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Treatment of the Long Bone fractures Assuiated with Vascular Injuries
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Myun Whan Ahn, Yong Seok Choi, Jong Chal Ahn
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J Korean Soc Fract 1994;7(1):113-121. Published online May 31, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.1.113
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 Abstract
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- Vascular injuries combined with long bone fractures have been infrequent and difficult to manage. Despite of recent advancement in the vacular repalr and fixation of fracutres, it is not easy to save the limb. In order to identify the factor associated with amputation or salvage of the affected limb, a retrospective study of 14 patients whose injured vessels were repaired primarily at the time of bone fixation was perfomed. The ischemic time, the degree of soft tissue or bone injury and the method of treatment were evaluated with relation to the limb salvage, 4(28.6%) of that 14 long bone fractures needed secondary amputation due to a vascular insufficiency. In 3 of 4 fractures, in which vascular repair were delayed over 24 hours, afftected limbs were amputated later. Thus, the ischemnic time was determined as an important factor for limb salvage after the vascular injury associated with the long bone fracture(p<0.05). However, the dogree of the soft tissue of bone injury and the method of treatment were not correlated with the limb salvage.
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Supracondylar Osteotomy for Cubitus Varus and Valgus
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Duk Seop Shin, Jong Chul Ahn, Se Dong Kim, Yong Seok Choi
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J Korean Soc Fract 1994;7(1):49-57. Published online May 31, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.1.49
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Abstract
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- Between December 1989 and january 1944, 17 corrective supracondylar osteotomy of humerus for cubitus varus and valgus were performed at department of orthopaedic surgery in Yeugnam University. Supracondylar fracture was the most common cause of deformity Average age at operation was 18.6 years old and average follow up period was 14 months. The operation was done under the comprehensive preoperative plan, and Internal fixation was done with K-w,res ,n younger patients, and with plates and screws in elder ones(77%). Period for external fixation could be shortened by firm internal fixation. The result was exllent in nine cases, good in four, and poor in four. No ulna and radial nerve palsy were found in operation of cubitus varus. There were three tardy ulna nerve palsy In cubitus valgus, then anterior transposition of ulna nerve was done.
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