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Comparison of Bone Mineral Density in Elderly Patients according to Presence of Intertrochanteric Fracture
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Sang Ho Moon, Byoung Ho Suh, Dong Joon Kim, Gyu Min Kong, Hyeon Guk Cho
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J Korean Fract Soc 2007;20(3):222-226. Published online July 31, 2007
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DOI: https://doi.org/10.12671/jkfs.2007.20.3.222
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Abstract
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To analyze difference in bone mineral density (BMD) between intertrochanteric fracture and control group and to explore the predictive value of BMD for intertrochanteric fracture. MATERIALS AND METHODS 57 patients who were over 60-year-old with intertrochanteric fracture were examined. For control group, 110 patients who did not have any fracture were selected. Dual energy X-ray absorptiometry was studied at 1, 2, 3, 4 lumbar vertebrae, femoral neck, trochanter and Ward's triangle. BMD was compared at each site between two groups statistically. RESULTS Fracture group consisted of 16 male, 41 female and was average 70.8 year old. Control group consisted of 21 male, 89 female and was average 68.1 year old. There was no differences in sex and age between two groups (p>0.05). BMD of L1, L2 and mean lumbar area were significantly less in fracture group than control group (p<0.05). There was no difference between two groups in BMD of another sites (p>0.05). CONCLUSION BMD of L1, L2 and mean lumbar area in fracture group had lower value significantly, but had no differences between two groups at another sites. BMD of L1, L2 and mean lumbar area might be used as the most sensitive predictive indicator for risk of osteoporotic fractures including intertrochanteric fracture in elderly patient.
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Citations
Citations to this article as recorded by 
- An Analysis of the Changes in Bone Mineral Density in Long-Stay Patients of a Geriatric Hospital in Relation to Physical Therapy
Sang-Min Lee, Soon-Hee Kim, Ji-Sung Kim, Joong-San Wang, Sung-Won Kim, Nyeon-Jun Kim, Sook-Hee Lee, Kyoung-Ok Min Journal of International Academy of Physical Therapy Research.2011; 2(2): 267. CrossRef - Comparison of Bone Mineral Density in Elderly Patients over 65 Years according to Presence and Types of Hip Fracture
Myung-Ho Kim, Moon-Jib Yoo, Joong-Bae Seo, Hyun-Yul Yoo, Sang-Young Moon Journal of the Korean Fracture Society.2010; 23(3): 263. CrossRef - The Relationship between Hip Fracture and Bone Mineral Density in Elderly Patients
Hwa Jae Jeong, Jae-Yeol Choi, Jinmyung Lee, Kyubo Choi, Byeongsam Jeon Journal of the Korean Orthopaedic Association.2010; 45(3): 228. CrossRef - The Usefulness of Hip to Thigh Ratio as an Anthropometric Indicator for the Incidence of Hip Fracture
Jin Park, Kyu Hyun Yang, Seong Hwan Moon Journal of the Korean Fracture Society.2009; 22(1): 1. CrossRef
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Joint Depression Type of Intraarticular Calcaneal Fractures Treated with Essex-Lopresti Method
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Gyu Min Kong, Byoung Ho Suh, Dong Joon Kim
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J Korean Fract Soc 2007;20(2):178-183. Published online April 30, 2007
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DOI: https://doi.org/10.12671/jkfs.2007.20.2.178
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Abstract
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To evaluate the result of joint depression type of intraarticular calcaneal fractures treated with Essex-Lopresti method. MATERIALS AND METHODS From March 2001 to February 2005, Thirty two patients' joint depression type of intraarticular calcaneal fractures which treated with Essex-Lopresti method were clinically and radiographically evaluated retrospectively. RESULTS According to Creighton-Nebraska Health Foundation Assessment Score (C-N score), there were 5 excellent, 11 good, 6 fair and 10 poor results. Böhler angle was corrected from 10.3 degrees to 24.5 degrees. There was a positive correlation between size of depressed fragment and C-N score (p<0.01). CONCLUSION Essex-Lopresti method can substitute open reduction methods in joint depression type of intraarticular calcaneal fractures which have relatively large depressed joint fragments.
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- Treatment of Calcaneus Fractures: Recent Trend for Acute Fractures and Complications
Woo-Chun Lee Journal of the Korean Fracture Society.2007; 20(4): 361. CrossRef
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A Comparison according to Insertion Method for Intramedullary Nailing in Proximal Tibial Fractures
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Sang Ho Moon, Byoung Ho Suh, Chung Soo Hwang, Tae Hyun Yoon
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J Korean Fract Soc 2006;19(1):17-23. Published online January 31, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.1.17
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Abstract
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To compare clinical and radiological results between standard insertion method and semiextended method which was designed to improve proximal fixation and alignment in proximal tibia fracture. MATERIALS AND METHODS A retrospective review from May 2000 to February 2004, identified 24 extraarticular fractures in proximal tibia, initially treated with locked intramedullary nails at least 1 year follow up. There were 12 open injuries, 4 segmental, 3 butterfly fragments and 17 comminuted. Semiextended method was used in 10 fratures and standard insertion method which is cephalad to tibial tubercle in 14. Follow up clinical assessment consisted of review of associated injuries and complications and these two methods were compared by postoperative angulation and displacement in anteroposterior and lateral radiographs. Data were analysed by t-tests. RESULTS In semiextended group, average angulation was 2.3 degrees in coronal and 2.8 degrees in sagittal plane and average displacement was 4.5 mm in coronal and 5.3 mm in sagittal. In ordinary group, average angulation was 5.1 degrees in coronal and 7.4 degrees in sagittal plane and average displacement was 6.1 mm in coronal and 5.3 mm in sagittal. In semiextended group, there were significant reduction in coronal angulation (p=0.006) and sagittal angulation (p=0.001), but there was no significant difference in coronal (p=0.344) and sagittal (p=0.99) displacement. Both groups showed anterior, valgus angulation and posterolateral displacement in most cases. There were 14 associated injuries and one patient developed nonunion and was treated by nail exchange with autogenous bone graft. CONCLUSION Our retrospective analysis demonstrated that semiextended method is effective for reducing coronal and sagittal angulation, but is not helpful for reducing displacement in both planes.
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Treatment of Lateral Malleolar Fractures using Minimally Invasive Plate Osteosynthesis Technique
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Dong Joon Kim, Byoung Ho Suh, Jin Woo Kwon, Gyu Min Kong, Sang Ho Moon, Jong Moon Bae
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J Korean Fract Soc 2005;18(3):286-290. Published online July 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.3.286
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To evaluate the efficacy and complication of minimally invasive plate osteosynthesis (MIPO) technique for lateral malleolar fracture. MATERIALS AND METHODS From January 2001 to December 2003, we had treated 13 cases of lateral malleolar fracture (AO-OTA classification, type A: 4, type B: 9) by MIPO technique and followed them up more than 1 year. Operation time, union time, radiologic alignment, range of motion of the ankle joint, functional results according to criteria of Meyer and complication were evaluated. RESULTS After the final follow-up, all the fractures were healed without any second procedure, full-weight bearing ambulation was started in average 10 weeks. Any malunion was not observed by the inadequate bending of plate. Two patients felt a discomfort of ankle because the location of plate was lower than the tip of the lateral malleolus, but all the patients had excellent or satisfactory ankle functions. No deep infection or soft tissue compromise were observed at the last follow up. CONCLUSION Minimally invasive plate osteosynthesis technique is safe and worthwhile method in management of lateral malleous fractures while avoiding the complications associated with conventional open plating methods.
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Citations
Citations to this article as recorded by 
- Percutaneous Plating of Weber B Fibular Fractures
Amol Saxena, Andrew Yun The Journal of Foot and Ankle Surgery.2017; 56(2): 366. CrossRef - Minimally invasive percutaneous plate osteosynthesis for ankle fractures: a prospective observational cohort study
Robinson Esteves Santos Pires, Cyril Mauffrey, Marco Antônio Percope de Andrade, Leonardo Brandão Figueiredo, Vincenzo Giordano, João Carlos Belloti, Fernando Baldy dos Reis European Journal of Orthopaedic Surgery & Traumatology.2014; 24(7): 1297. CrossRef
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Treatment of Tibial Fractures In Children With Pin and Plaster Technique
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Byoung Ho Suh, Gyu Min Kong, Sang Ho Moon, Dong Joon Kim, Jin Woo Kwon, Se Won Park
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J Korean Fract Soc 2005;18(3):325-329. Published online July 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.3.325
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To evaluate the result of tibial shaft fractures in children treated with pin and plaster method. MATERIALS AND METHODS From March 1998 to February 2003, Tibial shaft fractures in thirty six pediatric patients which were treated with pin and plaster method were clinically and radiologicaly evaluated retrospectively. RESULTS Mean bony union duration was 9.8 weeks. All fractures healed within acceptable angulations. There was neither delayed union nor nonunion. There were complications related to the pins, including superficial and deep infection, skin sloughing. There were 7 cases of tibial overgrowth but they had no functional disability. CONCLUSION Pin and plaster method can substitute other operative methods in tibial fractures in children which is difficult to reduce or maintain reduction by conservative treatment.
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