for definite care.
RESULTS
According to Schatzker and Lamberts assessment the results were good or excellent in ten cases(77%). And the results were rated as good or excellent in 67% of case of Ilizarov method in all procedures, and 86% of cases changed to OR/IF.
CONCLUSION
Ilizarov technique is an useful method in cases of open and/or comminuted supracondylar fractures of the femur. And after initial stabilization of fracture, conversion to OR/IF is advisable to prevent pin site infection and allow ROM excercise of the knee joint.

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Consumptive Coagulopathy Secondary to a Traumatic False Aneurysm of Deep Femoral Artery: Duke Whan Chung, Hwi Joong Yoon, Chang Moo Yim, Young Soo Chun, Hyun Ju Park; J Korean Soc Fract 1998;11(1):85-90. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.85

Abstract PDF: A case of consumptive coagulopathy due to pseudoaneurysm, which occured as a complication of intramedullary nailing, was rarely reported. Pseudoaneurysm of peripheral artery is presented with pulsating mass and may show extrinsic indentations of the adjacent bone. The coagulopathy and bleeding responded to surgical elimination of the fistula and aneurysm. Diffuse intravascular coagulopathy or consumptive coagulopathy is infrequently associated with pseudoaneurysm of deep femoral artery. Laceration of major arteries are more common in open than in closed fractures. They usually occur only when a major artery is in close proximity to bone as complications to frractures. Diffuse intravascular coagulopathy or consumptive coagulopathy is characterized clinically by excessive bleeding, ecchymosis and petechiae and by laboratory evidence of a disease in the numbers of platelets and amount of fibrinogen and an increase of fibrin degradation products with prolonged prothrombin and partial thromboplastin times. When the two coexist, they create a difficult clinical problem that reuires optimal medical and surgical treatments. If the appropriate treatment was delayed, serious complication such as sepsis or death could be occured. Prompt recongnition through appropriate laboratory tests and early surgical intervention was indicated essentially. We are reporting one case of coagulopathy associated with pseudoaneurysm of deep femoral artery that presented to the broad clinical picture.

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