Journal of Musculoskeletal Trauma

Tae Hoon Kim

3 Articles

Nailing in the Patients with Intertrochanteric Fractures of the Femur: Comparision Gamma Nail and Proximal Femoral Nail: Sang Bong Ko, Myung Rae Cho, Tae Hoon Kim, Il Woong Chang; J Korean Fract Soc 2004;17(4):295-300. Published online October 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.4.295

PURPOSE
To evaluate the clinical and radiologic results of the fracture fixation using the Proximal Femoral Nail (PFN) or Gamma nail in patient with the intertrochanteric fractures.
MATERIALS AND METHODS
From January 1999 to February 2002, we reviewed 63 patients of intertrochanteric fractures including 31 patients managed with Gamma nail and 32 patients with PFN. In variate analysis of age, the pattern and stability of fracture, bone density (Singh index), preoperative patient activity, there was no difference between two groups. We evaluated the operation time, blood loss, stable reduction rate and varus reduction rate as operation-related factors, and radiologically investigated union time, the frequency of delayed union and nonunion, failure of fixation, status of the fracture line and complications. Functional results were evaluated by the possibility of early ambulation, ambulation ability at last follow up, and the pre and postoperative difference of ambulatory ability.
RESULTS
Mean operation time was 103+/-40 minutes in Gamma nail group and 101+/-28 minutes in PFN group. It was not statistically significant (p=0.801). Even though intraoperative blood loss was less in PFN group, it was not significant (p=0.601). Postoperative stable reduction rate was 31% in Gamma nail group and 30% in PFN group (p=0.934), suggesting not significant. Postoperative varus reduction and impacted amount of the fracture line was not significant. Delayed union developed in one case of Gamma nail group and 2 cases of PFN group. Mean loss of ambulation ability was 1.28 grade in Gamma nail group and 0.86 grade in PFN group (p=0.383). Statistical analysis was performed with the use of Student T test and Chi-square test. Analyses resulting in a p value of <0.05 were considered to show significance.
CONCLUSION
Generally, the radiologic and clinical results of intertrochanteric fractures were comparable for the PFN group and Gamma nail group. Even though it was not statistically significant, PFN group had superior results in operation time and blood loss than Gamma nail group for the fixation of the patients with intertrochanteric fracture.

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Treatment of Unstable Pertrochanteric Fractures with a Long Intramedullary Nail
Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Dae Jung Huh
Hip & Pelvis.2013; 25(1): 51. CrossRef
Hemiarthroplasty for Hip Fractures in Elderly Patients over 80 Years Old - Comparative Analysis between Femoral Neck Fracture and Intertrochanteric Fracture -
Chae-Hyun Lim, Young-Yool Chung, Jeong-Seok Kim, Chung-Young Kim
Hip & Pelvis.2013; 25(1): 44. CrossRef
Cementless Bipolar Hemiarthroplasty for Unstable Intertrochanteic Fractures in the Elderly
Byung-Hak Kim, Young-Yool Chung, Sung-Chang Ki, Dae-Hyun Yoon, Ji-Hoon Ryu
Journal of the Korean Orthopaedic Association.2011; 46(5): 399. CrossRef
Treatment of Intertrochanteric Fracture with Proximal Femoral Nail
Dae Joong Kim, Sung Chan Ki, Young Yool Chung
Journal of the Korean Fracture Society.2007; 20(1): 40. CrossRef

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Comparison between results of treatment of the Femoral Neck and Intertrochanteric Fractures : Focused on Mortality rate and Complications: Chung Soo Hwang, Phil Hyun Chung, Suk Kang, Tae Hoon Kim, Han Chul Kim, Yong Soon Kim; J Korean Soc Fract 1999;12(4):792-802. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.792

Abstract PDF

The incidence of femoral neck and intertrochanteric fractures has steadily increased with lengthening of the life span. It is well known that anatomical characteristics of femoral neck may evoke complications such as nonunion and avascular necrosis. And there are many problems in the treatment of femoral intertrochanteric fractures due to osteoporosis, unstable pattern of fracture and poor general condition in elderly patients. The author analyzed 56 cases(56 patients) of femoral neck fractures and 63 cases(61 patients) of femoral intertrochanteric fractures which we have been able to follow up more than 1 year from March 1991 to March 1997. The purpose of this study is 1) to analyze results of treatment, predisposing factors, complications and mortality rates, and so 2) to reduce the mortality rate and complication in these fractures. The results were as follows , 1. The difference in union time between both type of fractures was not significant. 2. The mortality rate during admission was 1.8% in femoral neck fractures and 6.3% in intertrochanteric fractures. 3. The mortality rate during 1 years was 3.6% in femoral neck fractures and 9.5% in femoral intertrochanteric fractures. 4. The predisposing factors associated with postoperative mortality rate were malnutrition. chronic obstructive pulmonary disease, previous contralateral hip fracture, and operation within 3 days.

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Anesthetic considerations for surgical treatment of geriatric hip fracture
Dong Kyu Lee, Seunguk Bang, Sangseok Lee
Anesthesia and Pain Medicine.2019; 14(1): 8. CrossRef
A Comparison of Clinical Results between Compression Hip Screw and Proximal Femoral Nail as the Treatment of AO/OTA 31-A2.2 Intertrochanteric Femoral Fractures
Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, In Hwa Back, Kyeong Soo Eom
Journal of the Korean Orthopaedic Association.2016; 51(6): 493. CrossRef
Postoperative Mortality and the Associated Factors in Elderly Patients with Hip Fracture
You-Sung Suh, Yong-Beom Kim, Hyung-Suk Choi, Hong-Kee Yoon, Gi-Won Seo, Byung-Ill Lee
Journal of the Korean Orthopaedic Association.2012; 47(6): 445. CrossRef
One-Year Mortality Rate of Patients over 65 Years Old with a Hip Fracture
Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Young Hwa Choi
Hip & Pelvis.2011; 23(2): 137. CrossRef

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Treatment of Supracondylar Fractures of the Humerus in Children: Hyung Seok Kim, Ki Do Hong, Sung Sik Ha, Eu Suk Lew, Tae Hoon Kim; J Korean Soc Fract 1997;10(4):964-971. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.964

Abstract PDF: Supracondylar fracture of the humerus is the most common elbow fracture in children. It can be complicated by Volkmanns ischemic contracture, nerve injury, deformity of elbow, joint stiffness, and myositis ossificans, etc. even after the treatment. Various methods of treating displaced supracondylar rracture have been described, and the indications for open reduction and internal fixation are relatively established well. The surgeon, however, might be in trouble with making decision for closed reduction, whether to maintain by casting or by percutaneous pinning. From fan. 1990 to May 1990, 117 patients of supracondylar tracture had been treated in Seoul Adventist Hospital, and 82 patients of them were challenged initially by closed reduction and casting. Among them, 51 cases have been followed more than 1 year, and they are reviewed. 1. The average age was 7.2 years, and the patient population consisted of 33 boys and 18 girls. 2. 3 cases of nerve injuries, 2 cases of ipsilateral forearm bone fractures, 2 cases of impending Volkmanns ischemic contracture and 1 case of cerebral contusion were associated with supracondylar fracture. 3. Fracture pattern were classified as flexion type of 1 case and extension type of 50 cases. According to Gartland classification, type II was 16 cases(31.4%), type III-A was 27(52.9%) and III-B was 7(13.7%). Of all, 28 cases(54.9%) were comminuted and 23 were non-comminuted. On the other hand, 14 cases(27.5%) were oblique fracture and 37(72.5%) were transverse one, classified by pattern of fracture line. 4. Success rate of closed reduction and casting were 56.3% in Garland type II, 33.3% in type III-A, 42.9% in type III-B. In comminuted fracture, it was 21.4% and 65.2% in non-comminuted one. Success rate was 7.1% in oblique fracture, and 54.1% in transverse one. This suggests that comminuted fracture or oblique fracture should not be tried by closed reduction and casting but by percutaneous pinning. 87.5% of non-comminuted and transverse fractures were treated successfully by initial closed reduction and casting, and it also suggests that closed reduction and casting should be done only in this case selectively. 5. By Flynns criteria the results were excellent in 9 cases, good in 8, fair in 3 and poor in 1 with casting. Percutaneous pinning resulted in 15 excellent, 10 good, and 1 fair cases. Open reduction and internal fixation resulted in 2 excellent and 2 good cases.

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