-
The Problem of Screw Failure at the Interlocking Nailing using AO Unlearned Tibial Nail(UTN) in the Treatment of the Tibial Shaft Fractures
-
Ki Young Byun, Kwang Jin Rhee, Jun Kye Lee, Deuk Soo Hwang, Chan Hee Park, Hyeong Seong Kim
-
J Korean Soc Fract 1996;9(2):480-488. Published online April 30, 1996
-
DOI: https://doi.org/10.12671/jksf.1996.9.2.480
-
-
 Abstract
 PDF
- Recently, the interlocking intramedullary nailing is being regarded as one of the best method using static or dynamic UTN(Unlearned Tibial Nail) in the treatment of the tibial shaft fractures. However it has made the locking screw break because the early weight bearing and exercise for the early bony union and the delayed removal of the static locked screw. Failure of the locking screw has not resulted in loss of reduction, but broken screw can make nail removal difficult.
The authors have clinically analysed 17 patients of open tibial shaft fractures treated with static or dynamic interlocking intramedullary nailing using UTN followed by more than 6 months at Chung Nam National University Hospital from January 1993. to February 1995.
1. In all 17 cases, nails were inserted via closed method and early weight bearing was encouraged.
2. Among 17 cases, 4 cases of proximal static screw were broken, and all screw failures were occurred in static hole of proximal portion of AO UTN.
3. Among 17 cases, secondary dynamization was tried at POD 4 wks for early bony union in only one case and that revealed good result.
So, We recommand that the locking screw of the proximal lowest hole should be removed before weight bearing because of its mechanical weakness, and that the start of weight bearing should be considered according to AO Groups principles including the character of the patient and fractures.
-
Importance of maintenance medial buttress in treatment of supra-condylar and inter-condylar(T-condylar) fracture of the femur
-
Seung Ho Yune, Kwang Jin Rhee, Chan Hee Park, Ki Yong Byun, Sang Yong Lee, Seung Kwon Rho
-
J Korean Soc Fract 1996;9(1):50-58. Published online January 31, 1996
-
DOI: https://doi.org/10.12671/jksf.1996.9.1.50
-
-
Abstract
PDF
- Recently, treatment of supracondylar and intercondylar(T-condylar) fracture of the femur has been changed from conservative treatment to do open reduction and internal fixation. Principles of anatomical reduction, rigid internal fixation and early knee joint exercise are recommended, but there are many difficulties and problems to get anatomial reduction and rigid internal fixation. we observed 3 cases of malunion & nonunion that were treated by ORIF. In these cases, there is a failure in restoring medial buttress of distal femur due to inadequate reduction and internal fixation.
Dynamic condylar screw(DCS) or blade plate were usually used through lateral approach and laterally applying method can not always restore the medial buttress of the fracture site. In these cases, early exercise and early weight bearing have to be postponed,and the results were poor. So we want to emphasize the principles in open reduction and internal fixation of the supra-and inter-condylar fracture fo the femur. To get anatomecal reduction is very important, but if is not possible in severely comminuted fractures, we have to try to maintain medial buttress by another methods such as double plating(to add a medial auxiliary buttress plate to lateral internal fixation) or auxiliary external fixations instead of medial anatomical contact.
-
Citations
Citations to this article as recorded by  - Medial Plating of Distal Femoral Fracture with Locking Compression Plate-Proximal Lateral Tibia: Cases' Report
Se-Ang Jang, Young-Soo Byun, In-Ho Han, Dongju Shin
Journal of the Korean Fracture Society.2016; 29(3): 206. CrossRef - The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach
Sung-Sik Ha, Jae-Chun Sim, Ki-Do Hong, Jae-Young Kim, Kwang-Hee Park, Yoon-Ho Choi
Journal of the Korean Fracture Society.2009; 22(4): 246. CrossRef
-
124
View
-
0
Download
-
2
Crossref
-
Chondrodiatasis of the Distal Femur: Report of 2 cases
-
Kwang Jin Rhee, Chan Hee Park, Jin Sun Jeong, Cheol Se Ahn
-
J Korean Soc Fract 1995;8(1):39-45. Published online January 31, 1995
-
DOI: https://doi.org/10.12671/jksf.1995.8.1.39
-
-
Abstract
PDF
- Chondrodiatasis is a limb lengthening technique involving slow, controlled, symmetric epiphyseal distraction. The technique has significant advantages over other correction methods that involves osteotomies. We have used this methods with other surgical technique to lengthen limbs in 2 children with leg-length discrepancies or with angular deformities. Shortely after initial lengthening, the growth plate seemed maintain its function. But, several years later, the growth plate fused. In spite of many report that chondrodiatasis having many complications, there was no special complications in our cases. In the absence of definite proof, we decide to use this technique clinically almost during the last two years of the growth period.
-
Management of Acetabular Fracture
-
Kwang Jin Rhee, Jyun Kyu Lee, Chan Hee Park, Ho Suk Lee, Kyoung Tai Kim
-
J Korean Soc Fract 1994;7(1):137-143. Published online May 31, 1994
-
DOI: https://doi.org/10.12671/jksf.1994.7.1.137
-
-
Abstract
PDF
- Acetabulum consisting of the hip joint is the most important weight bearing portion in the lower extremity But if fractures of acetabulum are not accurately evaluated, classified, and reduced anatomically, major sequalae and complication are frequently developed. Because of complicated anatomy, difficulty with surgical exposure, frequent associated injury, the treat ment of acetabular fractures between conservative and surgical methods is still controversal.
We studied roentgenographic finding, associated inlury, method of treatment and result of treatment. We reviewed forty cases of acetabular fracture from May 1985 to July 1993. The results was as follows; 1. The pervalent age was from second decade to forth decade.
2. We classified 40 cases by Letournel classification. The most common type was posterior wall fracture, the second was anterior column fracture.
3. Most common associated injury was pelvic bone fractures.
4. Surgical approaches were decided by the fracture type and duration from injury to operation.
5. In nonoperative treatment group, 73.3% of cases were excellent and good result, and in operative treatment group 88.0% of cases were excellent and good result.
6. The complications were occured in 12 cases(48.0%) of 25 cases of operative reatment group.
-
Analysis of Rick Fractors of HiP fractures after the eighth Decade of Life
-
Seung Ho Yune, Sang Rho Ahn, Chan Hee Park, Jun Young Yang
-
J Korean Soc Fract 1994;7(1):131-136. Published online May 31, 1994
-
DOI: https://doi.org/10.12671/jksf.1994.7.1.131
-
-
Abstract
PDF
- In Order to evaluate to the risk factors of hip fracture, we reviewed 34 patients, who were over 70 years old, from Jan. 1991 to Dec. 1993.
The patients who have preexisting desease such as chronic illness, or in case of traffic accident, and fall down injury were excluded.
We measured the singhs index and femoral neck-shaft angle on simple X-ray, bone mineral density for quantitative measurement of mineral on dual photon absorptiometry, and calcium, phosphate, and alkaline phosphatase on serologic study.
We compared the results with control group who have not orthopaedic problems in 20 old aged person, and the results obtained were as follows.
1. The male to female ratio is 11:23, a high rate in female, and the mean age of patients is 74.3 years old, ragne from 70 to 89 years.
2. Femoral neck-shaft angle of patient group is 141.67±5.3 compared to 143.40±4.8 of control, showed statistical significance.
3. Bony trabeculae index of proximal femur of patient group is 1.83±0.83 compared to 2.91 ± 0.86 of control, showed statistical significance.
4. In patient group, about 30% decreased in bone mineral density compared control. This result must be requisite to reinvestigation and statlstical analysis were not carried due to numbers of members of control.
5. There is no significant difference between two groups regard to serologic study.
In summary, risk factors of hip fractures are aged female with decreased femoral neck-shaft angle, below third degree in singhs index and lower bone mineral density compared with same age.
According to the our data, in case of hip fractures in old aged, for prevent the postoperative complication and refracture, prophylactic theraphy to collectible causes are required, in addllion to operative internal fixation.
-
Bilateral traumatic didlocation of the tibialis posterior tendons a case report
-
Jin Young Kim, Chan Hee Park, Jong Who Kang, Jong Hun Park
-
J Korean Soc Fract 1992;5(1):157-160. Published online May 31, 1992
-
DOI: https://doi.org/10.12671/jksf.1992.5.1.157
-
-
Abstract
PDF
- No abstract available.
|
E-submission
KFS
