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Treatment of Comminuted Trochanteric Fracture with Dynamic Hip Screw and Trochanteric Stabilizing Plate
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Seungki Baek, Youngjoon Choi, Chunghwan Kim, Yoojin Kim, Jaekwang Hwang, Hyungsun Ahn, Hyuntae Ahn, Kyungjun Park, Jaiwoo Cho
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J Korean Soc Fract 2002;15(2):278-285. Published online April 30, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.2.278
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 Abstract
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- PURPOSE
The purpose of this study is to evaluate the results of treatment of comminuted femoral trochanteric fracture using dynamic hip screw(DHS) with trochanteric stabilizing plate(TSP) and DHS only.
MATERIALS AND METHODS
we analysed retrospectively 32 cases that has fracture extends over two or more levels of medial cortex(A2 of AO classification) and fracture extends through lateral cortex of femur(A3 of AO classicification) of femoral trochanteric fractures between 1997 and 2000. On simple AP radiograph of the DHS with TSP(n=16) and DHS only group(n=16), we reviewed bony union, slippage of lag screw, lateral displacement of greater trochanter.
RESULT
Bony union was observed in all cases. When bony union is done in follow up radiograph, Mean slippage of lag screw is 14.5mm in DHS only group, 12.6mm in DHS with TSP group and mean lateral displacement of greater trochanter is 9.8mm in DHS only group, 1.2mm in DHS with TSP group.
CONCLUSION
Use of DHS with TSP in comminuted femoral trochanteric fracture is lesser slippage of lag screw and lateral displacement of greater trochanter than DHS only used, and that is better method to maintain fracture reduction and internal fixation in treatment of comminuted femoral trochanteric fractures than DHS only.
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Citations
Citations to this article as recorded by  - Results of Use of Compression Hip Screw with Trochanter Stabilizing Plate for Reverse Oblique Intertrochanteric Fracture
Byung-Woo Min, Kyung-Jae Lee, Gyo-Wook Kim, Ki-Cheor Bae, Si-Wook Lee, Du-Han Kim
Journal of the Korean Fracture Society.2014; 27(2): 120. CrossRef - A Comparison of Intramedullary and Extramedullary Fixations for the Treatment of Reverse Oblique or Transverse Intertrochanteric Femoral Fractures
Yerl-Bo Sung, Jung-Yun Choi, Eui-Yub Jung
Hip & Pelvis.2012; 24(2): 109. CrossRef
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Vertebroplasty on osteoporotic compression fracture
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Chunghwan Kim, Youngjoon Choi, Seungki Baek, Hyungsun Ahn, Jaekwang Hwang, Sujung Choi, Jaiwoo Cho, Kyeungjune Park, Hyeuntae Ahn
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J Korean Soc Fract 2002;15(2):123-128. Published online April 30, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.2.123
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Abstract
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- PURPOSE
Percutaneous vertebroplasty is the procedure of bone cement injection and allogenous bone graft for pain relief in case of compression fracture, hemangioma etc. Recently, osteoporotic compression fracture increases as the old age increase. We analyzed the postoperative clinical symptoms and radiologic findings.
MATERIALS AND METHODS
From Jan. 2000 to Apr. 2001, we have analyzed 111 osteoporotic compression fractures(59 patients) at Kangneung hospital. Before the procedure, we checked BMD, bone scan and CT. Most common fracture site was the thoracolumbar junction area. Fluoroscopic control was necessary for the cement injection to prevent cement leakage. The amount of cement injection was 4.7ml. We have studied the increase of vertebral body height, symptom recovery time & pain relief, postoperative complications.
RESULT
The vertebral body height was increased from 55.5% to 70.3% postoperatively and the symptom was improved in 48 persons at POD 1, 3 persons at postoperative 2 weeks, and 4 persons at postoperative 2 months. Most common complication was cement leakage to the epidural vessel, disc space, and spinal canal. But serious complication-spinal canal leakage- was only 1 case and had been improved after decompression.
CONCLUSION
Percutaneous vertebroplasty with bone cement(PMMA) is effective treatment in osteoporotic compression fracture, especially in pain relief.
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Citations
Citations to this article as recorded by - Outcome Comparison between Percutaneous Vertebroplasty and Conservative Treatment in Acute Painful Osteoporotic Vertebral Compression Fracture
Hwa-Yeop Na, Young-Sang Lee, Tae-Hoon Park, Tae-Hwan Kim, Kang-Won Seo
Journal of Korean Society of Spine Surgery.2014; 21(2): 70. CrossRef - Adjacent Vertebral Compression Fracture after Percutaneous Vertebroplasty
Chung-Hwan Kim, Jae-Kwang Hwang, Jun-Seok Park
Journal of Korean Society of Spine Surgery.2013; 20(4): 163. CrossRef - The Diagnosis of Osteoporotic Occult Vertebral Fracture and Vertebroplasty
Seong Jun Ahn, Bu Hwan Kim, Moo Ho Song, Seong Ho Yoo, Yeong Joon Kim
Journal of the Korean Fracture Society.2012; 25(3): 208. CrossRef - Factor Analysis Affecting the Leakage of Bone Cement After Vertebroplasty
Jae-Hoon Kim, Kyung-Jin Song, Tai-Seung Kim, Jae-Lim Cho, Ye-Soo Park
Journal of Korean Society of Spine Surgery.2010; 17(1): 13. CrossRef - Treatment of Combined Degenerative Lumbar Disease and Adjacent Vertebral Fracture
Jae-Lim Cho, IL-Hoon Sung, Seung-Wook Baek, Ye-Soo Park
Journal of Korean Society of Spine Surgery.2008; 15(4): 236. CrossRef
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119
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