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Operative Treatment of patellar Fractures
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Chang Kwan Kim, Jeong Hwan Kim, Sang Yup Lee, Young Hwan Kim, Chae Ik Chung, Jeong Gee Hong
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J Korean Soc Fract 1999;12(4):858-864. Published online October 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.4.858
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 Abstract
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- We studied 45 patients of patella fracture who were treated by surgical method from March 1990 to December 1991. The results were analysed to evaluate the functional results of the knee according to methods of fixation and severity of comminution.
The results were as follows.
1. Out of 45 cases, 11 cases were tredted by tension band wiring, 19 cases by modified tension band wiring, 5 cases by tension band wiring by circumferential wiring, 8 cases by circumferential wiring, and 2 cases by screw fixation.
2. The mean fracture healing period was 6.9 weeks in cases of tension band wiring, 6.5 weeks in cases of modified tension band wiring, 5.2 weeks in cases of tension band wiring with circumferential wiring, and 7.3 weeks in cases of circumferential wiring.
3. The most favorable result was obtained in cases which were fixed with tension band wiring and circumferential wiring.
4. Modified tension band wiring seems to be a good method for displaced transverse fracture and comminuted fracture with large fragments and tension band wiring with circumferential wiring is for severely comminuted fracture with small fragments.
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Treatment of the Humeral Shaft Fracture by Rush nailing: In the Cases of Multiple Trauma Patient
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Chong Kwar Kim, Byung Woo Ahn, Teck Jin Ahn, Sang Yup Lee, Soo Won Kim
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J Korean Soc Fract 1996;9(4):1061-1068. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.1061
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Abstract
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- There are many methods to treat the humeral shaft fracture. Various types of hulneral shaft fracture in multiple trauma patients were treated by intrarnedullary stabilization with Rush nail.
We reviewed twenty two patients who were treated with Rush nail in Masan Samsung Hospital from August. 1990 to May.1995. The purpose of this study is to report the results and kilow whether Rush nailing is recommendable in multiple trauma patients.
The results virere as follows: 1. The most common type of fracture was comminuted with large displaced fragment type (11 cases,47.8%), most common site was distal one third of shaft(10 cases,43.5%).
2. The average operation time was about 40 minutes.
3. The average time of radiological bone union was about 14 weeks.
4. Complications were 5 cases of mild joint stiffness (2 cases in shoulder and 3 cases in elbow),5 cases of nonunion, 5 cases of angulation deformity(average 7 degree) and 2 cases of nail migration.
We had satisfactory functional outcome rated by Stewart and Hundly. In spite of some complication, we think that Rush nailing can be applied safely and effectively to humeral shaft fractures associated with multiple injury.
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