-
Proximal Tibiosbular Fracture associated with Popliteal Artery Injury
-
Sang Soo Kim, Hong Jun Han, Dong Churl Kim, Dae Ho Ha, Hee Jun Yoo, Suk Kyun Park
-
J Korean Soc Fract 1999;12(4):885-893. Published online October 31, 1999
-
DOI: https://doi.org/10.12671/jksf.1999.12.4.885
-
-
 Abstract
 PDF
- Injury to the popliteal artery results in amputation more frequently than any other arterial injury. The major factor in the amputated limbs was a delay in diagnosis and therapy of the arterial injury associated with blunt trauma. The proximal tibial fractures produced the highest percentage of vascular complications and indicated immediate application of therapeutic measures. The purpose of this study is to investigate the long-term results and factors that influences the results of surgical treatment in patients with combined proximal tibial fracture and popliteal artery injury. Authors reviewed the records of 24 cases treated for this injury between January 1984 and May 1997. The age of the patients ranged from 17 to 70 years(average 45 years). Nine patients presented with life threatening injuries and classical signs of acute limb ischemia. Prolonged ischemic time ranged from 3 to 6 hours 30 minutes(average 4 hours 50 minutes). The most common cause of thoses injury was traffic accident in 16 cases. Five cases had neurologic deficit ; significant soft tissue injury was present in 14 extremities. Vascular procedures included saphenous vein interposition, end-to-end anastomosis, etc. Bony procedures were accomplished by external means in 14 cases and the others treated by immediate internal fixation in 5 cases. Intraoperative fasciotomy was performed in 5 patients with lower limb ischemia.
The results suggested that limb salvage was possible in 63 percent of patients with combined proximal tibial fracture and popliteal artery injuries, but a history of life-threatening condition and severe associated injury with vascular compromise was an unfavorable prognostic factor. So a well organized multidisciplinary approach is necessary to ensure life and functional limb salvage.
-
Treatment with an Interlocking Nail for Ipsilateral Fracture of the Femur and Tibia
-
Sang Soo Kim, Churl Hong Chun, Dong Churl Kim, Sang Hoon Cha
-
J Korean Soc Fract 1996;9(3):541-546. Published online July 31, 1996
-
DOI: https://doi.org/10.12671/jksf.1996.9.3.541
-
-
Abstract
PDF
- Concomitant ipsilateral femoral and tibial fractures present a challenging therapeutic problem. They are generally caused by high-energy trauma, primarily motor-vehicle accidents, and the associated injuries frequently develop. Also the complications much as delayed union, non-union, malunion and stiffness of the knee are more prevalent in patients with this combination of fractures than in patients with an isolated femoral or tibial fractures.
The interlocking nail system has many advantages about among the many treatment methods of isolated long bone fractures, but the surgical technique is very difficult at the concomitant ipsilateral femoral and tibial fractures. The purpose of this study has been to review the surgical technique and to grasp an easy reduction method at that fractures.
We routinely perform the interlocking nail for the ipsilateral femoral and tibial fractures in order to promote early motion of the knee in 14 patients from 1989 to 1995.
Local complications included 1 case of femoral metal failure, and 2 cases of nonunion treated by bone graft. At the last follow up examination, at an average of 13 months after injury, the mean range of motion of the knee was 130 degrees. Over-all, a good or excellent functional result was achieved in about 93% of the patients according to the criteria suggested by Karlstr m and Olerud.
In conclusion, the best results were achieved when both fractures were stabilized surgically with the interlocking nail system.
-
Treatment of Neglected Fracture-Dislocation of the Ankle Using llizarov Device: A case report
-
Hong Jun Han, Dong Churl Kim, Seong Ho Lee
-
J Korean Soc Fract 1995;8(3):615-619. Published online July 31, 1995
-
DOI: https://doi.org/10.12671/jksf.1995.8.3.615
-
-
Abstract
PDF
- There was a close correlation between the final clinical result and the quality of reduction of the fracture fragments. Fracture-dislocations of the ankle are relatively rare and unstable injuries in which anatomical reduction and difficult by closed method. More recently, anatomical reduction, secure internal fixation and early motion have been advocated as principle of treatment for a success ful clinical outcome in fracture-dislocation of the ankle.
We reviewed the result of a case of the neglected ankle fracture-dislocation that have been reduced anatomically by closed method using a Ilizarov device. Clinical and radiographic results of the technique were satisfactory after length of follow-up thirty-eight months.
-
The Treatment of Nonunion of Femoral Fractures with an Interlocking Nailing
-
Churl Hong Chun, Sang Soo Kim, Dong Churl Kim, Hee Jun Yoo
-
J Korean Soc Fract 1995;8(3):497-504. Published online July 31, 1995
-
DOI: https://doi.org/10.12671/jksf.1995.8.3.497
-
-
Abstract
PDF
- Nonunion of femoral fractures has continued to challenge orthopaedic surgeons. Interlocking nailing with reaming offers the advantages of stable fixation. adequate alignment, minimum shortening, good rotational control, early weight bearing without external support and high union rate.
Between August 1988 and March 1993, 20 patients with nonunion of the femoral fractures were treated by an interlocking nailing with reaming. The types of primary treatment prior to nonunion were plate fixation in 10 patients, conventional intramedullary nailing in 9 patients and external fixation in 1 patient.
The purpose of this study was to evaluate the causes of nonunion and analyze the results with interlocking nailing in the management of nonunion of femoral fractures. The radiological examination revealed that formation of the bridge callus took a mean of 3.5 months for the patients who received the plate and screw fixation. On the other hand. it took a mean of 2.4 months for the patients who were treated with conventional intramedullary nailing. When the two groups of patients were combined, it took a mean of 3.2 months. All patients were obtained the complete union in a mean time of 10.4 months after an interlocking nailing. Complications were 1 breakage of distal target screws. 1 pain near the entry of nail and 1 delayed union. Limb shortening was measured by roentgenoscanography and occurred in all patients but not clinically significant.
-
Citations
Citations to this article as recorded by  - Cause and Treatment of the Nonunion of Femoral Shaft Fracture after Interlocking Intramedullary Nailing
Sung-Soo Kim, Sung-Keun Sohn, Chul-Hong Kim, Myung-Jin Lee, Lih Wang
Journal of the Korean Fracture Society.2007; 20(2): 141. CrossRef
-
135
View
-
0
Download
-
1
Crossref
|
E-submission
KFS
