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Treatment of Tibial Shaft Fractures by Intramedullary Nailing
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Sung Kon Kim, Sung Woo Suh, Hyung Suk Kim
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J Korean Soc Fract 1994;7(2):438-443. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.438
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 Abstract
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- The incidence of the intertrochanteric fracture of the femur is increasing due to increased geriatric population.
The primary goal in the treatment of an order patients with an intertrochanteric fracture is to obtain anatomical reduction and rigid fixation for the rapid mobilization, decreased mortality and restoration of function.
Many devices were developed for this purpose, especially of compression hip screw had gained considerable acceptance.
A retrospective study of clinical results of the 50 cases intertrochanteric fracture from March 1990 to January 1993 was performed.
The result were as follows; 1. Average age is 58 years and sex distribution is 31 cases of male, 19 cases of female.
2. Common cause of injury are slip down and traffic accident. Affected side is Rt 32 cases and Lt 18 cases.
3. According to the classification (of Boyd-Graffin), there are 14 case of Type I, 31 cases of Type II 2 cases of type III,3 cases of Type IV.
4. Among 50 cases, complication is encountered in 8 cases angular deformity (4 cases), limitation of motion(3 cases), infection(1 case).
5. After treatment of intertrochanteric fracture ; Neck-shaft angle of non-displaced fracture and comminuted fracture was an average 2 degree varus angular deformity. Vertical displacement of non-displaced fracture was an average 4.5mm and comminuted fracture was 5.0 mm. Medial displacement of non-displaced fracture was an average 3.5mm and comminuted fracture was 4.5mm.
6. Satifactory results could be obtained by open reduction and internal fixation with compression hip screw.
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Treatment of Tibial Shaft Fractures by Intramedullary Nailing
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Sung Kon Kim, Sung Woo Suh, Hyung Suk Kim
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J Korean Soc Fract 1994;7(2):431-437. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.431
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Abstract
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- From March, 1989 to Sept. 1992, total of 31 cases of tibial shaft fracture have been admitted treated with intramedullary nailing at the Department of Orthopaedic Surgery, Ansan Hospital, Korea University.
Among them, 13 cases which had been followed-up than 2years were analyzed and the results were as follows; 1. Among the 13 patients, 9 of them(69.2%) were male, the rest of 4(30.8%)were female.
2. Eight cases out of 13 were open fractures with Gustilo type I-4 cases, type II-2 cases, type III-2 cases and the remaining 5 were closed type.
3. Treatment offered were either interlocking intramedullary nailing(10 cases, 76.9%) or insertion of flexble nails(3 cases, 23.1%).
4. There were no cases with non-union and the average period of bone union was 21.6 weeks.
5. Delayed union and superficial infection occured in each three cases as a complication.
6. Intramedullary nailing could be used carefully in tibial shaft fracture even in the communicated & open fractures.
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