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Interlocking Nailing for Tibial Fractures
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Ick Hwan Yang, Kyu Hyun Yang, Dae Yong Han, Hui Wan Park, Hyun Cheol Oh
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J Korean Soc Fract 1995;8(3):538-543. Published online July 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.3.538
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 Abstract
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- Nawadays, tibial fractures are not uncommon and those treatment methods are varied also. Recently interlocking nailing for tibial fracture is widely used. Between March 1992 and February 1994, 20 tibial fractures were treated with interlocking nail in 18 patients over 12 months follow up.
The results were as follows: 1. Seventeen cases(85.0%) were able to perform active ROM exercise of knee and ankle within 1 week. Partial weight bearing for dynamic interlocking nailing, was allowed in 2.6 weeks(mean). For static interlocking nailing, weight bearing was allowed in 6.7 weeks.
2. The average operation time was 42 minutes, blood loss within 100ml. The fracture sites were not exposed.
3. Union without complications was achieved in 19 cases(95.0%) in average 12.8 weeks. One case needed a secondary operation later with Ilizarov external flxator due to reduction failure.
4. There was no nonunion or reduction loss after weitht bearing.
5. Complications were reduction failure, supeficial infections, and screw breakages.
In conclusion, interlocking nailing for tibial fractures was gained good results with low complications and early weight bearing, leads to excellent results.
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The Radiographic Analysis of Unstable Intertrochanteric Fractures Treated with Compression Hip Screw
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Chang Dong HAN, Kang Soo CHANG, Ick Hwan YANG, Jun Sub JABNG
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J Korean Soc Fract 1994;7(2):235-241. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.235
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Abstract
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- We have treated 30 cases of unstable intertrochanteric fractures of the femur with hip compression screw and side plate from Jan. 1990 to Dec. 1992. We compared the collapse amount of facture site between anatomic reduction and medial displacement(medialization), and analysed the site of lag screw in femoral head and rediographic result.
1. The degree of fracture site collapse was measured as 3.83mm(mean) in anatomic reduction cases and 5.13mm(mean) in medial displacement cases.
2. The lag screws position in femoral head was as followed 6 cases(20%) in cranial position, 16 cases(53%) in central position, 8 cases(27%) in caudal position on anteroposterior view ; 3 cases(10%) in anterior position, 15 cases(50%) in central position, 12 cases(40%) in posterior position on lateral view.
3. The union rate was 100 percent. But the penetration of lag screw into the joint occured in three cases, in which the lag screw was located in cranial position on anteroposterior view.
There was no difference in union rate and degree of fracture site collapse between anatomic reduction and medial displacement cases. But the best result was obtaned by central positioning of lag screw and firm internal fixation.
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Fracture & Dislocation of Tarso-metatarsal Joint
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Eung Shick Kang, Ho Jung Kang, Ick Hwan Yang, Dong Wha Lee
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J Korean Soc Fract 1992;5(2):212-218. Published online November 30, 1992
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DOI: https://doi.org/10.12671/jksf.1992.5.2.212
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Abstract
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- The fracture and dislocation of tarso-metatarsal joint is rare injury, but if it occurs, as-sociated soft tissue injury is so severe according to its cause of injury. We reviewed 19 patients of fracture and dislocation of tarso-metatarsal joint who were treated in patient service, during the perlod, from April, 1981 to March, 1991 at our hospital. The results were as follows; 1. Fifteen patients (75%) among the 19 patients were injured due to traffic accident and the associated injury was so severe. 2. Nine cases were treated with percutaneous pinning, closed redoclion with cast immobilization in 2 cases and open reduction with multiple pinning in 8 cases. Three cases needed free vasculariaed flap for its extensive soft tissue injury and, one case was taken below knee amputation for its associatrd severe injury. 3. Anatomical reduction was achieved in 15 cases and iss results were as follows: good in 4 cases. fair in 10 cases and poor in one case Anatomical reduction was not achieved in 3 cases and the results were as follows : fair in one case and poor in 2 cases. 4. Eight cases which were treated with open reduction with multiple pinning had the results as follows: good in one. fair in 6 cases and the remaining one case had taken below knee amputation Seven cases which were treated with closed reductlon and cast immobiliza- cases and poor in 3 cases. 5. The patients who were achieved anatomical reduction had better results than who were not achieved anatomical reduction, Buy the results of all patients were not so satisractory. That is because of the point that the Lisfranc joint injury had associated with severe soft tissue injuries. We concluded that early and active intervention and anatomical reduction should be achieved for the better results.
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