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Surgical Fitness for Trochanteric Fracture in Elderly: Prospective Study
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Gu Hee Jung, Jong Seo Lee, Sung Gun Heo, Jae Do Kim, Hyun Ik Cho
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J Korean Fract Soc 2014;27(4):261-266. Published online October 31, 2014
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DOI: https://doi.org/10.12671/jkfs.2014.27.4.261
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 Abstract
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- PURPOSE
The purpose of this study was to evaluate the risks of undergoing intramedullary nailing with minimum surgical optimization (fast-track) for geriatric trochanter fracture due to fall from a standing height.
MATERIALS AND METHODS
From May 2006 to August 2013, 48 fractures were enrolled in fast-track, and were an average age of patients was 77.6 years (range, 62-97 years). They underwent primary testing for anesthesia, including basic body fluid test, arterial blood, electrocardiography, and chest radiographs. The time from visit to surgery was 28.9 hours (range, 1-96 hours).
RESULTS
During hospitalization, there was one case of stress-induced cardiac arrest; however, other complications, infection, and 30-day mortality did not occur. According to preoperative classic test, the average albumin was 3.45 g/dl, blood sugar, 169 mg/dl, blood urea nitrogen, 20.5 mg/dl, Cr, 1.5 mg/dl, Na, 135.3 mEq/L, and K, 4.21 mEq/L. The average PaCO2 of arterial blood was 37.6 mmHg.
CONCLUSION
We found that the fast-track for trochanteric fracture due to slip-down was relatively safe, and could be considered as a therapeutic approach.
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Granulation Tissue Formed by Stimulating K-Wire Mimicking Tuberculous Cervical Lymphadenopathy: A Case Report
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Gu Hee Jung, Tae Hun Kim, Hyun Ik Cho
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J Korean Fract Soc 2014;27(3):227-231. Published online July 31, 2014
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DOI: https://doi.org/10.12671/jkfs.2014.27.3.227
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Abstract
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- Pins and wires are still used frequently in surgeries of the shoulder; however, these can cause breakage or migration to surrounding tissues, leading to complications. We report on case of a patient with a neck mass who had a past history of pulmonary tuberculosis and distal clavicle fracture with internally fixated state. She was misdiagnosed as tuberculous cervical lymphadenopathy and treated for approximately one year, but was finally revealed as granulation tissue around the internally fixated distal clavicle fracture site, thus, mass excision and metal removal was performed. This case shows the importance of a proper selection device, internal fixation technique, duration, and close follow-up after the operation.
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Citations
Citations to this article as recorded by  - Kirschner Wire Migration into SpinaL Canal after Acromioclavicular Joint Fixation (Literature Review and Clinical Case)
D. A. Gulyaev, D. S. Godanyuk, T. A. Kaurova, P. V. Krasnoshlyk, S. V. Maikov
Traumatology and Orthopedics of Russia.2018; 24(4): 121. CrossRef
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