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Epidemiology and treatment of The Fractures in Burned Patients
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Ho Guen Chang, Woon Hwa Jeong, Ung Joo Lee, Jun Dong Chang, Won Ho Cho, Chang Ju Lee
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J Korean Soc Fract 1996;9(4):1034-1038. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.1034
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 Abstract
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- The fractures in the burned patients is more complicated mechanism. There are controversies in the treatment of the fractures in the burned patients.
We analysed the fracture incidence, the type of burn, the mode of injury, the mean burn percentage, the fracture site and the results of treatment of the if fractures in 44 patients selected from 3300 burned patients in Hangang sacred-heart hospital during recent 5 years.
The incidence of the fractures in the burned patients was 1.3%, the predominant type of the burn was flame burn(72.7%), the mean burn percentage was 28.7% of the total body surface. The mode of injury mainly consisted of fall down after burn(50%). The most common fracture site was thoracolumbar spine(11 cases).
In 12 long bonr fractures, 5 cases(Tibia:3 case, Femur:2 case) were treated with operative method. But, the osteomyelitis was not developed in ail cases. We concluded that the operative treatment is recommended in severe burned fracture patients for pain relief, comfortable wound manage, rigid fixation and early exercise.
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Complications in Femur Shaft Fracture treated with Interlocking Intramedullary Nailing
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Ho Geun Chang, Woon Hwa Jeong, Ung Joo Lee, Seo Joong Choi, Jun Dong Chang, Won Ho Cho, Chang Ju Lee
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J Korean Soc Fract 1996;9(4):891-898. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.891
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Abstract
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- The interlocking IM nailing is one of the most commonly used treatment method of the femoral shaft fracture. Althrough it has many advantages, but various complications is reported including delayed union, nonunion, malunion, interlocking nail or screw breakage, joint stiffness and infection.
In order to evaluate the complications we reviewed 38 cases in treated with interlocking IM nailing in femoral shaft fracture from january, 1991 to december, 1995 in Hangang Sacred-Heart hospital. The average follow up duration was 14 months (range ; 6 months to 38 months).
The following results are obtained 1. There were 1 cases of nonunion. Nonunion was of no analytic significance in sex, age, the fracture site and associated fracture (P=0.186), but significant in segmental fracture (P=0.02). Because of the small number group, we considered that it would be necessary more clinical expenence.
2. There were 3 cases interlocking screw breakage, all of which were occured in proximal screw. Partial weight bearing was permitted average postoperation 4.3 months. Average duration between operation and screw breakage was 1.3 months, between operation and bone union was 11.7 months.
3. There was 1 case of interlocking nail breakage. we considered that it was resulted from usage of relatively small nail(11 mm) and postoperative early weight bearing(8 weeks).
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