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Percutaneous Vertebroplasty in the Treatment of Osteoporotic Compression Fracture (99 Patients, 171 Vertebral Bodies)
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Chung Hwan Kim, Hyung Sun Ahn, Jae Kwang Hwang, Jung Suk Song, Eui Jung Bae
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J Korean Fract Soc 2006;19(2):259-264. Published online April 30, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.2.259
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 Abstract
- PURPOSE
This study was designed to compare the clinical and radiologic outcome of the patients who underwent percutaneous vertebroplasty among the groups based on follow-up period and BMD.
MATERIALS AND METHODS
A total of 99 patients (171 vertebral bodies) underwent percutaneous vertebroplasty from January 2001 to September 2003. The patients were divided into 3 groups by follow-up periods, and also divided into 2 groups by BMD. We investigated the difference of radiologic and clinical effects among the groups. Radiologic findings was assessed as vertebral height restoration rate and rate of reduction loss by measurement of the height of vertebral body. The clinical outcomes were graded into 5. The statistical analysis was done using Chi-squire test and Independent-samples T test.
RESULTS
Among the groups divided by follow-up period, there was no statistically significant difference of clinical and radiologic results except the rate of reduction loss between group I and group III (p>0.05). Between the groups divided by BMD, there was no statistically significant difference of clinical and radiologic results.
CONCLUSION
Percutaneous vertebroplasty with bone cement for the osteoporotic compression fracture is an efficient procedure and considered as technique producing pleasurable clinical and radiologic results regardless of follow up-period and BMD.
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Treatment of Periprosthetic Femoral Fractures with Cable Plate
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Hyung Sun Ahn, Ki Won Lee, Chung Hwan Kim, Jae Hun Lee, Ju Sik Jeon
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J Korean Fract Soc 2006;19(1):78-82. Published online January 31, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.1.78
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Abstract
- PURPOSE
To evaluate the results of Cable plate fixation for the treatment of periprosthetic femoral fracture after hip arthroplasty.
MATERIALS AND METHODS
We reviewed 10 cases of periprosthetic femoral fractures after hip arthroplasty between Nov. 2002 and May 2004. The mean follow up periods were 20 months. The fractures were classified according to Vancouver classification. Seven cases of type B1, one case of type B3 and two cases of type C were treated with open reduction and internal fixation with Cable plate. Evaluation of results was based on mean union time, postoperative complications and Harris hip score.
RESULTS
The mean time for bony union was 4.8 months in type B1, 6 months in type B3 and 8 months in type C fracture. As for complications, there were refracture, metal breakage and nonunion. The postoperative mean Harris hip score was 91.5 points for type B1, 85 points for type B3 and 72.5 points for type C fracure.
CONCLUSION
Cable plate can be useful for treatment of periprosthetic femoral fractures after hip arthroplasty, but the selection of treatment methods should be cautiously made according to the type of fracture and status of patients.
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Citations
Citations to this article as recorded by  - Treatment of Periprosthetic Femoral Fracture according to the Vancouver Classification
Il-Yong Choi, Duk-Moon Jung, Seoung-Pyo Seo, Young-Ho Kim
The Journal of the Korean Orthopaedic Association.2007; 42(2): 147. CrossRef
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Classification of Femoral Neck Fractures
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Soo Ho Lee, Ewy Ryong Chung, Hyung Sun Ahn, Jae Suk Chang, Key Yong Kim
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J Korean Soc Fract 1996;9(1):88-96. Published online January 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.1.88
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Abstract
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- The authors have reviewed 45 cases of femoral neck fractures from January 1991 to September 1994 with special reference to fracture classification. Follow-up periods for these cases were more than 1 year for all of these cases. The results were as follows: 1. AO classification of femoral neck fractures is better than Garden's classification in its simplicity and less inter-observer variations.
2. AO classification of femoral neck fractures is better than Garden's classification in predicting healing complications of internal fixation of femoral neck fractures.
3. Another factors predicting healing complications are the accuracy of reduction and the postoperative bone scintigraphy.
With the above results, we concluded that AO classification of femoral neck fractures seems to be useful in clinical application to femoral neck fractures together with Garden's classification.
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