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Treatment of Distal 1/3 Fracture of Tibia by Intramedullary Nailing
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Eun No Lee, Chang Moo Yu, Suk Ha Lee, Sung Jong Lee, Taik Seon Kim, Jae Ik Shim
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J Korean Soc Fract 1995;8(2):340-346. Published online April 30, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.2.340
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 Abstract
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- Recently, there is seen frequently the tibial fracture due to the increased traffic accident and the high energy trauma, and this fracture has many problems in a treatment because of nonunion, malunion, angular deformity, shortening and infection.
In the treatment of distal 1/3 fracture of tibia. interlocking intramedullary nailing has been popularized because it enables preservation of the range of motion of the joint, early weight bearing and early bony union.
Between Jan. 1988 and Dec. 1993 intramedullary nailing of the tibial fracture has been perfomed in 41cases, of which 38 cases were acute fractures and 3 cases were nonunion with folow up of more than one year.
The results were as follows; 1. Closed nailing technique was accomplished in 38 cases and 3 were opened.
2. The mean fracture healing period was 18.6 weeks and each mean fracture healing time was 19 weeks in Brooker nail and 18.5 weeks in interlocking nail, and so there was no significant difference in bone union time between two devices.
3. According to the functional classification of Klemm and Borner, out of 41 cases,26 were excellent,8 were good,5 were fair and 2 were poor.
4. The complications were infection in 4 cases, delayed union in 2 cases, angular deformity in 1 case and partial ankylosis of knee in 1 case.
5. In the cases associated with soft tissue injury and comminuted fracture of distal 1/3 of lower leg, Blocker nail was considered an useful treatment when distal interlocking screw fixation was not appropnate.
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Treatment of Intertrochanteric Fractures of Femur in Elderly Patients over 65 Years Old
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Young Sun Koh, Chang Moo Yu, Suk Ha Lee, Sung Jong Lee, Taik Sun Kim, Jae lk Shim
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J Korean Soc Fract 1995;8(1):46-53. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.46
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Abstract
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- The incidence of intertrochanteric fracture of femur is increasing because of increasing number of old-aged people.
The goal in the treatment of an elderly patient with an intertrochanteric fracture is to restore the patient to his prefracture activity as soon as possible.
The purpose of this report is to review of the difficulty of treating the intertrochanteric fracture of femur in elderly patients.
The authors treated 213 cases of intertrochanteric fracture from Jan,1980 to Dec.1993.
We analyzed the clinical result of 73 cases intertrochanteric fracture with minimum 1 year follow up retrospectively.
The results were as follows.
1. The degrees of osteoporosis by Singh index were 27 cases in Grade III, 22 Cases in Grade II,14 cases in grade IV,5 cases in Grade I and 5 cases in Grade V.
2. By Tronzo classification of fracture, the most common type was 38 cases in type III, 17 cases in type II and 8 casesintype V.
3. The operation method were compression hip screw(38 cases), Jewett nail (12 cases), Ender nail(17 cases), multiple pinning (5 cases), and primary kerniarthoplasty(3 cases).
4. Average bony union time was 13.2 weeks in compression hip screw group, 14.5 weeks in Jewett nail group,14.7 weeks in Ender nail group and 15.4 weeks in multiple pinning group.
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