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Results of Use of Compression Hip Screw with Trochanter Stabilizing Plate for Reverse Oblique Intertrochanteric Fracture
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Byung Woo Min, Kyung Jae Lee, Gyo Wook Kim, Ki Cheor Bae, Si Wook Lee, Du Han Kim
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J Korean Fract Soc 2014;27(2):120-126. Published online April 30, 2014
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DOI: https://doi.org/10.12671/jkfs.2014.27.2.120
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Abstract
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The aim of this study was to analyze the use of a compression hip screw with a trochanter stabilizing plate for treatment of reverse oblique intertrochanteric fractures. MATERIALS AND METHODS We reviewed the results of 33 cases of reverse oblique intertrochanteric fracture treated with a compression hip screw with a trochanter stabilizing plate from January 2000 to December 2012 which were followed-up for more than one year. We evaluated postoperative bone union period, change of neck-shaft angle, sliding of hip screw, and other complications. RESULTS Of 33 patients, satisfactory reduction was achieved in 28 patients. Five patients had an unsatisfactory reduction, with two cases of excessive screw sliding, one of broken metal, one of varus deformity, and one of internal rotation deformity. We performed corrective osteotomy in varus and internal rotation deformity and partial hip replacement in a case of excessive screw sliding. Bone union was achieved in 29 patients, and the average bone union period was 19.2 weeks. CONCLUSION We consider that a compression hip screw with a trochanteric stabilized plate is a good option for treatment of reverse oblique intertrochanteric femoral fractures. However, adequate fracture reduction and ideal implant placement are a basic necessity for successful treatment.
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Delayed Brachial Artery Occlusion after Humeral Shaft Open Fracture: A Case Report
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Chul Hyun Cho, Ki Cheor Bae, Kyung Jae Lee, Si Wook Lee
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J Korean Fract Soc 2012;25(2):146-149. Published online April 30, 2012
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DOI: https://doi.org/10.12671/jkfs.2012.25.2.146
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- Although vascular injury after humeral fracture is very rare, it is a complication that has serious sequelae. It has been associated with proximal humeral fracture or shoulder dislocation in adults and humeral supracondylar fracture in children. However, delayed brachial artery occlusion after humeral shaft fracture has never been reported worldwide. Nevertheless, delayed brachial artery occlusion after humerus shaft fracture has the potential to cause serious complications in the short term as well as long term; therefore, it is essential to provide accurate diagnosis and prompt treatment. We report a case of delayed brachial artery occlusion after humeral shaft open fracture that was successfully treated with early diagnosis as well as effective treatment.
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- Delayed presentation of brachial artery injury following fracture shaft humerus; whether amputate or salvage: A series of two cases
Bhanu Sharma, Sibashish Metia, Kavish Kapoor, Pankaj Poswal Journal of Orthopedics, Traumatology and Rehabilitation.2018; 10(2): 137. CrossRef
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