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The Comparison of LC-DCP versus LCP Fixation in the Plate Augmentation for the Nonunion of Femur Shaft Fractures after Intramedullary Nail Fixation
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Se Dong Kim, Oog Jin Sohn, Byung Hoon Kwack
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J Korean Fract Soc 2008;21(2):117-123. Published online April 30, 2008
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DOI: https://doi.org/10.12671/jkfs.2008.21.2.117
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- PURPOSE
The purpose of this study was to evaluate the efficacy of the surgical treatment through the comparison of LC-DCP (Limited Contact-Dynamic Compression Plate) versus LCP (Locking Compression Plate) fixation in the plate augmentation for the nonunion of femur shaft fractures after intramedullary nail fixation.
MATERIALS AND METHODS
Twenty-four patients with the nonunion of femur shaft fractures after intramedullary nail fixation who underwent plate augmentation were evaluated from Mar. 2001 to Sept. 2005. The group with LC-DCP augmentation was done bicortical screw fixation and the group with LCP was done monocortical fixation.
RESULTS
There was one case of nail breakage in LC-DCP group, but sound bony union were achieved uneventfully in all the cases of both group. LCP fixation was slightly superior to LC-DCP fixation in view of the bony union time, operating time, postoperative Hb down, amount of postoperative transfusion, but there was no statistical difference (p>0.05). CONCLUSION: We got the satisfactory results after monocortical LCP augmentation as well as bicortical LC-DCP fixation and have concluded that monocortical LCP fixation was an effective treatment option for nonunion of femur shaft fracture occurred after Intrmedullary nail fixation.
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Citations
Citations to this article as recorded by  - Delayed Union and Nonunion: Current Concepts, Prevention, and Correction: A Review
Kristin M. Bowers, David E. Anderson
Bioengineering.2024; 11(6): 525. CrossRef - RETRACTED ARTICLE: An experimental study on stress-shielding effects of locked compression plates in fixing intact dog femur
Xinwen Zhao, Wensen Jing, Zhe Yun, Xun Tong, Zhao Li, Jiajia Yu, Yaohui Zhang, Yabin Zhang, Zhixue Wang, Yanhua Wen, Heping Cai, Jun Wang, Baoan Ma, Haien Zhao
Journal of Orthopaedic Surgery and Research.2021;[Epub] CrossRef - The Treatment of IM Nailing of Femoral Shaft Fracture: Piriformis Fossa versus Trochanteric Entry Portal
Hyun Kook Youn, Oog Jin Shon, Dong Sung Han
Journal of the Korean Fracture Society.2008; 21(3): 200. CrossRef
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Comparison Study of Intertrochanteric Fractures Treated with Intertrochanteric/subtrochanteric Fixation with a Standard vs a Mini-incision
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Se Dong Kim, Oog Jin Sohn, Jae Ho Cho
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J Korean Fract Soc 2008;21(1):1-7. Published online January 31, 2008
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DOI: https://doi.org/10.12671/jkfs.2008.21.1.1
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Abstract
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- PURPOSE
To evaluate the radiographic, clinical results between who had intertrochnateric fracture, treated with ITST with a standard or a mini-incision.
MATERIALS AND METHODS
We selected each 20 patients of intertrochanteric fracture which were treated with ITST with a standard incision or a mini-incision from June 2004 to July 2006. We compared of mean operative time, transfusion doses and postoperative VAS score between two groups. We evaluated the radiographic results by follow-up radiography and the clinical results with the mobility score of Parker and Palmer and Salvati and Wilson hip function scoring system.
RESULTS
Mean operative time, transfusion doses and postoperative VAS score were significantly less in the mini-incision there were 87.8 min., 2.0 pints and 4.2 for the standard group versus 40.3 min., 1.1 pints and 3.3 for the mini group. The radiographic results were not significantly different. Decrease of mobility score of Parker and Palmer and Salvati and Wilson hip function scoring system were similar.
CONCLUSION
Mini-incision significantly reduces operative time, transfusion doses and postoperative pain for fixation intertrochanteric fracture treated with ITST.
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Citations
Citations to this article as recorded by - Treatment of the Intertrochanteric Femoral Fracture with Proximal Femoral Nail: Nailing Using the Provisional K-wire Fixation
Gu-Hee Jung
Journal of the Korean Fracture Society.2011; 24(3): 223. CrossRef
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Experience with Bipolar Hemiarthroplasty in Femoral Neck Fracture in the Elderly Patients: Correlation Between Preoperative Medical Conditions and Postoperative Functional Results of Hip
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Kwang Hee Lee, Se Dong Kim, Dong Chul Lee, Duk Seop Shin
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J Korean Soc Fract 1998;11(1):143-152. Published online January 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.1.143
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- The displaced femoral neck fracture remains a major challenge to orthopedic surgeons, as the elderly population is increasing. Elderly patients with femoral neck fractures often have other medical conditions, fragile bones, and poor compliance. Thus, for elderly patients who need early ambulation and funtional recovery, bipolar prosthesis is accepted as an appropriate treatment. We report a study of 58 cases of bipolar hemiarthroplasty with a femoral neck fracture and a physiologic age older than 65 years from January 1991 to May 1996. The purpose of this study is to evaluate the functional outcome of bipolar hemiarthroplasty and correlation between preoperative medical conditions and Harris hip score in femoral neck fractures in the elderly patients. The results obtained were as followings.
1. 90% of patients had uncontrolled medical conditions. Cardiovascular and pulmonary disease were main preexisting medical conditions.
2. The preoperative medical conditions were important deteminants for the functional results after bipolar hemiarthroplasty.
3. Dislocated bipolar prosthesis needed open reduction or revision to total hip arthroplast due to disassembly of the prosthesis caused by attempted closed reduction.
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Citations
Citations to this article as recorded by - Usefulness of the Cementless Stem for the Treatment of Hip Fracture in Elderly Patients with Osteoporosis - Comparative Analysis between Cementless Stem and Cemented Stem -
Joon Soon Kang, Kyoung Ho Moon, Rhu Seop Kim, Sang Ho Lee, Jong Min Choi
Journal of the Korean Fracture Society.2011; 24(1): 16. CrossRef
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Treatment of Unstable Intraarticular Fracture of Distal Radius with External Fixator and Minimal open Reduction
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Jae Sung Seo, Jin Myeung Dan, Dong Chul Lee, Se Dong Kim
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J Korean Soc Fract 1996;9(2):283-289. Published online April 30, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.2.283
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- The distal radius fracture is one of the most common fracture in orthopedics, but their optimal treatment has not been delineated, especially in unstable intraarticular fracture.
The unstable intraarticular fracture is increasig due to high energy injury following industrialization and increasing traffic accidents.
The unstable intraarticular facture of the distal radius comprises distince subgroups that are difficult to manage and are associated with a high frequency of posttraumatic arthritis.
Authors treated 6 cases of unstable intraarticular fracture of distal radius using external fixator and minimal open reduction to improve anatomical and functional results.
Six patient were followed up more than one year (mean 19.3 month) and the patients were assessed functional results by Green and 0Briens score and anatomical results by Stewarts scale.
Using the external firator and minimal open reduction, is thought to be a useful method for treatment of unstable intraarticular fracture of the distal radius.
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Comparison between Interlocking IM Nail and Ender Nail in the Treatment of Shaft Fracture of the Tibia
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Dong Chul Lee, Sang Ho Lee, Se Dong Kim
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J Korean Soc Fract 1995;8(4):830-840. Published online October 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.4.830
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- The shaft of tibia is prone to the open wounds owing to the subcutaneous location and poor muscular envelope. The open wounds frequently result in the severe complications and major disabilities, such as infection, delayed union and nonunion. The choice of treatment should be considered cautiously. The intramedullary fixation of the shaft has the advantage of early weight bearing as well as relative firm fixation. Sixty four cases of fracture of the tibia shaft were treated with interlocking IM nail(38 cases) or Ender nail(26 cases) from December 1985 to January 1993.
1. The most common causes of the tibia fracture were the pedestrian injury and motorcycle accident.
2. There was no difference in operation time between interlocking IM nail group and 5 weeks in Ender nail group. the average time of operation was about 70 minutes.
3. The mean time of cast support was 2.5 weeks in interlocking IM nail group and 5 weeks in Ender nail group. The mean duration of nonweight bearing was 7.6 weeks in interlocking IM nail group,9.2 weeks in Ender nail group.
4. The mean duration of bone union was 18.7 weeks in interlocking IM nail group,21.4 weeks in Ender nail group. The interlocking IM nail group seemed to obtain earlier bone union(2.5 weeks) than Ender nail group, but there was no significance in statistical analysis in the bone union time between two groups.
5. Angular deformities were found in 3 cases in interlocking IM nail group and 4 cases in Ender nail group, which occured in the communited fracture and both ends fracture of the tibia shaft, segmental fractures. Delayed union was also occured in 5 cases in Ender nail group and 3 cases in interlocking IM nail group.
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Frarture-Separation of the Distal Humeral Epiphysis in Children
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Dong Wo Lee, Se Dong Kim
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J Korean Soc Fract 1994;7(1):72-78. Published online May 31, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.1.72
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- We have reviewed thirteen cases of fracture-separation of the distalk humeral epiphysis, one of which was initially misdiagnosed as a fracture of the lateral condyle. There were some difficulties in making the correct diagnosis. The injury must be distinguished from anelbow dislocation and a fracture of the lateral humeral condyle. All thirteen patients revealed posteromedial displacement of the distal humeral epiphysis on initial x-rays nine patients were treated by colosed reduction and cast Immobilizatlon, and four patients by open reduction and internal fixation All nine patients with conservative treatment had slight cubitus varus under 5 degrees. Two patients with operative treatment had significant deformities of the elbow, one 25 degrees of valgus and one 20 degrees of varus. In treatment of these injuries, accurate evaluation of the state of reduction is important but difficult to obtain. We got acceptable results with conservative treatment.
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Supracondylar Osteotomy for Cubitus Varus and Valgus
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Duk Seop Shin, Jong Chul Ahn, Se Dong Kim, Yong Seok Choi
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J Korean Soc Fract 1994;7(1):49-57. Published online May 31, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.1.49
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- Between December 1989 and january 1944, 17 corrective supracondylar osteotomy of humerus for cubitus varus and valgus were performed at department of orthopaedic surgery in Yeugnam University. Supracondylar fracture was the most common cause of deformity Average age at operation was 18.6 years old and average follow up period was 14 months. The operation was done under the comprehensive preoperative plan, and Internal fixation was done with K-w,res ,n younger patients, and with plates and screws in elder ones(77%). Period for external fixation could be shortened by firm internal fixation. The result was exllent in nine cases, good in four, and poor in four. No ulna and radial nerve palsy were found in operation of cubitus varus. There were three tardy ulna nerve palsy In cubitus valgus, then anterior transposition of ulna nerve was done.
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The problem associated with tibia fractures with intact fibula
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Joo Chul Ihn, Jong Chul Ahn, Se Dong Kim, Jae Sung Seo, Kyung Ho Shin
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J Korean Soc Fract 1991;4(1):85-93. Published online May 31, 1991
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DOI: https://doi.org/10.12671/jksf.1991.4.1.85
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- No abstract available.
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