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Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
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Jae Hak Jung, Kwan Hee Lee, Yong Ju Kim, Woo Jin Lee, Sung Hyun Choi
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J Korean Fract Soc 2012;25(4):317-322. Published online October 31, 2012
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DOI: https://doi.org/10.12671/jkfs.2012.25.4.317
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 Abstract
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- PURPOSE
To evaluate the radiologic and clinical results of percutaneous transverse fixation with K-wires for 5th metacarpal neck fracture.
MATERIALS AND METHODS
Between January 2007 and September 2010, 18 patients with a 5th metacarpal neck fracture, who underwent operative treatment, were included in this study. The surgical method was percutaneous transverse fixation using K-wires. We evaluated fracture angulation in oblique radiographs preoperatively, postoperatively, and at final follow-up, and used SPSS to perform statistical analysis. We also performed clinical evaluation using the Disabilities of the Arm, Shoulder and Hand (DASH) score.
RESULTS
All of the 18 cases were completely united, and in the oblique radiographs, the angulation was corrected from 50.69degrees to 11.68degrees. The average difference between postoperative and final follow-up angulations was 0.14degrees, which was statistically insignificant. Clinically, the DASH score was 1.030 and no complications were observed.
CONCLUSION
Percutaneous transverse fixation using K-wires could be one of the best ways to treat a 5th metacarpal neck fracture because of its simple method and low rate of complications.
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Lateral Positioning for Proximal Femoral Nailing of the Intertrochanteric Fracture: Surgical Technique
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Kwan Hee Lee, Hoon Jeong, Jong Kyoung Ha, Yong Ju Kim, Won Hee Jang
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J Korean Fract Soc 2011;24(1):79-82. Published online January 31, 2011
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DOI: https://doi.org/10.12671/jkfs.2011.24.1.79
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- In the treatment of intertrochanteric fractures, most of intramedullary nailings are performed on a fracture table in supine position. In supine position, however, soft tissue mass of the patients and drapes make it difficult to access to the piriformis fossa and to straighten the trajectory of reamer and nail insertion. To resolve these problems, we have treated twenty intertrochanteric fractures in lateral position on the general operation table with IM nail. Adjustment of the position of lag screw in femoral head was done with the technique that overlaps the shadows of the femoral head, nail and targeting guide in the lateral view. Because the entire injured limb can be moved readily, it was easy to reduce fracture and to convert to open procedure. In cases likely that the fracture table is unavailable in which patients are obese, have short stature or are amputated, and that open procedure is strongly likelihood, lateral position will be helpful technique in the treatment of intertrochanteric fractures with IM nail.
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Citations
Citations to this article as recorded by  - Outcomes of Internal Fixation with Compression Hip Screws in Lateral Decubitus Position for Treatment of Femoral Intertrochanteric Fractures
Cheon-Gon Park, Taek-Rim Yoon, Kyung-Soon Park
Hip & Pelvis.2018; 30(4): 254. CrossRef - The Effects of Sa-Am Spleen-tonifying Acupuncture on Radial Pulse in Healthy Human Subjects
Kwang Sik Yoon, Hyun Lee
The Acupuncture.2013; 30(4): 1. CrossRef
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Treatment of the Difficult Supracondylar Fracture of the Femur with the Intramedullary Supracondylar Nail
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Bum Gu Lee, Yong Ju Kim, Suk Woong Yoon, Shin Young Kang, Jae Hee Cho, Myong Se Jang
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J Korean Soc Fract 1996;9(4):943-950. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.943
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- Open reduction and internal fixation should be considered for the AO classification type C supracondylar fracture of the femur. However serious complications such as infection and nonunion can occur after extensive stripping of the soft tissue. We will analyze the usefulness of the intramedullary supracondylar nail for treatment of the 1 cases of the difficult supracondylar fracture such as AO type C fracture, nonunion and supracondylar fracture associated with ipsilateral hip fracture. Follow up period of 7 cases was at least 18 months.
1. 5 cases of 7 were AO type C and 2 cases of 7 were associated with ipsilateral hip fracture.
2. 2 cases of 1 rere nonunion and 2 cases of 7 were grade III open fracture in Gustilo classification.
3. 5 cases of 7 had bone union and average range of motion of the knee was 90 degree.
4. There was no infection, but t case was complicated with the femoral shaft fracture near the proximal nail tip, and 2 cases were complicated with the metal failure at the fracture site resulting nonunion.
5. Intramedullary supracondylar nail was very useful tool for the very difficult supracondylar fracture of the femur due to minimal incision, minimal soft tissue dissection and rigid fixation. But this nail was not available for the proximally extended fracture of the femoral shaft.
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Supracondylar Fracture of the Femur Treated by Ender Nail
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Yong Ju Kim, Suk Woong Yoon, Bum Goo Lee, Sung Il Shin
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J Korean Soc Fract 1990;3(1):62-70. Published online May 31, 1990
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DOI: https://doi.org/10.12671/jksf.1990.3.1.62
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Abstract
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- The supracondylar fracture of the femur is very difficult to treat regardless of whether non-surgical of surgical methods are selected. Recent advance of device for internal fixation such as AO angle plate and Judet plate improved the result of the operative treatment. But the operative technizue is difficult and in elderly patient rigid fixation can not be obtained due to osteoporsis and comminution of the fracture. So intramedullary nailing such as Zickel supracondylar element were treated with the Ender anil with distal screw in Red Cross Hospital from September 1987 to December 1988.
Ender nailing appear to be a promising treatment of the supracondylar fracture of the femur, especially elderly patient, because the operaive technique is easy, blood loss is minimal and fixation is adequate to allow early exercise of the knee.
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