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Pulmonary Embolism Complication after Surgical Treatment of Patella Fracture: A Case Report
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Yong Beom Kim, Hyung Suk Choi, Dong Ill Chun, Jung Moo Seo, Byung Ill Lee
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J Korean Fract Soc 2014;27(2):162-166. Published online April 30, 2014
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DOI: https://doi.org/10.12671/jkfs.2014.27.2.162
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- Deep vein thrombosis and pulmonary embolism are serious and fatal complications in orthopedic surgery. Most cases of symptomatic pulmonary embolism in knee surgery have been reported after total knee arthroplasty, but rarely after patella fracture. We report on a case of symptomatic pulmonary embolism after surgical treatment of a patella fracture in a 42-year-old female patient.
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The Significance of Posterior Cortex in Complicated Femoral Neck Fractures which were Internal Fixated
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You Sung Suh, Seok Bong Jung, Soo Jae Yim, Jong Seok Park, Byung Ill Lee
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J Korean Soc Fract 2002;15(4):511-518. Published online October 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.4.511
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When a surgeon carries out an operative treatment on a patient who has fractures of the femoral neck, he decides to do either the internal fixation for bony union or the aggressive treatment according to his experience and preparation, not according to the objective standard. The aim of this retrospective study is to prepare a guideline for the operative method.
MATERIALS AND METHODS
We analyse possible factors of the patient who has nonunion, avascular necrosis and loss of fixation after doing internal fixation in femoral neck fractures RESULTS: In this treated case of femoral neck, the appearance of complications are influenced by the maintenance of internal fixation, shape of fractures, osteoporosis, and the position of fixations; but in the complicated cases without the loss of fixation, the shape of fractures always have posterior cortical communition.
CONCLUSION
When we choose between simple fixation and aggressive treatments in cases of fractures of the femoral neck, we must treat according to the patient 's condition, displacement of the fracture, operative technique and existence of a posterior cortical comminuted fracture.
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Comparison Study between Internal Fixation with Compression Hip Screw and Bipolar Hemiarffiroplasty in Unstable Intertrochanteric Fracture
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You Sung Suh, Sai Won Kwon, Ho Won Jung, Jong Seok Park, Byung Ill Lee
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J Korean Soc Fract 2001;14(4):584-591. Published online October 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.4.584
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To define the appropriate treatment of unstable intertrochanteric fracture for aged patients by conducting a clinical and roentgenographical comparative analysis of internal fixation with compression hip screw and primary bipolar hemiarthroplasty.
MATERIALS AND METHODS
38 patients aged 65 or above with intertrochanteric fracture of Singh index below grade III or bone mineral density(BMD) -3.0 who had both severe osteoporosis and unstable fracture, from the period of January 1995 to January 2000. The 38 patients had either internal fixation with compression hip screw(18 cases, Group I) or primary bipolar hemiarthroplasty(20 cases, Group II), and were followed-up for at least one year afterwards. To prevent postoperative complication, early ambulation was permitted as early as possible to both groups.
RESULTS
The average age was 76(range 65-87) for Group I and 79.8(range 78-92) for Group II, respectively. 19 patients were diagnosed to have I-c fracture, following Evans Classification. 35 cases(92.1%) were given grade III or below according to the preoperative Singh index, while all cases showed severe osteoporosis with average bone density of -4.26(-6.95 ~ -2.54). 60% of Group II were given very good or above diagnosis following Merle d'Aubignè's postoperative functional outcome, compared with 16.7% of Group I, thus showed statistic difference of p=0.006. The average for postoperative Harris hip score was also higher with 77 points(range 43-95) for Group I than with 86 points(range 57-94) for Group II, thus showed statistic difference of p=0.0216.
CONCLUSION
For aged patients with unstable intertrochanteric fracture, primary bipolar hemiarthroplasty is considered to have better clinical and roentgenographical results, and able to decrease local and general complications, compared with internal fixation with compression hip screw.
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Treatment of Comminuted Subtrochanteric Fractures of the Femur with Compression Hip Screw
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You Sung Suh, Suk Bum Lim, Hyung Suk Choi, Yon Il Kim, Soo Kyoon Rah, Byung Ill Lee
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J Korean Soc Fract 2001;14(2):181-188. Published online April 30, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.2.181
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Abstract
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- PURPOSE
This study was performed to analyze the weight-bearing ambulation time, bony union time and complications after fixation of comminuted subtrochanteric fractures of the femur with compression hip screw and evaluate its effectiveness.
MATERIAL & METHODS: From January 1993 to January 2000, 21 cases of S e i n s h e i m e r's Type IV and Type V comminuted subtrochanteric fractures of femur which were treated by compression hip screw and followed for more than 1 year were analyzed by weight-bearing ambulation time, bony union time and complications.
RESULTS
We recommended partial weight bearing ambulation from 6 weeks after operation and full weight bearing ambulation from 12 weeks after operation. All of 21 cases, primary bony union was achieved and mean time was 16 weeks(range 13 to 25 weeks). 2 cases of mechanical complications were occurred. Also 4 cases of malunion of lesser trochanter and 2 cases of nonunion of lesser trochanter were occurred, but none of them result in limitation of motion, limping nor pain.
CONCLUSIONS
We thought compression hip screw is a good implant for rigid fixation of comminuted subtrochanteric fractures, especially involve intertrochanteric region like Seinsheimer's Type IV and Type V.
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Primary Causes and Treatment of Nonunion of the Humeral Shaft Fracture
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Soo Kyoon Rah, Hoon Choi, You Sung Suh, Byung Ill Lee, Yon Il Kim
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J Korean Soc Fract 2000;13(4):952-959. Published online October 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.4.952
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Abstract
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An analysis of primary causes and treatment of the nonunion of humeral shaft fracture.
MATERIALS AND METHODS
Incidence of nonunion of humeral shaft fracture among the 183 cases was 10.4%. Among 19 cases of nonunion of humeral shaft fracture from March 1994 to December 1999, 14 cases were men and 11 cases were in third to fifth decade. The causes of the fracture were mainly due to motor vehicle accident and machinery injury. The most common site of nonunion in humeral shaft was at middle 1/3 in 10 cases.
RESULTS
Underlying causes of nonunion were complex ; 9 cases of inadequate plate internal fixation, 2 cases of infection, 6 cases of poor external immobilization and 7 cases of over distraction and soft tissue interposition. Bony union was obtained by compression plate, intra medullary nail, and external fixator with autogenous bone graft in 3.5months. Post-operative complications were radial nerve palsy in 4 cases and elbow and shoulder joint contracture in 6 cases.
CONCLUSIONS
The main factors that influence the development of humeral nonunions were over distraction of the fracture, inadequate internal fixation, and infection. We should consider that enough operative exposure, the proper choice of plate and screw depending on the bone contour and fracture site, adequate period of immobilization, and rigid fixation in internal plate fixation. It is also recommanded that interposed soft tissue be removed for anatomical reduction. Union was obtained in all cases .
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Bilateral Salter-Harris Type II Proximal Tibial Epiphtyseal Fracture: A Case
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Byung Ill Lee, Hoon Choi, You Sung Suh, You Il Kim, Soo Kyoon Rah, Chang Uk Choi
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J Korean Soc Fract 2000;13(2):252-257. Published online April 30, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.2.252
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- An uncommon fracture of the proximal tibial epophysis can be classified into 5 types based in the mechanism of injury and the relationship of the fracture line to the physeal plate. The separation extends along the physeal plate and then through a portion of the metaphysis, Salter-Harris type II is the most common physeal fracture. We experienced a very rare case of bilateral flexion type Salter-Harris type II fracture of the proximal tibia, which was treated by long leg cast. At six weeks fusion is complete at the proximal tibial epiphyses of both knees, and the range of motion is full at follow-up six months
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Clinical Analysis of Avascular Necrosis of the Femoral Head following femoral Neck Fracture
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You Sung Suh, Kyung Dae Min, Byung Joon Shin, Byung Ill Lee, Yeon Ill Kim, Soo Kyun Rah, Chang Uk Choi
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J Korean Soc Fract 1998;11(2):304-312. Published online April 30, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.2.304
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- Post-traumatic avascular necrosis is a notorious complication of intracapsular fractures of the femoral neck, whether or not the fracture unites. The incidence of avascular necrosis of the femoral head following femoral neck fractures has been reported variably ranged from 7% to 84%. The purposes of this study are to analysis the clinical features of avascular necrosis of the femoral head following femoral neck fractures and to define causative factors of posttraumatic avascular necrosis. From May 1986 to May 1995, sixty-eight patients with intracapsular femoral neck fracture were operated on osteosynthesis in soonchunhyang University Hospital; we analysed retrospectively with follow-up more than two years, post-traumatic avascular necrosis(AVN) was developed in 13 patients(AVN group) and united forty-six patients were included non-avascular necrosis group, nine patients were excluded due to nonunion. Comparative study was performed between these two groups. The results were as follows: 1. The avascular necrosis of the femoral head following femoral neck fractures treated with osteosynthesis was noted in 13 cases (19%) 2. The eleven cases of 13 cases showed segmental collapse of the femoral head within 2 years. 3. Among the causative factors, age and sex, delay before operation and fixation device have no statistical significance(p>0.05) but type of fracture, initial displacement and quality of reduction showed to be statistical correlation(p<0.05). In conclusion, adequate reuction and internal fixation for the femoral neck fracture may essential to minimize avascular necrosis following osteosynthesis.
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Traumatic Refracture : Report of 3 cases
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Byung Ill Lee, Young Hoon Cho, Jae Eung Yoo, Soo Kyun Rah
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J Korean Soc Fract 1997;10(4):940-944. Published online October 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.4.940
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- Traumatic refracture refers to a recurrence of a fracture by a major trauma, after it had gained complete union from an earlier rracture through internal fixation. We report 3 cases of our experience in this relatively rare injury of long bone.
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Simultaneous Asymmetric Bilateral Traumatic Hip Dislocation: A Cases Report
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Byung Ill Lee, Bo Weon Jeong, Jae Eung Yoo, You Sung Suh, Soo Kyun Rah, Chang Uk Choi
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J Korean Soc Fract 1996;9(1):225-228. Published online January 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.1.225
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- Hip dislocation represents 2 to 5% of all joint dislocations. Bilaterat dislocation of the hip joints is reported about 1.25% of all cases fo hip dislocations and therefore 0.025 to 0.050% of all joint dislocations. Dislocations in which one hip dislocates anteriorly and the other posteriorly are even rarer. Of all traumatic bilateral hip dislocations, bilateral simultaneous anterior and posterior dislocations in 40% of cases. This paper is a case report of a traumatic bilateral anterior and posterior dislocation of hips in a 24 year-old man injured by motor vehicle accident as a passenger. The patient was treated by means of closed reduction, traction and physical therapy. We report such a case.
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Citations
Citations to this article as recorded by  - Traumatic Bilateral Anterior Hip Dislocation: A Case Report
Sung-Taek Jung, Hyun-Jong Kim, Myung-Sun Kim, Young-Jin Kim, Sang-Kwan Cho
Journal of the Korean Fracture Society.2008; 21(1): 62. CrossRef
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