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Treatment with Modified Steinmann Pins and Tension Band Wiring Technique in Proximal Humeral Comminuted Fractures with Osteoporosis
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Soo Tai Chung, Joo Hak Kim, Hyung Soo Kim, Sang Joon Park
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J Korean Fract Soc 2007;20(2):184-189. Published online April 30, 2007
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DOI: https://doi.org/10.12671/jkfs.2007.20.2.184
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 Abstract
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- PURPOSE
To evaluate the usefulness of internal fixation with modified Steinmann pins and tension band wiring technique in comminuted proximal humeral fracture with osteoporosis and the correlations among bone mineral density, age, Neer's score and period of union.
MATERIALS AND METHODS
Twelve cases of comminuted proximal humeral fracture with osteoporosis were surgically treated with modified Steinmann pins and tension band technique, and followed up for an average 20.8 months (range, 6~39 months). Average age was 73.6 years old (range, 59~85 years old). Results were assessed using Neer's evaluation criteria.
RESULTS
Excellent results were noted in eight cases and satisfactory results in four cases. Radiological union was obtained in all cases. Two cases showed impingement syndrome of the proximal portions of Steinmann pins, which were managed by early removal of the metal. One case developed operative wound infection, which were managed by antibiotics therapy, irrigation and secondary closure.
CONCLUSION
Internal fixation using modified Steinmann pins and tension band wiring technique for proximal humeral fracture, with osteoporosis, makes complete union of fracture, minimizes risk of complications, and enables early rehabilitation by rendering relatively rigid fixation.
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Treatment of supracondylar fractures of the humerus by percutaneouspinning in children
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Sung Joon Kim, Jae Lim Cho, Euhn Sung Whang, Soo Tai Chung
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J Korean Soc Fract 1991;4(1):30-36. Published online May 31, 1991
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DOI: https://doi.org/10.12671/jksf.1991.4.1.30
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Abstract
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- No abstract available.
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Yvascular Injuries Associated with Fracture and Dislocastion of the Knee
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Sung Joon Kim, Il Yong Choi, Jae Lim Cho, Soo Tai Chung
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J Korean Soc Fract 1990;3(1):40-45. Published online May 31, 1990
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DOI: https://doi.org/10.12671/jksf.1990.3.1.40
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Abstract
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- Injury of the popliteal artery associated with fracture and dislocastion of the knee is uncommon, But, when the fracture and dislocation of the knee occurs, it frequently associated with vascular injuries, and vascular injury can be a very serious one because of ischemia that necessitates amputation. Sixteen vascular injuries combined by fractures and dislocation of the knee between March, 1985 and February, 1989 have been reviewed and the results are as follows.
1. There were 11 cases of proximal tibial fracture, 2 cases of distal femoral fracture and 3 cases of knee dislocation.
2. The site of injury which is proximal to insertion of the soleus muscle were 15 cases.
3. There were contusion in 11 cases, rupture in 4 cases and laceration in 1 case.
4. One of the 2 cases(50%) that were treated within 12 hours after injury survived, while two to 10 cases(20%) that were treated after 24 hours following injury survived.
5. The open reduction and internal fixation was done in 5 cases, the skeletal traction in 1 case, and cast immobilization in 10 cases.
6. Finally, the B-K amputation was done in 4 cases, A-K amputation in 6 cases, knee disarticulation in 2 cases.
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