Journal of Musculoskeletal Trauma

The Treatement of the Unstable Proximal Humerus Fracture Using Bifurcate Angled Blade Plate with Tension Band Wiring: Kuen Tak Suh, Hyoung Lok Roh, Myung Soo Youn, Jung Sub Lee; J Korean Fract Soc 2006;19(4):424-430. Published online October 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.4.424

PURPOSE
To evaluate the results of internal fixation with bifurcate angled blade plate and tension band wiring of greater tuberosity or rotator cuff for the unstable proximal humerus fracture.
MATERIALS AND METHODS
Nineteen cases of unstable proximal humerus fracture who were followed up for more than 1 year were treated using bifurcate angled blade plate and tension band wiring between March 2003 and March 2005. Average age of the patients was 46.5 years (range, 24 to 69), and there were 9 male and 10 female patients. The radiological results were evaluated by bony union and neck shaft angle. In addition, the clinical results were evaluated by Neer's evaluation criteria.
RESULTS
In 18 out of 19 cases, bony union was obtained in average 12.5 weeks after operation. The neck shaft angles of sixteen cases were between 120 and 140 degrees by Paavolainen method. According to Neer's evaluation criteria, 17 cases showed excellent or good results.
CONCLUSION
The patients treated using bifurcate angled blade plate and tension band wiring could exercise earlier because of good initial stability. Also, the radiological and clinical results were relatively good. The treatment of unstable proximal humerus fracture with bifurcate angled blade plate and tension band wiring was considered as a good method.

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Hemiarthoplasty with Bone Block Graft and Low Profile Prosthesis for the Comminuted Proximal Humerus Fractures
Chung Hee Oh, Joo Han Oh, Sae Hoon Kim, Ki Hyun Jo, Sung Woo Bin, Hyun Sik Gong
Journal of the Korean Fracture Society.2008; 21(3): 213. CrossRef

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Results of Operative Treatment of Distal Femoral Fracture: Sung Soo Kim, Sung Keun Sohn, Kyung Taek Kim, Kyu Yeol Lee, Chul Hong Kim, Myung Jin Lee, Hyung Seo Jang, Il Kwon Jung; J Korean Fract Soc 2005;18(3):232-237. Published online July 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.3.232

Abstract PDF

PURPOSE
To evaluate the result of comparative study about the cases in the fracture of the distal femur treated with plate and screw, dynamic condylar screw, blade plate, retrograde intramedullary nail and external fixator.
MATERIALS AND METHODS
The AO classification system was used. 84 cases who were preformed operation during the period from March 1996 to May 2002, were included in this study. The mean duration of follow-up was 25 months. According to Sachatzker criteria, we classified the following results to excellent, good, fair and poor.
RESULTS
Type A were excellent or good result when treated with plate and screw, dynamic condylar screw and retrograde intramedullary nail. Type B were excellent or good result when treated with cannulated screw. Type C were excellent or good result when treated with plate and screw and blade plate.
CONCLUSION
We conclude that the most important thing in operation is firmly internal fixation and to obtain this, accurately anatomical reduction and the choice of suitable instrument for the type of the fracture are needed. cannulated screw. Type C were excellent or good result when treated with plate and screw and blade plate.

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Comparison of Results of Minimally Invasive Plate Osteosynthesis according to Types of Locking Plate in Distal Femoral Fractures
Oog Jin Shon, Moon Soo Kwon, Chul Hyun Park
Journal of the Korean Fracture Society.2012; 25(4): 269. CrossRef

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Treatment of Failed Internal Fixation of Intertrochanteric Fractures of Femur: Hyung Gyu Kim, Byeong Mun Park, Kyeong Seop Song, Chang Hun Sung, Jong Min Kim, Jae Hyung Cho, Nam Heun Kim; J Korean Fract Soc 2005;18(2):120-125. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.120

Abstract PDF: PURPOSE
To compare the result of failed internal fixation of intertrochanteric fractures treated with arthroplasty and 95degrees angled blade plate.
MATERIALS AND METHODS
From June 2000 to may 2003, there were 12 cases with failed internal fixation of intertrochanteric fractures among 185 cases treated with dynamic hip screw and followed up for more than 1 year. The 4 cases were treated with bipolar hemiarthroplasty, 1 case with total hip arthroplasty, and other 7 cases were treated with 95degrees angled blade plate with allograft, evaluated clinically the operation times, blood loss, walking ability and complication.
RESULTS
In the 7 cases, which treated with 95degrees angled blade plate, the average operation time was 109 minutes, the average blood loss was 431 ml. The result of keeping abreast of 1 year, no aid ambulation was 4 cases, the cane ambulation was 2 cases, the walker ambulation was 1 case, and there was no pain in 3 cases, mild pain in 4 cases, and no moderate pain. In the 5 cases, which treated with arthroplasty, the average operation time was 157 minutes, the average blood loss was 618 ml. During 1 year, no aid ambulation was 3 cases, the cane ambulation was 1 case, the walker ambulation was 1 case, and no pain in 2 cases, mild pain in 1 case, moderate pain in 1 case.
CONCLUSION
Both 95degrees angled blade plate and arthroplasty can be useful for failed internal fixation of intertrochanteric fractures, and the choice of implant must be determined with caution, considering the surgical conditions of patient, as well as benefits of each devices

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Unstable Trochanteric Fractures of the Femur Treated with a Condylar Blade Plate: Young Soo Byun, Chan Hoon Yoo, Jun Mo Nam, Young Ho Cho, Dong Ju Shin; J Korean Soc Fract 2002;15(3):320-327. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.320

Abstract PDF

PURPOSE
This study evaluates the effectiveness of the condylar blade plate for internal fixation of unstable trochanteric fractures of the femur.
MATERIALS AND METHODS
Twenty six unstable trochanteric fractures of the femur (AO classification, 9 type A2 and 17 type A3) were treated by condylar blade plate fixation. Osteoporosis was found in 14 cases. Fractures were operated on the average 7th day after trauma and cancellous bone graft was performed in 3 fractures with severe comminution. Results were evaluated by operating time, time of fracture healing, complications, and function of the hip and walking ability at the final follow-up assessment.
RESULTS
Operating time was 123 minutes on average. All fractures were united in an average of 14.0 weeks. Complications at the fracture site were a heterotopic ossification and a refracture. Motion of the hip was limited moderately in a case with heterotopic ossification and mildly in 5 cases. Two patients used a cane and 2 patients revealed a mild limp.
CONCLUSION
Although the condylar blade plate is technically difficult to apply, it provides stable fixation to obtain good results with less complications for unstable trochanteric fractures of the femur, especially even in the presence of osteoporosis.

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Helical Blade Locking Sleeve Disassembly Following Failed Femur Intertrochanter Fracture - A Case Report -
Soon Ho Huh, Hong-Man Cho, Ji-Yeon Park
Journal of the Korean Fracture Society.2021; 34(3): 112. CrossRef
Excessive Sliding of the Helical Blade and the Femoral Neck Fracture after Insertion of Proximal Femoral Nail Anti-Rotation for Type A2 Intertrochanteric Fractures - A Case Report -
Bong-Ju Park, Hong-Man Cho, Ju-Han Kim, Woo-Jin Sin
Journal of the Korean Fracture Society.2013; 26(2): 151. CrossRef
A Case Report of Unique Complications of PFNA Penetration of the Blade into the Hip Joint
Se-Ang Jang, Young-Ho Cho, Young-Soo Byun, Hun-Sik Cho, Sung Choi, Hyun-Seong Yoo
Hip & Pelvis.2011; 23(4): 318. CrossRef

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Treatment of Peritrochanteric Fracture of Femur with Angulated Blade Plate: Myung Chul Yoo, Yoon Je Cho, Kang Il Kim, Young Soo Chun, Chang Hyeok Kwon, Dong Jin Shin; J Korean Soc Fract 2001;14(3):351-357. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.351

Abstract PDF: PURPOSE
To clarify the efficacy of angulated blade plate fixation in the treatment of complex peritrochanteric fracture of femur.
MATERIALS AND METHODS
Thirty peritrochanteric fractures treated with angulated blade plate, with a follow-up period of more than twelve months, were included. There were twenty subtrochanteric fractures and ten intertrochanteric fractures in which compression hip screw could not be applied due to comminution of trochanteric area. Average age was fifty six years(range, 17 to 76). Average follow-up period was 22.4 months(range, 12 to 31).
RESULTS
Average time to bony union for those fractures that healed primarily was 5 months. Solid union occurred in all cases with two malunion. Infection, implant failure, femoral head protrusion was not occurred.
CONCLUSION
Angulated blade plate can be a useful alternative for the fixation of comminuted peritrochanteric fracture if appropriate fixatives are not available.

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Blade Plate Fixation of Proximal Tibial Fractures: Young Soo Byun, Hong Tae Kim, Soon Man Hong, Sang Chul Shin, Soo Yeol Jeon, Byung Doo Jang; J Korean Soc Fract 2000;13(3):507-514. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.507

Abstract PDF: PURPOSE
This study demonstrates the effectiveness of the blade plate as an implant for the operative management of proximal tibial fractures.
MATERIALS AND METHODS
Twelve proximal tibial fractures (AO classification, 10 type A and 2 type C) were treated by direct or indirect reduction and condylar blade plate fixation. The condylar blade plate was fixed on the anteromedial surface of the proximal tibia and cancellous bone graft was performed in 4 fractures with severe cortical comminution or bone defect in early cases. At the final follow-up assessment, the patients were evaluated as to subjective symptoms, objective findings, and radiographic findings.
RESULTS
All fractures were healed in an average of 13.2 weeks (range, 9.0 to 25.0 weeks). There were 3 major complications of a delayed union, a 6-degree varus malunion, and a reduced range of motion of the knee related with associated multiple fractures of the ipsilateral lower limb, but there were no soft tissue problems, loss of fixation, infection, nonunion, and traumatic arthritis. A few patients complained a prominence of the plate on the anteromedial side of the proximal tibia.
CONCLUSION
Blade plate fixation is a reliable method of stable fixation to obtain good results for proximal tibial fractures by early rehabilitation and good fracture healing, particularly in patients with osteoporosis and cortical comminution.

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Intertrochanteric Fractures of the Femur Treated with 95degree Angled Blade Plate in over 60 years Old patients: Chong Kwan Kim, Dae Young Kim; J Korean Soc Fract 1998;11(4):1001-1010. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.1001

Abstract PDF: Surgical stabilization is the treatment of choice for both stable and unstable intertrochanteric fractures. Unfortunately, the elderly patient has poor quality of bone. Because of osteoporotic bone, management of unstable comminuted fracture is very difficult in reduction and fixation of fracture. Now the sliding compression hip screw is the device used for hip screws have been used widely. these device have most commonly, and also intramedullary hip screws have been used widely. These device have many advantages in the treatment of interrochanteric fracture. But fixation failure occur not uncommonly in osteoporotic comminuted unstable fracture. For the pupose of stable fixation in osteoporotic femur neck and head, we used the 95degree angled blade plate(=condylar plate). We experienced that the blade portion of condylar plate offer a good fixation stability. clinical results were good in 31 cases of intertrochanteric fracture treated with condylar plate. There was no cutting out of head, excessive shortening and excessive varus deformity. Most of all cases, except one, were united within average 4months. We consider that using the condylar plate for osteoporotic unstable intertrochanteric fracture would be another good modality if surgeons have a surgical skill.

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The Treatment of the Proximal Humeral Fracture using Bifurcate Blade Plate in Adult: C N Kang, J O Kim, K W Kim, S H Ko, C M Ki, S Y Ahn; J Korean Soc Fract 1996;9(3):767-773. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.767

Abstract PDF: Seven patients, range in age from 30 to 65 years(average 49.7), were evaluated minimal 6 months after open reduction and internal fixation of protimal humeral fracture using the Bifurcate blade plate. According to the Neers classification, there were three 2-part, three 3-part and one 4-part fractures. The methods of threatment and its results were analyzed according to the Neers classification. 1. All fractures were healed. 2. No avascular necrosis was observed at following-up. 3. 6 patients had excellent results, one satisfactory result. 4. The Bifurcate blade plate proved to be an another method for the treatment of proximal humeral fracture. 5. A prosthetic replacement is recommended for eldery patients with severe osteoporosis, severe commimuted fractures.

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Clinical Result of Surgical Treatment in Distal Femur Fractures using Dynamic Compression Screw and Blade Plate: Seung Baik Kang, Joong Hee Won, Bong Soon Chang, Eui Seong Choi, Jin Seon Yoo, Hee Joong Kim; J Korean Soc Fract 1996;9(3):557-566. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.557

Abstract PDF: The fracture of distal femur, which include the supracondylar region, intercondylar region and knee joint, have many problems by nature. It is almost all comminuted fracture and has a some difficulty in approach. Early attempts at internal fixation frequently gave unacceptably high rates of malunion, nonunion, and infection. Traditionally, nonsurgical treatment has been favored. Over the past 15 years, improved and meticulous techniques of internal fixation has been shown to yield good to excellent results. Also a number of excellent devices are now available. We reviewed the patients who were admitted for fractures of the distal femur and were treated by the surgical treatments at department of Orthopaedic Surgery, Chungbuk National University Hospital from July 1993 through Augrst 1994. Fourteen cases were followed for more than one year. An average age at operation was 54 years (range, 18-74 years). The analysis group consisted of 9 males and 5 females. The cause of injuries were motor cycle injury in 8 cases, in-car accident in 2 cases, pedestrian injury in 2 cases and fall down in 2 cases. According to the classifications of AO, 4 cases were type Al, 2 were type A2, 2 were type A3, Cl was 1 case, C2 were 2 cases and C3 were 3 cases. Open fractures were 2 cases. Blade plate was used in 10 cases and DCS(dynamic compression screw) in 4 cases. With serial follow-up X-ray, ROM of knee and Neers scoring system, evaluation was performed. Excellent or good results were obtained in 13 cases (93%). Deep infection was developed in one case. At last follow-up, ROM was satisfactory. Blad plate was very useful for severe osteoporotic patient. For comminuted, displaced intra-articular fractures such as Type C, extensile surgical approach was most useful.

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