Journal of the Korean Fracture Society最新文献_第3页

Retrospective Comparative Study of the Intraoperative Fracture Gap Compression in the Treatment of Intertrochanteric Fracture Using Proximal Femoral Nail Antirotation 股骨近端钉反旋术中骨折间隙压缩治疗股骨粗隆间骨折的回顾性比较研究

Journal of the Korean Fracture Society Pub Date : 2020-10-01 DOI: 10.12671/jkfs.2020.33.4.179

Se Jin Kim, Hong-Man Cho, Jiyeon Park, K. An, Young-Woo Chung, W. Shin

{"title":"Retrospective Comparative Study of the Intraoperative Fracture Gap Compression in the Treatment of Intertrochanteric Fracture Using Proximal Femoral Nail Antirotation","authors":"Se Jin Kim, Hong-Man Cho, Jiyeon Park, K. An, Young-Woo Chung, W. Shin","doi":"10.12671/jkfs.2020.33.4.179","DOIUrl":"https://doi.org/10.12671/jkfs.2020.33.4.179","url":null,"abstract":"Purpose: Intertrochanteric fractures can be treated using proximal femoral nail antirotation (PFNA). This study examined the clinical and radiological results of the intraoperative fracture compression. Materials and Methods: Ninety-four patients underwent intraoperative compression (Group I), and 88 patients underwent natural sliding only (Group II). The patients were followed-up for more than two years. All patients met the following seven conditions: (1) AO/OTA 31-A1, A2 type intertrochanter fracture, (2) availability of compression of more than one cortical bone in the anterior or medial region of the fracture site under the preoperative imaging test, (3) Singh index grade ≥3, (4) blade position: center-center, center-inferior, (5) tip-apex distance < 25 mm, (6) reduction status of good or very good, and (7) positive or neutral medial cortical support position with slightly valgus reduction. Results: A slight tendency toward significant differences in acute phase pain between the two groups was observed at six weeks postoperatively (p=0.073). Twenty-four months after surgery, lateral extension of the PFNA helical blade between the two groups showed significant differences (p=0.017). Fracture gaps measured immediately after surgery showed significant differences (p=0.001), and a clear tendency for a significant difference in the average fracture union time was found (p=0.065). Conclusion: Intraoperative fracture compression, intraoperative fracture compression appears beneficial to achieve a successful union of trochanteric fractures provided that all conditions are met to apply the method safely.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122820450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Current Concepts in the Articular Cartilage Repair 关节软骨修复的最新概念

Journal of the Korean Fracture Society Pub Date : 2020-07-01 DOI: 10.12671/jkfs.2020.33.3.164

E. Yeo, W. Cho, Young Koo Lee

引用次数: 0

Current Concepts of Bone Healing 骨愈合的最新概念

Journal of the Korean Fracture Society Pub Date : 2020-07-01 DOI: 10.12671/jkfs.2020.33.3.171

D. Suh, Bong Mo Koo, J. Kang

引用次数: 0

Does the Use of a Silicone Ring Tourniquet Help Reduce Bleeding in the Minimally Invasive Internal Fixation with Locking Plate for Distal Femoral Fractures? 硅胶环止血带在股骨远端骨折微创锁定钢板内固定中是否有助于减少出血?

Journal of the Korean Fracture Society Pub Date : 2020-07-01 DOI: 10.12671/jkfs.2020.33.3.148

Ki-Bong Park, Hong-ki Jin, Il-Yeong Hwang, Sung-Who Chang, Sung-Cheon Na

引用次数: 1

Rare Experience of Bilateral Femoral Neck and Shaft Fractures: A Case Report 双侧股骨颈及股骨骨干骨折1例

Journal of the Korean Fracture Society Pub Date : 2020-07-01 DOI: 10.12671/jkfs.2020.33.3.154

Dae-Hyun Choe, Jae-Ho Lee, Ki-Chul Park

引用次数: 0

Rendezvous Surgery for Peri-Implant Fractures around Locking Compression Plate on Anterolateral Bowed Femur: A Case Report 锁定加压钢板周围植入物周围骨折的交会手术治疗:1例报告

Journal of the Korean Fracture Society Pub Date : 2020-07-01 DOI: 10.12671/jkfs.2020.33.3.159

Hong-Man Cho, Jiyeon Park

{"title":"Rendezvous Surgery for Peri-Implant Fractures around Locking Compression Plate on Anterolateral Bowed Femur: A Case Report","authors":"Hong-Man Cho, Jiyeon Park","doi":"10.12671/jkfs.2020.33.3.159","DOIUrl":"https://doi.org/10.12671/jkfs.2020.33.3.159","url":null,"abstract":"An 84-year-old female visited with an intertrochanteric femoral fracture. The patient had undergone an open reduction and internal fixation with a compressive plate and elastic nail in an ipsilateral atypical diaphyseal femoral fracture in the past. Compressive plate and elastic nail remained, and anterolateral bowing was presented. To treat the periprosthetic trochanteric fracture, a proximal femoral nail was used without removing the previously inserted compressive plate. Under the “rendezvous” technique, using a combination of fixating intramedullary nail and compressive plate simultaneously, the distal screw was fixed, and a femoral head lag screw was inserted after reducing the fracture. Complete union of the fracture was achieved 16 months after the operation, and a decrease in mobility function was not found postoperatively. The authors report this case for the “rendezvous” technique as a treat ment option for elderly patients with periprosthetic trochanteric fractures, who had previously undergone surgical treatment for ipsilateral atypical diaphyseal femoral fractures with anterolateral bowing.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127868264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Outcome after Treatment of Tibia Segmental Fracture with Intramedullary Nailing and Minimal Invasive Plate Osteosynthesis 髓内钉联合微创钢板内固定治疗胫骨节段性骨折的临床疗效

Journal of the Korean Fracture Society Pub Date : 2020-07-01 DOI: 10.12671/jkfs.2020.33.3.142

J. Lee, Hyung seok Park, D. Cha

{"title":"Clinical Outcome after Treatment of Tibia Segmental Fracture with Intramedullary Nailing and Minimal Invasive Plate Osteosynthesis","authors":"J. Lee, Hyung seok Park, D. Cha","doi":"10.12671/jkfs.2020.33.3.142","DOIUrl":"https://doi.org/10.12671/jkfs.2020.33.3.142","url":null,"abstract":"Financial support: None. Conflict of interests: None. Purpose: This study examined the clinical outcomes after the treatment of a tibia segmental fracture with intramedullary nailing (IM nailing) and minimal invasive plate osteosynthesis (MIPO). Materials and Methods: From July 2012 to December 2017, 14 out of 17 cases from a treatment cohort of 32 cases of AO type 42 C2 tibia segmental fractures with IM nailing and MIPO were studied retrospectively. Periodic radiographs were used to evaluate the presence of union, union time, and radiographic evaluation of bony union (varus-valgus deformity, anteroposterior angular deformity, shortening). To evaluate the postoperative clinical function, modified Rasmussen’s system was used for proximal fractures, and the American Orthopaedic Foot and Ankle Society functional score was used for distal fractures. Results: Bony union was achieved in all 14 cases, and the average union time was 26 weeks. In one case of soil contamination, there were no other complications other than simple debridement after a soft tissue infection. The mean varus was two degrees; the mean anteroposterior angular deformity was three degrees of anterior oblique; the mean length shortening was 5 mm (2-9 mm). The mean functional score of the knee joint with the Modified Rasmussen’s system measured for the postoperative clinical function was relatively good (excellent 9, good 4, fair 1, and poor 0). The results of the Molander and Olerud Functional scores of the ankle joints were also good (excellent 8, good 3, fair 2, poor 0). Conclusion: The treatment of tibia segmental fractures with IM nailing and MIPO can effectively reduce the gap of fracture sites. Hence, it is possible to increase the bony union probability and obtain relatively satisfactory alignment. Overall, the treatment of tibia segmental fractures with IM nailing and minimally invasive plate osteosynthesis appears to be a useful treatment, considering the preservation of the soft tissue and the alignment of the tibia.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129017608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and Radiological Outcomes of Polished Cemented Bipolar Hemiarthroplasty for Intertrochanteric Fractures in Elderly Patients 抛光骨水泥双极半关节置换术治疗老年患者粗隆间骨折的临床和影像学结果

Journal of the Korean Fracture Society Pub Date : 2020-07-01 DOI: 10.12671/jkfs.2020.33.3.134

S. Kweon, C. Shin, Y. Lee, Min-Woo Kim, Tae-Ho Kim

{"title":"Clinical and Radiological Outcomes of Polished Cemented Bipolar Hemiarthroplasty for Intertrochanteric Fractures in Elderly Patients","authors":"S. Kweon, C. Shin, Y. Lee, Min-Woo Kim, Tae-Ho Kim","doi":"10.12671/jkfs.2020.33.3.134","DOIUrl":"https://doi.org/10.12671/jkfs.2020.33.3.134","url":null,"abstract":"Purpose: To evaluate the clinical and radiological outcomes of bipolar hemiarthroplasty using a polished cemented femoral stem for intertrochanteric fractures in elderly patients. Materials and Methods: From July 2005 to May 2015, 48 patients diagnosed with intertrochanteric fractures underwent bipolar hemiarthroplasty. The mean age and follow-up period were 80.5 years and 30.5 months, respectively. The postoperative results were evaluated clinically and radiologically. Results: The mean operation time was 100 minutes (range, 90-120 minutes), and the mean amount of blood loss was 334 ml (range, 170-500 ml). At the last follow-up, the mean Harris hip score (HHS), visual analogue scale (VAS), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were 82.2 (range, 76-90), 0.8 (range, 1-3), and 36 (range, 30-40), respectively. Walking was initiated using a walker for partial weight-bearing, and the mean walking time was 5.8 days (range, 3-14 days). Ambulatory ability was restored to a walking state before the injury in 36 cases (75.0%), and wheelchair ambulation was possible in 12 cases (25.0%). The instrumental activities of daily living (IADLs) were 17 patients (35.4%), and the basic activities of daily living (BADLs) were 31 patients (64.6%). Conclusion: Polished cemented bipolar hemiarthroplasty can achieve secure fixation with no postoperative thigh pain. Restoring the preoperative walking ability will be more helpful for intertrochanteric fractures in elderly patients.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128276777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of a Novel Box-Frame External Fixator and Conventional Delta-Frame External Fixator in the Staged Treatment of Distal Tibia Fractures 新型盒架外固定架与传统三角架外固定架分阶段治疗胫骨远端骨折的比较

Journal of the Korean Fracture Society Pub Date : 2020-07-01 DOI: 10.12671/jkfs.2020.33.3.125

Yong-Cheol Yoon, MinKyu Shin, C. Oh, Jong-Keon Oh

引用次数: 1

Treatment of Atypical Ulnar Fracture Associated with Bisphosphonate Therapy: A Case Report 双膦酸盐治疗非典型尺骨骨折1例

Journal of the Korean Fracture Society Pub Date : 2020-04-01 DOI: 10.12671/jkfs.2020.33.2.101

Dong-Soo Kim, Ji-Kang Park, E. Choi, Ho-Seung Jeong, Seok-Hyun Hong, B. Ahn

引用次数: 0