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Problems of Anterior External Fixation in Unstable Pelvic Ring Injury
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Jun Dong Chang, Young Jin Seo, Yong Hyuck Choi
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J Korean Fract Soc 2005;18(4):394-398. Published online October 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.4.394
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 Abstract
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- PURPOSE
To determine the problems of anterior external fixators in unstable pelvic ring injuries.
MATERIALS AND METHODS
We reviewed 25 patients with an unstable pelvic ring injuries who had been treated with only anterior external fixator over one year follow-up. By Tile's classification, type B 14, type C 11 and the radiological results were evaluated preoperation, postoperation and bone union state. The clinical evaluation was done in termas of the residual pain, discrepency in limb length, rotational deformities, gait disturbance, neurologic deficiency.
RESULTS
In 25 patients with an unstable pelvic ring injuries, 18 (72%) patients were reducted and 3 (17%) patients of 25 were reduction failure at last follow up, they were all Tile type C. The residual pain was graded normal 3, mild 11, moderate 10, severe 1 respectively. The cases with discrepency in limb length and gait disturbance were 6 (all type C), 10 (type B 3, type C 7) respectively. The complication were 4 pin site infection, 3 pressure sore and 1 pyogenic hip arthritis.
CONCLUSION
Our results indicate that anterior external fixator should be limited to vitally unstable patients in acute resuscitative phase and cases without vertical displacement.
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Citations
Citations to this article as recorded by  - Outcome of Surgical Treatment of AO Type C Pelvic Ring Injury
Do Hyeon Moon, Nam Ki Kim, Jun Sung Won, Jang Seok Choi, Dong Hyun Kim
Hip & Pelvis.2014; 26(4): 269. CrossRef - General Assessment and Initial Management of Polytrauma Patients
Hyoung Keun Oh
Journal of the Korean Fracture Society.2013; 26(3): 230. CrossRef - Damage Control and Provisional Fixation
Hyoung Keun Oh
Journal of the Korean Fracture Society.2010; 23(3): 346. CrossRef
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Value of Preoperative Bone Scan in Evaluation of Femur Shaft Fracture
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Young Jin Seo, Soon eok Kwon, Jun Dong Chang
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J Korean Fract Soc 2005;18(3):227-231. Published online July 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.3.227
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Abstract
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To evaluate the availability of bone scan as a preoperative study by analyzing patients who developed ipsilateral femoral neck fractures during intramedullary nailing for femoral shaft fractures.
MATERIALS AND METHODS
Among 28 patients who conducted preoperative bone scan before performing intramedullary nailing for femoral shaft fractures, three patients developed femoral neck fractures during the operation. We analyzed retrospectively the result of bone scan including clinical and radiological findings of three patients.
RESULTS
Among 28 patients, 7 showed hot uptake in femoral neck area compared to the unaffected side in preoperative bone scan; All 3 patients who developed femoral neck fractures during the operaion showed hot uptakein the area. Among 7 patients who showed hot uptake, there were no abnormalities in plain radiograph and computerized tomography of femoral neck area.
CONCLUSION
The risk of femoral neck fracture should be considered during the intramedullary nailing for femoral shaft fracture, if there was hot uptake in femoral neck area in preoperative bone scan.
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Adverse Effect of the Absorbable Rods in Treatment of the Radial Head & Neck Fractures
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Weon Ik Lee, Jun Dong Chang, Soo Joong Choi, Byeong Kook Lee, Young Jin Seo, Chang Ju Lee
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J Korean Soc Fract 2002;15(3):414-420. Published online July 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.3.414
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Abstract
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We report complications occurred from 6 patients among 14 patients who received the operation for their radial head and neck fractures by using the absorbable rod made by poly-glycolic acid(PGA).
MATERIALS AND METHODS
We analyze the postoperative results of 14 patients who recieved fixation by absorbable rod for the radial head and neck fractures from March 1991 to March 2000. All of the fractures were are reducible and modified Mason 's type II.
RESULTS
After average 15 months follow up, flexion contracture was average 20 degrees and full flexion was average 130 degrees. Complications were occurred in 6 cases. Osteolysis was occurred in 3 cases and in 2 cases among theses 3 cases, radial head excision was performed. Synovitis was occured in other 3 cases and in one case joint fluid was drainaged from operation wound for 2 weeks and in other 2 cases, synovitis was progressed to arthritis.
CONCLUSION
The absorbable rod made of PGA in radial head and neck fracture have relatively high rate of adverse tissue responses. So surgeon should consider adverse tissue response of PGA. Development of more biocompatible absorbable and slow degrading material should be needed.
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