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Problems and complication after Interlocking Intramedullar Nailing for Femoral Shaft Fracture
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In Suk Oh, Do Hyun Moon, Jin Hong Ko, Ki Dong Kang, Si Hwan Kim
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J Korean Soc Fract 1996;9(3):547-556. Published online July 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.3.547
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 Abstract
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- Fracture of the femoral shaft, is among most common fractures in orthopaedics, with its aspect becomming more complex. Since the introduction of Kuncher Nail, closed rodding techinque and locking nail system were followed with additional feature of preventing shortening and rotation as well as allowing early weight bearing and joint motion. With their wide application, we met many problems during the operative procedure due to delicient concept and technique.
We have checked the possible problems during and after the procedure of interlocking nailing for the femoral fractures in 65 cases.
1. With poor selection of implant, long, short and small nail were used in 5, 3 & 2 cases, respectively.
2. In the process of operation, inlet error, angular & rotational deformity, femoral neck fracture, failure (or loossening) of distal screws were 2,10, 1, and 4 cases, respectively.
3. A New fragment was made in 7 cases(11%) durinbg surgery, especially medial side and distal to the fracture line.
4. Post-operative deep infection were developed in 2 cases.
5. Post-operative metal failure and delayed(or non) union was 1 and 7(11%) cases, delayed union (or nonunion) occured in 3 cases(20%) after open reduction while following closed reduction in 4 cases(8%).
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Citations
Citations to this article as recorded by  - Iatrogenic Femur Proximal Shaft Fracture during Nailing Using Lateral Entry Portal on Femur Shaft Fracture
Hong Moon Sohn, Gwang Chul Lee, Chae Won Lim
Journal of the Korean Orthopaedic Association.2014; 49(4): 272. CrossRef
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A Treatment of Fracture of the Neck of the Talus
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In Suk Oh, Do Hyun Moon, Jin Hong Ko, Ki Dong Kang, Si Hwan Kim
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J Korean Soc Fract 1996;9(2):369-375. Published online April 30, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.2.369
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- A fracture of the tatar nock if relatively rare, but it is generally regarded as a serious traumatic lesion of the ankle, because of the poor outcome after treatment. The talus has a special anatomical, functional and vascular characteristics. So the complications with avascular necrosis and nonunion and degenerative joint diseases are frequent.
We reviewed 19 cases who treated at ChungAng Gil General Hospitai from January, 1990 to August, 1994 and studied the incidence of complications and important factors in achieving good results.
The follow up period was at least 12 months.
The results were as follows; 1. Of the 18 cases, there were 18 males and 2 females, and most were third and fourth decades(67%).
2. The main cause were a fall down injury(44%), with sudden hyperextension as its mechanism.
3. According to Hawkins classification, type I, type II & type III were 6,8 & 4 cases, respectively.
4. The accompanying ipsilateral peri-ankle involvement were observed in 44%.
5. As for the method of treatment, C/R with cast immobilization were performed in 6 cases of type I while O/R and I/F with screw & Steinmann pin done on others.
6. As for the complications, AVN, skin necrosis, traumatic arthritis and infection were 3, 1,2 and 1 cases, respectively.
: Excellent in 9 cases, good in 6, fair in 1, poor in 2.
Consequently we think, in the treatment of displaced neck fracture and dislocation of talus, it is important to decompress the soft tissue early with concomitant anatomical reduction & internal fixation to get a satisfactory results.
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