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Management for Postoperative Infection of Fractures
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Eui Hwan Ahn, In Whan Chung, Jeong Hwan Oh, Seong Tae Lee, Duk Hwan Kho
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J Korean Soc Fract 1999;12(2):402-410. Published online April 30, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.2.402
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Abstract
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- It is often difficult to eradicate infection and achieve bony union in postoperative infection after fracture fixation. Authors treated 14 such cases from February 1992 to February 1998, and followed up for 6 to 35 months. The purpose of this study is to review the clinical features of the postoperative infection and assess the treatment modality which influence the time required for attaining bony union and healing of infection. The results were as follows : 1. Primary fixation were left in place in 5 cases of stable fixation, and new external fixation and/or another fixations were required in 8 cases of unstable fixation. 2. Time required for achieving union was 4.7 months for stable primary fixation and 12.8 months for unstable primary fixation. 3. Time required for healing in infection was 3.5 months for stable primary fixation and 14.4 months for unstable primary fixation. 4. Bony union was delayed as the number of surgical procedures were increased. 5. Antibiotic cement beads were inserted for 5 cases into bony defect and dead space after curettage and sequestrectomy, and pus discharge was stopped after 8.8 weeks in average.
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- A Review of Domestic and International Clinical Research Trends on Pharmacopuncture Treatment for Fractures
Hea Sun Chun Journal of Physiology & Pathology in Korean Medicine.2023; 37(6): 185. CrossRef
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Treatment of Intertrochanteric Fractures of the Femur using Compression Hip Screw in the Senile Osteoporosis
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Eui Hwan Ahn, In Whan Chung, Jeong Hwan Oh, Hyuck Jun Lee
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J Korean Soc Fract 1998;11(1):168-174. Published online January 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.1.168
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Abstract
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- The intertrochanteric fracture of the femur are seen in elderly patients who are highly vulnerable to generalized osteoporosis and various senile disease. Firm internal fixation and early ambulation is a goal of treatment. The morbidity and mortality after fracture remain high despite of the development of various devices. For this purpose, compression hip screw becomes popular recently. The purpose of this report is to assess the availability of compression hip screw in the intertrochanteric fracture in the senile osteoporosis by the review of 107 cases from Jan. 1990 to Jan. 1996. The result were as follows : 1. Eighty-three cases(77.6%) were unstable fractures. 2. The lag screw position in the femoral head of 76 cases(71%) were centerd 3. The average length of sliding of the lag screw was 9.9mm. 4. Satisfactory results were obtained in 91% of patients by the functional class of Clawson.
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