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Prevention of Fracture During Removal of ILMN in Tibia Fracture
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Bu Hwan Kim, Myoung Hee Choi, Sang Hun Yi, Mu Jung Heo
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J Korean Soc Fract 2001;14(4):628-631. Published online October 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.4.628
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 Abstract
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- PURPOSE
Sometimes we experience refracture of tibia during removal of ILMN after complete union of fracture. We evaluated surgical technique in order to know how we can avoid the fracture of posterior cortex of tibia during removal of ILMN.
MATERIALS AND METHODS
From Jan. 1993 to Dec. 1999, we removed 86 cases of ILMN used for tibia fracture. Among them, 40 cases of Ace titanium ILMN were removed. We compared the fracture rate of tibia during removal of Ace titanium ILMN.
RESULTS
The refracture rate during removal of Ace titanium ILMN was 17.2% (5/29cases) previously, but after careful "slow and steady" removal of nail, the refracture rate was reduced to 0%(0/11 cases, P<0.05).
CONCLUSION
Take some cares during removal of ILMN is important to reduce the fracture rate of tibia during removal of Ace titanium ILMN.
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