Journal of the Korean Fracture Society最新文献_第4页

Analysis of the Changes in Femoral Varus Bowing and the Factors Affecting Nonunion for the Treatment of Femoral Shaft Fractures over 60 Years Old Using Piriformis Fossa Insertion Intramedullary Nailing 梨状窝插入髓内钉治疗60岁以上股骨干骨折股骨内翻弯曲变化及影响骨不连的因素分析

Journal of the Korean Fracture Society Pub Date : 2020-04-01 DOI: 10.12671/jkfs.2020.33.2.65

Yonghan Cha, C. H. Park, J. Yoo, Jung-Taek Kim, W. Kim, Ha-Yong Kim, W. Choy

{"title":"Analysis of the Changes in Femoral Varus Bowing and the Factors Affecting Nonunion for the Treatment of Femoral Shaft Fractures over 60 Years Old Using Piriformis Fossa Insertion Intramedullary Nailing","authors":"Yonghan Cha, C. H. Park, J. Yoo, Jung-Taek Kim, W. Kim, Ha-Yong Kim, W. Choy","doi":"10.12671/jkfs.2020.33.2.65","DOIUrl":"https://doi.org/10.12671/jkfs.2020.33.2.65","url":null,"abstract":"Financial support: None. Conflict of interests: None. Purpose: This study examined the bony morphological changes to analyze the factors affecting bony union in the treatment of elderly femoral shaft fractures with varus bowing using piriformis fossa insertion intramedullary nailing. Materials and Methods: This study included 26 patients over 60 years of age, who were admitted for femoral shaft fractures between January 2005 and December 2014 and treated with piriformis fossa insertion intramedullary nailing. Age, sex, height, weight, bone mineral density, injury mechanism, fracture type, diameter and length of the nail, postoperative lengthening of the femur, postoperative change in varus angle, contact between the lateral and anterior cortex, and the gap between the fracture line and the bony union were checked. The patients were divided into a varus group and nonvarus group, as well as a bone union group and nonunion group. Logistic regression analysis was performed to analyze the factors affecting nonunion. Results: The patients were classified into 11 in the varus group and 15 in the non-varus group and 24 in the union group and 2 in the nonunion group. The varus group showed a larger increase in leg length and varus angle reduction than the non-varus group (p<0.05). The union group had more contact with the lateral cortical bone than that of the nonunion group (p<0.05). The factor affecting bone union in regression analysis was contact of the lateral cortical bone (p<0.05). Conclusion: Treatment of a femoral shaft fracture in elderly patients with a varus deformity of the femur using piriformis fossa insertion intramedullary nail increases the length of the femur and decreases the varus deformity. For bony union, the most important thing during surgery is contact of the lateral cortical bone with the fracture site.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123656585","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

Three-Dimensional Analysis of the Morphological Features in the Femur of Atypical Fracture and Practical Implications of Intramedullary Nailing 非典型骨折股骨形态特征的三维分析及髓内钉的实用意义

Journal of the Korean Fracture Society Pub Date : 2020-04-01 DOI: 10.12671/jkfs.2020.33.2.87

Yong-Uk Kwon, Kyung-Jae Lee, Joo Young Choi, Gu-Hee Jung

{"title":"Three-Dimensional Analysis of the Morphological Features in the Femur of Atypical Fracture and Practical Implications of Intramedullary Nailing","authors":"Yong-Uk Kwon, Kyung-Jae Lee, Joo Young Choi, Gu-Hee Jung","doi":"10.12671/jkfs.2020.33.2.87","DOIUrl":"https://doi.org/10.12671/jkfs.2020.33.2.87","url":null,"abstract":"Purpose: This study analyzed the morphological features of the contralateral femur without an atypical fracture by constructing a three-dimensional model with an actual size medullary canal. Materials and Methods: Lateral and anterior bowing of the shaft were measured for 21 models, and the shape of the medullary canal was analyzed. To eliminate the projection error, the anteroposterior (AP) femur was rotated internally to the extent that the centerline of the head and neck, which is the ideal position of cephalomedullary nail screw, was neutral, and the lateral femur matched the medial and lateral condyle exactly. Results: The lateral bowing and anterior bowing was an average of 5.5 ° (range, 2.8 ° -10.7 ° ; standard deviation [SD], 2.4 ° ) and 13.1 ° (range, 6.2 ° -21.4 ° ; SD, 3.2 ° ), respectively. In the area where lateral bowing increased, the lateral cortex became thicker, and the medullary canal was straightened. On the lateral femur, the anterior angle was increased significantly, and the diameter of curvature averaged 1,370.2 mm (range, 896-1,996 mm; SD, 249.5 mm). Conclusion: Even if the anterolateral bowing increases in the atypical femur, the medullary canal tends to be straightened in the AP direction. So, it might be considered as a reference to the modification of an intramedullary nail to increase the conformity.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131358603","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

Treatment of Periprosthetic Fracture after Total Elbow Replacement Arthroplasty 全肘关节置换术后假体周围骨折的治疗

Journal of the Korean Fracture Society Pub Date : 2020-04-01 DOI: 10.12671/jkfs.2020.33.2.110

Hyunseok Seo, Jin-Hyung Im, Joo-Yup Lee

引用次数: 1

Results of Single Small Incision Minimally Invasive Plate Osteosynthesis in the Treatment of the Distal Radius Fractures 单小切口微创钢板内固定治疗桡骨远端骨折的效果

Journal of the Korean Fracture Society Pub Date : 2020-04-01 DOI: 10.12671/jkfs.2020.33.2.72

Y. S. Kim, Jong Pil Kim, P. Chung, H. M. Lee, Bo Sung Go

{"title":"Results of Single Small Incision Minimally Invasive Plate Osteosynthesis in the Treatment of the Distal Radius Fractures","authors":"Y. S. Kim, Jong Pil Kim, P. Chung, H. M. Lee, Bo Sung Go","doi":"10.12671/jkfs.2020.33.2.72","DOIUrl":"https://doi.org/10.12671/jkfs.2020.33.2.72","url":null,"abstract":"Financial support: None. Conflict of interests: None. Purpose: This study compared minimally invasive plate osteosynthesis (MIPO) using a single small skin incision and conventional open volar locking plate fixation (OP) for distal radius fracture to identify outcome difference. Materials and Methods: Forty-three patients who underwent MIPO using a single small skin incision or OP for distal radius fractures were evaluated retrospectively. Of the patients, 21 were treated with MIPO using a single small skin incision and 22 with the OP method through the conventional volar approach. The postoperative radiographic results and clinical outcomes at the final follow-up in each group were compared. Results: All patients achieved bone union in the MIPO and OP groups. No significant differences in the bone union time, alignment, range of motion, QuickDASH, or pain score were observed. On the other hand, the size of the incision was significant: 23 mm in the MIPO group and 55 mm in the OP group (p<0.001). Conclusion: MIPO technique using a single small incision showed similar satisfactory radiographic and functional outcomes compared to conventional OP for distal radius fractures. The MIPO technique using a single small incision offered advantages, including cosmetic benefits and minimal soft tissue damage, is recommended, particularly in young women and high functional demand patients.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123306638","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

Usefulness of Sonication in Implant-Related Infection 超声在种植体相关感染中的应用

Journal of the Korean Fracture Society Pub Date : 2020-04-01 DOI: 10.12671/jkfs.2020.33.2.81

J. Seo, M. N. Kim, Ji Wan Kim

{"title":"Usefulness of Sonication in Implant-Related Infection","authors":"J. Seo, M. N. Kim, Ji Wan Kim","doi":"10.12671/jkfs.2020.33.2.81","DOIUrl":"https://doi.org/10.12671/jkfs.2020.33.2.81","url":null,"abstract":"Purpose: This study determined whether the sonication of explants could improve the detection of bac-teria and influence the optimal antibiotics treatment. Materials and Methods: This retrospective study included the patients who underwent implant removal surgery followed by sonication culture as well as tissue culture in order to diagnose implant-related infection. A total of 37 consecutive patients with 41 cases were included. The patients ’ demographic data, use of preoperative antibiotics, type of implants, change of antibiotics following the culture results, and recurrence of infection were all reviewed. Results: Among 41 cases, 20 cases met the diagnostic requirements for implant-related infection as defined by musculoskeletal infection society criteria, while the other 21 cases had explant sonication to exclude indolent infection or residual infection. The latter showed negative results on the both explant cultures and tissue cultures. Among the 20 cases that met the requirements for implant-related infection, 19 cases (95.0%) were identified by any cultures. Of the 19 cases with positive culture results, 2 cases (10.5%) showed positive results only on sonication cultures, and one case (5.3%) showed positive results only on tissue culture. In 1 case of culture negative implant-related infection, a drain sinus was present preoperatively, but the cultures were negative according to both methods. The culture results made postoperative antibiotics change in 12 cases among the 19 culture (+) cases. Antibiotics changes were based on the tissue culture in 2 cases, 2 cases were based on the sonication culture, and the remaining 8 cases were based on both cultures. Conclusion: The sonication culture improved the diagnosis of implant-related infection combined with conventional tissue culture and helped to determine administering the proper antibiotics.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114839084","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

Intraspinal Extradural Cyst Subsequent to a Vertebral Compression Fracture: A Case Report 椎骨压缩性骨折后椎骨内硬膜外囊肿1例报告

Journal of the Korean Fracture Society Pub Date : 2020-04-01 DOI: 10.12671/jkfs.2020.33.2.105

Byeong-Yeol Choi, J. Choi

引用次数: 0

Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty): A Case Report 自体骨软骨移植(镶嵌成形术)治疗股骨头骨折伴髋关节脱位1例

Journal of the Korean Fracture Society Pub Date : 2020-04-01 DOI: 10.12671/jkfs.2020.33.2.96

E. Choi, H. Shon, Ho-Seung Jeong, Jae-Young Yang, Seok-Hyun Hong, B. Ahn

引用次数: 1

Periprosthetic Fracture after Total Shoulder Arthroplasty 全肩关节置换术后假体周围骨折

Journal of the Korean Fracture Society Pub Date : 2020-04-01 DOI: 10.12671/jkfs.2020.33.2.118

N. Cho, M. Kim, JaeWon Yang, Jeung-Hwan Seo, Dong Won Seo

引用次数: 0

Simulation for Reduction of Transverse Acetabular Fractures in Sawbones Models 锯骨模型中髋臼横向骨折复位的模拟

Journal of the Korean Fracture Society Pub Date : 2019-10-01 DOI: 10.12671/jkfs.2019.32.4.196

Seongeun Byun, C. Mauffrey, Jehyun Yoo, C. Park, J. Hwang

引用次数: 1

Total Hip Arthroplasty after Acetabular Fracture: Acute Phase and Delayed Phase 髋臼骨折后全髋关节置换术:急性期和延迟期

Journal of the Korean Fracture Society Pub Date : 2019-10-01 DOI: 10.12671/jkfs.2019.32.4.232

Hwan-Hee Lee, Se-Won Lee, W. Kim

引用次数: 0