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The Result of Conservative Treatment of Proximal Humerus Fracture in Elderly Patients
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Seung Gil Baek, Chang Wug Oh, Young Soo Byun, Jong Keon Oh, Joon Woo Kim, Jong Pil Yoon, Hyun Joo Lee, Hyung Sub Kim
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J Korean Fract Soc 2013;26(4):292-298. Published online October 31, 2013
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DOI: https://doi.org/10.12671/jkfs.2013.26.4.292
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With the increase in the old age population, proximal humerus fractures have been increasing recently. However, complications after operative treatment, such as fixation failure, are common because of osteoporosis. We treated proximal humerus fractures in patients with osteoporosis conservatively, and evaluated the radiographic and functional results by analyzing the factors affecting the results. MATERIALS AND METHODS Nineteen out of 30 cases for whom the clinical follow-up was over 1 year were included in this retrospective study. There were 17 females and 2 males, and the mean age was 73.2 years. The causes were slip from a short height (18 cases) and a minor car accident (1 case). We evaluated the union period, nonunion, malunion and the Constant score and analyzed several factors affecting the functional result, such as age, fracture pattern, and malunion. RESULTS Seventeen cases (89.5%) obtained union within 12.8 weeks on average. Neck-shaft angle was 125.3degrees on average, with seven cases of malunion. The Constant score was 84.1 on average, and there were excellent scores in 11 cases, good scores in 4 cases, and fair scores in 2 cases. Fracture pattern, neck-shaft angle, or malunion did not affect the functional outcome, and elderly patients showed poorer shoulder function. CONCLUSION Proximal humeral fractures with osteoporosis may achieve a high rate of bony union when treated with conservative methods. Despite the common occurrence of malunion, a satisfactory functional outcome may be expected.
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Operative Treatment of Humerus Shaft Fracture: Conventional Open Plating or Minimally Invasive Plate Osteosynthesis
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Hyun Joo Lee, Chang Wug Oh
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J Korean Fract Soc 2012;25(2):155-162. Published online April 30, 2012
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DOI: https://doi.org/10.12671/jkfs.2012.25.2.155
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Abstract
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- No abstract available.
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Citations
Citations to this article as recorded by 
- A study of functional outcome of humeral shaft fracture treated with anterior bridge plating
Nishant V. SHIVADE, Nitin PATIL, Paresh PATIL, Sapan VORA, Jaykumar K Minerva Orthopedics.2021;[Epub] CrossRef - Comparing the Use of Single and Double Interlocking Distal Screws on a Polarus Intramedullary Nail for Humeral Shaft Fractures
Hee Seok Yang, Jeong Woo Kim, Hong Je Kang, Jung Hyun Park, Yong Chan Lee, Kwang Mee Kim Clinics in Shoulder and Elbow.2015; 18(2): 91. CrossRef - Polarus Intramedullary Nail for Proximal Humeral and Humeral Shaft Fractures in Elderly Patients with Osteoporosis
Youn-Soo Hwang, Kwang-Yeol Kim, Hyung-Chun Kim, Su-Han Ahn, Dong-Eun Lee Journal of the Korean Fracture Society.2013; 26(1): 14. CrossRef
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Minimally Invasive Anterior Plating of Humeral Shaft Fractures
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Hyun Joo Lee, Chang Wug Oh, Do Hyung Kim, Kyung Hyun Park
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J Korean Fract Soc 2011;24(4):341-346. Published online October 31, 2011
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DOI: https://doi.org/10.12671/jkfs.2011.24.4.341
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Abstract
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We evaluated the efficacy and results of minimally invasive anterior plating for humeral shaft fracture. MATERIALS AND METHODS Twenty-two cases of humeral shaft fracture were reviewed, including 8 cases of type A, 8 of type B and 6 of type C (AO/OTA classification). There were three open fractures. The fracture was fixed with MIPO (minimally invasive plate osteosynthesis) technique under C-arm guide. A locking compression plate was located in anterior aspect of the humerus with at least three screws fixed in each fragment. Radiologic and functional results were evaluated. RESULTS In 20 of 22 cases, bony union was achieved with the mean period of 17.5 weeks, including 2 cases of delayed union. There were 2 cases of nonunion, which needed the further operative procedure. Except one case of distal 1/3 fracture, all cases showed satisfactory elbow and shoulder function with the mean Mayo elbow score of 17.4 and mean UCLA shoulder score of 97.3. In complication, there was one case of radial nerve palsy due to improper traction, but it was completely improved after 3 months. Otherwise, there was no complication including infection. CONCLUSION Anterior MIPO for humeral shaft fracture may be another option of operative methods with high union and low complication rate.
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Citations
Citations to this article as recorded by 
- Minimal Invasive Plate Osteosynthesis versus Conventional Open Plating in Simple Humeral Shaft Fracture (AO Type A, B1, B2)
Boseon Kim, GwangChul Lee, Hyunwoong Jang Journal of the Korean Fracture Society.2017; 30(3): 124. CrossRef - Clinical and Radiographical Follow-up for Residual Displacement of Fracture Fragments after Interlocking Intramedullary Nailing in Humeral Shaft Fractures
Jae-Kwang Yum, Dong-Ju Lim, Eui-Yub Jung, Su-Een Sohn The Journal of the Korean Shoulder and Elbow Society.2013; 16(2): 107. CrossRef - Operative Treatment of Humerus Shaft Fracture: Conventional Open Plating or Minimally Invasive Plate Osteosynthesis
Hyun-Joo Lee, Chang-Wug Oh Journal of the Korean Fracture Society.2012; 25(2): 155. CrossRef
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Acute Compartment Syndrome after Trauma
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Chang Wug Oh, Hyun Joo Lee
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J Korean Fract Soc 2010;23(4):399-403. Published online October 31, 2010
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DOI: https://doi.org/10.12671/jkfs.2010.23.4.399
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Abstract
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- No abstract available.
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Citations
Citations to this article as recorded by 
- Design and Feasibility Test of Motorized Hand-Held Devices for Intra-compartmental Pressure Monitoring
Bomi Yang, Jaeho Hyun, Jingyu Kim, Jihoon Kweon, Jaesoon Choi, Youngjin Moon, Ji Wan Kim International Journal of Precision Engineering and Manufacturing.2024; 25(1): 99. CrossRef - Delayed Treatment of Foot Compartment Syndrome: A Case Report and Literature Review
Jihoon Jang, Young Choi Journal of Korean Foot and Ankle Society.2021; 25(1): 46. CrossRef - Acute Compartment Syndrome after Anticoagulant Therapy to Misdiagnosed Deep Vein Thrombosis
Seok-Ha Hwang, Ho-Seung Jeon, Young-Kyun Woo, Seong-Tae Lim Journal of the Korean Orthopaedic Association.2019; 54(2): 177. CrossRef - A Clinical Case Study of Residual Symptoms after Decompression of Traumatic Compartment Syndrome
Min Jung Ji, Seong Chul Lim, Jae Soo Kim, Hyun Jong Lee, Yun Kyu Lee The Acupuncture.2015; 32(3): 197. CrossRef - Diagnosis and Management of Acute Compartment Syndrome
Keun-Bae Lee, Seung-Hun Lee Journal of the Korean Fracture Society.2015; 28(1): 93. CrossRef - Clinical Outcomes of Fasciotomy for Acute Compartment Syndrome
Ji Yong Park, Young Chang Kim, Ji Wan Kim Journal of the Korean Fracture Society.2015; 28(4): 223. CrossRef - Compartment Syndrome of the Gluteus Medius Occurred without Bleeding or Trauma: A Case Report
Gyu-Min Kong, Yong-Uk Kwon, Jun-Ho Park Hip & Pelvis.2015; 27(4): 278. CrossRef - Selection and Recommended Usage Guide of Temporary External Fixator
Seung-Jae Lim, Ki-Sun Sung, Chang-Wug Oh Journal of the Korean Fracture Society.2013; 26(2): 164. CrossRef
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170
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Crescent Fracture-dislocation of Sacroiliac Joint: Affecting Factors of Operative Results
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Hee Soo Kim, Chang Wug Oh, Poong Taek Kim, Young Soo Byun, Joo Woo Kim, Byung Chul Park, Woo Kie Min, Hyun Joo Lee
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J Korean Fract Soc 2009;22(2):71-78. Published online April 30, 2009
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DOI: https://doi.org/10.12671/jkfs.2009.22.2.71
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To assess the affecting factors of results after the operation of Crescent fracture-dislocation in sacro-iliac joint. MATERIALS AND METHODS In 19 patients (mean age, 47.4 year-old) of open reduction and internal fixation for Crescent fracture-dislocation, there were seven type I, 9 type II, and 3 type III fractures according to Day's classification. We assessed affecting factors of radiological and functional results, such as patients' ages, surgical approaches, the fixation extent of pelvic ring, and fracture patterns. RESULTS Seventeen of 19 cases united at 14.5 weeks in average, and 2 non-unions occurred with the fixation failure of posterior ring. Satisfactory results were 14 and 15 in radiological and functional evaluation, respectively. In complications, three cases of leg length discrepancy were from an imperfect reduction and two fixation failures. Surgical approach did not show any difference of results, but all cases of unsatisfactory reduction occurred from posterior ring fixation through the anterior approach. Fixation of both rings seemed to have satisfactory results, comparing to posterior ring only. Older patients over 60 year-old had more complications and a tendency to show an unsatisfactory result. CONCLUSION In operative treatment of Crescent fracture-dislocation of sacro-iliac joint, it is better to fix both anterior and posterior rings. But, caution is needed to prevent complications in old-aged patients.
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Citations
Citations to this article as recorded by 
- General Assessment and Initial Management of Polytrauma Patients
Hyoung Keun Oh Journal of the Korean Fracture Society.2013; 26(3): 230. CrossRef - Damage Control and Provisional Fixation
Hyoung Keun Oh Journal of the Korean Fracture Society.2010; 23(3): 346. CrossRef
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