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Surgical Treatment of Femoral Unstable Intertrochanteric Fractures in Elderly Patients: Comparative Study between Compressive Hip Screws and Additional Trochanteric Stabilizing Plates
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Kap Jung Kim, Dae Suk Yang, Sang Ki Lee, Won Sik Choy, Kyoung Wan Bae
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J Korean Fract Soc 2011;24(4):295-300. Published online October 31, 2011
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DOI: https://doi.org/10.12671/jkfs.2011.24.4.295
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To evaluate the radiologic results between compressive hip screw and compressive hip screw with additional trochanteric stabilizing plate in patients with femoral unstable intertrochanteric fractures in patients with more 65 years old. MATERIALS AND METHODS From 2006 to May 2009, 121 cases were included. Group I (compressive hip screw only) was 54 cases and group II (compressive hip screw with trochanteric stabilizing plate) was 67 cases. We checked the lag screw sliding, lateral translation of greater trochanter, changes of neck-shaft angle and complications through periodic follow up of radiographs. RESULTS Mean lag screw sliding was 7.6 mm in group I and 3.9 mm in group II (p=0.001). Mean lateral translation of greater trochanter was 3.86 mm in group I and 0.59 mm in group II (p=0.01). Mean changes of neck-shaft angle was nearly the same, 3.57degrees in group I and 3.66degrees in group II. Complications were 15 cases in group I and 10 cases in group II. CONCLUSION Compressive hip screw with additional trochanteric stabilizing plate was effective surgical option in patients with femoral unstable intertrochanteric fractures in patients with more than 65 years old. It decreased lag screw sliding, lateral translation of greater trochanter and complication rates.
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- The Role of Beta-Tricalcium Phosphate Graft in the Dynamic Hip Screw Fixation of Unstable Intertrochanter Fracture
Chul-Ho Kim, Ji Wan Kim, Eic Ju Lim, Jae Suk Chang Journal of the Korean Fracture Society.2016; 29(4): 250. CrossRef
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Surgical Treatment of AO Type C Distal Femoral Fractures Using Locking Compression Plate (LCP-DF, Synthes(R))
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Kap Jung Kim, Sang Ki Lee, Won Sik Choy, Won Cho Kwon, Do Hyun Lee
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J Korean Fract Soc 2010;23(1):20-25. Published online January 31, 2010
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DOI: https://doi.org/10.12671/jkfs.2010.23.1.20
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To analyze the surgical results of AO type C distal femoral fractures using locking compression plate. MATERIALS AND METHODS From February 2006 to June 2008, 14 patients 15 cases were included. Injury mechanisms, combined injuries, radiologic and clinical results and postoperative complications were analyzed. RESULTS The mean age was 59.6 (30~77) years. The mean follow up period was 25 (12~40) months. AO types were 3 of C1, 5 of C2 and 7 of C3. Injury mechanisms were 9 of traffic accident, 5 of slip down and 1 of fall from a height. Four cases were combined with other extremity injuries or fractures. The mean radiologic union was obtained at postoperative 15 (13~20) weeks. The mean Neer's functional score was 74.2 (58~97); 3 of excellent, 5 of satisfactory and 7 of unsatisfactory. Postoperative complications were 2 of infection and 1 of nonunion. There were no mechanical failures or fixation loss with locking compression plate at the final follow up. CONCLUSION Internal fixation using locking compression plate for AO type C distal femoral fractures provided excellent fixations. At the final follow up, the clinical results were variable. The affecting factors on the final results seemed to be joint congruencies after anatomical reduction and active rehabilitation.
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- A STUDY OF SURGICAL MANAGEMENT OF DISTAL FEMORAL FRACTURES BY DISTAL FEMORAL LOCKING COMPRESSION PLATE OSTEOSYNTHESIS
Dema Rajaiah, Yerukala Ramana, Kuppa Srinivas, Venkateswar Reddy S Journal of Evidence Based Medicine and Healthcare.2016; 3(66): 3584. CrossRef
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Vertically Unstable Fracture of the Pelvis Combined with Anterior Dislocation of the Hip Joint: A Case Report
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Kap Jung Kim, Ha Yong Kim, Dae Suk Yang, Won Sik Choy
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J Korean Fract Soc 2007;20(3):272-276. Published online July 31, 2007
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DOI: https://doi.org/10.12671/jkfs.2007.20.3.272
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- Pelvic fractures result from high energy trauma and often associated with concomitant injuries. But, vertically unstable pelvic fractures combined with anterior dislocation of the hip is far less common. The traumatic dislocation of the hip is a true orthopedic emergency and it should be considered that a femoral head can be exposed to deteriorized vascularity. We report a case of vertically unstable pelvic fractures combined with traumatic anterior dislocation of the hip joint with the review of the literature.
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Hip Fracture-dislocation with Sciatic Nerve Palsy and Ipsilateral Femoral Shaft Open Fracture: A Case Report
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Kap Jung Kim, Ha Yong Kim, Sung Il Kang, Won Sik Choy
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J Korean Fract Soc 2007;20(1):94-98. Published online January 31, 2007
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DOI: https://doi.org/10.12671/jkfs.2007.20.1.94
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- The posterior dislocation of the hip accounts for about 85~90% of traumatic hip dislocations and high energy mechanisms such as traffic accidents may cause them. The traumatic dislocation and fracture-dislocation of the hip are true orthopedic emergencies and it should be considered that a femoral head has poor vascularity and the sciatic nerve is closely located to it. We report on one patient who went through the surgical treatment of the concomitant ipsilateral open fracture of the femoral shaft and hip fracture-dislocation accompanying sciatic nerve injury with the review of the literatures.
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Treatment of Femoral Shaft Fractures with External Fixators in Children
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Ha Yong Kim, Jong Hyun Park, Seung Hun Lee, Kap Jung Kim, Kwang Won Lee, Byung Sung Kim, Won Sik Choy
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J Korean Soc Fract 2002;15(1):36-44. Published online January 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.1.36
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This study was to assess the amount of overgrowth and convenience after external fixation of pediatric femoral fracture. MATERIALS AND METHODS Followed-up more than 18 months were 20 childrens treated with external fixator for femoral fracture(mean follow-up periods: 25.5 months). Mean age was 7.15 years(range: 4-11 years). End to end apposition was done on the closed reduction. Evaluation of the result was done with five parameters; clinical results, radiological results, parents`satisfaction with questionnaire, hospital fee and complications. RESULTS Clincal results were not any disability in all cases. No angulation deformity was estimated in all cases, and overgrowth was estimated average 4.8mm (range: -1 ~ 13mm). Answer for questionnaire was revealed satisfactory result. Total hospital fee was average 831 thousand won in external fixator group, and average 289 thousand won in treated group with cast. CONCLUSION We propose that external fixation in closed femoral shaft fractures of children could be a rational alternative mode of therapy, because it has excellent clinical & radiological results and parents were satisfied with its convenience & final results. Total hospital fee was statistically higher in external fixator group.
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- Comparison of Flexible Intramedullary Nailing with External Fixation in Pediatric Femoral Shaft Fractures
Do-Young Kim, Sung-Ryong Shin, Un-Seob Jeong, Yong-Wook Park, Sang-Soo Lee, Keun-Min Park The Journal of the Korean Orthopaedic Association.2008; 43(1): 30. CrossRef - WDM-PON upstream transmission using Fabry–Perot laser diodes externally injected by polarization-insensitive spectrum-sliced supercontinuum pulses
Yang Jing Wen, Chang-Joon Chae Optics Communications.2006; 260(2): 691. CrossRef
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