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Closed Interlocked intramedullary nailing of the humerus shaft Fracture
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Bu Bwan Kim, Jong ln Yim, Hee Yeong Chung, Joon Young Park
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J Korean Soc Fract 1996;9(1):177-184. Published online January 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.1.177
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 Abstract
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- The interlocked intramedullary nailing of humerus shaft fracture has been used as a available method because of the advantages, including relatively simple procedure, stable fixation method, and allowing early ROM and low complication. The authors have reviewed 24 cases of humerus shaft fractures, which were treated with closed interlocked intramedullary nailing from Mar. 1992 to Feb. 1994 at Dae-Dong General Hospital.
The results were as follows; 1. Twenty four patients treated with intramedullary nailing revealed primary bone union and the average time for bone union was about 8.5 weeks.
2. There was no serious post operative complication such as nonunion, infection, rotatory deformity, metal failure of nail or interlocking screw.
3. According to the Stewart & Hundley classification of result, excellent, good and fair were observed in 21 cases(87%).
4. To prevent the impingement syndrome and rotator cuff injury, the proximal end of the nail was countersunk but the deeper the insertion, the more difficult the removal.
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Locked Intramedullary Nailing of Tibial Segmental Fractures
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Bu Hwan Kim, Jong In Yim, Hee Yeong Chung, Joon Young Park
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J Korean Soc Fract 1995;8(3):557-565. Published online July 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.3.557
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Abstract
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- Recently closed interlocting intramedullary nailing under image intensifier has been widely used in the treatment of segmental fracture of long bone and good results have been reported. Twenty-six segmental fractures of tibia were treated with interlocking intramedullary nailing from Mar. 1989 to Feb. 1993 at Dae-Dong General Hospital and all cases were followed up more than 18 months.
In this paper we are reporting the results of twenty-six segmental tibial fracture treatment.
1. Seventeen patients were male and 7 patients were female.
2. Eighteen cases(69.2%) were caused by traffic accident and ipsilateral fibular fractures were the most common associated injury.
3. Most common type of fractures were Melis type II(10 cases 38.4fo), proximal fracture lies in the middle third of the shaft and the distal fracture lies in the lower third.
4. Average union time in closed fractures was 23.0 weeks and 29.5 weeks in open fracture with average 28.5 weeks.
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