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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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Radiation Exposure Over the Course of a Year from an Image Intensifier in the Orthopaedic Operating Room
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Gu Hee Jung, Jae Ho Jang, Jae Do Kim, Chung Kyu Kim
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J Korean Fract Soc 2012;25(1):58-63. Published online January 31, 2012
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DOI: https://doi.org/10.12671/jkfs.2012.25.1.58
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Abstract
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- PURPOSE
To measure the annual radiation exposure of staff in the orthopaedic surgical room.
MATERIALS AND METHODS
From January 2010 to December 2010, we measured the radiation exposure of a tumor surgeon, spine surgeon, trauma surgeon, six residents, and six scrub nurses. Radiation was monitored with the use of thermoluminescent dosimeters placed on the chest under the lead apron. The annual dose of radiation exposure was compared to the maximum yearly permissible dose (20 mSv). During the study period, the trauma surgeon made a deliberate effort to minimize the radiation time and maintain a distance of 1 m from the image intensifier.
RESULTS
The annual exposure levels were 0.04 mSv (radiation time, 34 min 50 s), 0.08 mSv (151 min 46 s), and 0.12 mSv (135 min 27 s) for the tumor surgeon, trauma surgeon, and spine surgeon, respectively. The mean exposure was 0.0146 mSv (range, 0.4~0.39 mSv) for the residents and 0.06 mSv (range, 0.04~0.13 mSv) for the scrub nurses. Overall, the annual radiation exposure was 0.2~1.95% of the maximal yearly permissible dose. Despite the longer period of radiation exposure, the trauma surgeon was exposed to a lower dose of radiation than the spine surgeon.
CONCLUSION
The annual radiation exposure of a trauma surgeon can be reduced by a deliberate effort to decrease exposure time and maintain a distance of at least 1 m from the image intensifier.
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Citations
Citations to this article as recorded by  - Current status of occupational radiation exposure and protection among medical interns and residents
Seungwon Cho, Hangyeol Lee, Minku Kang, Won Jin Lee, Seulki Ko
Journal of the Korean Medical Association.2024; 67(2): 134. CrossRef - Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea
Seonghoon Kang, Eun Shil Cha, Ye Jin Bang, Teresa W. Na, Dalnim Lee, Sang Youn Song, Won Jin Lee
Journal of Occupational Medicine and Toxicology.2020;[Epub] CrossRef
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Minimally Invasive Plate Osteosynthesis for the Upper Extremity Fracture Using a Lumbar Spreader: Surgical Technique
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Gu Hee Jung, Chyul Hyun Cho, Jae Do Kim
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J Korean Fract Soc 2011;24(1):83-86. Published online January 31, 2011
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DOI: https://doi.org/10.12671/jkfs.2011.24.1.83
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Abstract
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- The minimally invasive plate osteosynthesis (MIPO) which is extensively performed, is very dependent on the indirect reduction technique to prevent the exposure of fracture sites. Indirect reduction with the use of the femoral distractor is a much more efficient technique to restore the length in the fracture of lower limbs. However, the femoral distractor cannot be used for fracture of upper limbs, and other instruments for indirect reduction have not yet been reported. Therefore, we introduce the novel indirect reduction technique with the use of the lumbar spreader for the MIPO of upper limbs.
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Operative Treatment of Calcaneal Fracture
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Jeong Ho Park, Young Min Yoon, Young Gi Hong, Jeong Whan Son, Jae Do Kim
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J Korean Soc Fract 1996;9(2):363-368. Published online April 30, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.2.363
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Abstract
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- In the past, the treatment of calcaneal fracture was mainly non-operative, because of its unique shape, difficulties arose in understanding the pathoanantomy of the fractures. Following to advancement in imaging techinique including CT scan, which became to evaluate fracture patterns of the calcaneal fracture more accurately, the operative treatment has been popularized.
The extensive lateral approach for intra-articular calcaneal fracture which was reported by Letournel in 1988, provides sufficent exposure of calcaneus and allows the easier reduction, rigid fixation and early mobilization.
The 11 tases of 10 patients of intra-articular fractures of calcaneus were treated with open reduction and internal fixation through extensive laterai approach form Jan.1992 to Dec. 1994. The satisfactory result were observed in 8 cases(73%) by Stephenson criteria.
It was concluded that operativa treatment will be better to the intra-articula fracture of the calcaneus than the conservative treatment.
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Percutaneous Pinning & External Fixation In the Treatment of Proximal Humerus Fracture
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Jeong Ho Park, Sung Woon Choi, Young Chan Son, Young Gi Hong, Jeong Hwan Son, Jae Do Kim
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J Korean Soc Fract 1995;8(1):152-158. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.152
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Abstract
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- The management of displaced fractures of the proximal humerus is still under debate and the need to evaluate alternative methods has been emphasised. We treated the displaced, unstable 2-part or 3-part fractures by percutaneous pinning or external fixation after closed reduction to reduce the complications of open reduction such as soft tissue contracture, articular stiffness, neurovascular injury and potential non-union.
In this paper, we analysed 8 cases of proximal humeral fractures treated by percutaneous pinning and external fixation from Sep. 1992 to Mar. 1994. The results were excellent ; 3 cases, satisfactory; 3 cases, and unstisfactory; 2 cases but no ftilures by the criteria for evaluation of Neer.
We concluded that percutaneous pinning or external fixation of displaced, unstable 2-part or 3-part fractures is one of the good methods of treatment.
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The conservative treatment of acromioclaviclar dislocation
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Jae Do Kim, Jae Chang Lee, Kyu Yong Lee, Tae Jin Kim
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J Korean Soc Fract 1992;5(1):1-6. Published online May 31, 1992
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DOI: https://doi.org/10.12671/jksf.1992.5.1.1
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- No abstract available.
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