Journal of Musculoskeletal Trauma

Original Articles

The Clinical and Radiological Results of Vancouver Type B1 and C Periprosthetic Fractures: Bo Ram Na, Taek Rim Yoon, Kyung Soon Park; J Korean Fract Soc 2016;29(1):26-33. Published online January 31, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.1.26

Abstract PDF: PURPOSE
The purpose of this study is to evaluate the clinical and radiologic results of plate fixation in the Vancouver B1 and C periprosthetic femoral fracture (PFF).
MATERIALS AND METHODS
Twenty patients who had sustained a Vancouver type B1 and C periprosthetic fracture after hip arthroplasty (years 2002-2012) were identified. The mean age was 66.0 years (range, 43-85 years) and the mean follow-up duration of the group was 38 months (range, 12-102 months). The dynamic compression plate (DCP) group included 12 patients and the locking compression plate (LCP) group included eight patients. Harris hip score (HHS) and walking ability, knee joint range of motion (ROM) were compared before injury and last follow-up. Fracture union rate and period were compared.
RESULTS
The mean HHS score was 90.7 (64-96). There was no statistical difference between the two groups. At the last follow-up, knee joint ROM was 103.3degrees (105degrees-140degrees) in the DCP group and 118.4degrees (110degrees-140degrees) in the LCP group, showing good results in the LCP group (p=0.043). No significant difference in the fracture union rate and union periods was observed between the two groups.
CONCLUSION
A better result for the postoperative knee flexion exercise capacity was observed in the LCP group. Use of LCP plate fixation is a good option in management of Vancouver classification B1 and C PFF.

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Operative Treatment of the Humeral Shaft Fracture: Comparative Study of Dynamic Compression Plate and Interlocking Intramedullary Nail: Jeung Tak Suh, Sung Won Jung, Ja Kyung Ku, Chong Il Yoo; J Korean Soc Fract 2002;15(3):391-397. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.391

PURPOSE
We have followed up the patients of the humeral shaft fracture who had been treated with dynamic compression plate or locked intramedullary nail, which are common therapeutic options, compared them and analyzed results and complications.
MATERIALS AND METHODS
We analyse the clinical results, radiological results and complications of 50 cases of the humeral shaft fracture who were treated with dynamic compression plate(DCP) or intramedullary nail(IMN) at the Pusan National University Hospital from March in 1996 to February in 2001.
RESULTS
We find the no significant difference in range of motion of the shoulder, infection, operation time, operative bleeding loss and second radial nerve palsy but 4 cases of shoulder pain and 1 case of shoulder impingement in IMN group. We find the no significant difference in mean bone union time in both groups but 2 cases of nonunion in DCP group and 4 cases of nonunion in IMN group. Complications happened in 4 case of DCP group (total 26 cases) and 2nd surgery was needed in 3 cases(11.5%). However complications happened in 10 cases of IMN group (total 24 cases) and second surgery was needed in 6 cases(25%).
CONCLUSION
The treatment results of the humeral shaft fracture with dynamic compression plate is much better than intramedullary nail except specific pathologic or segmental fracture pattern.

Citations

Citations to this article as recorded by

COMPARATIVE STUDY OF COMPRESSION PLATING VS. INTERLOCKING NAIL IN FRACTURE SHAFT OF HUMERUS
Rajeev Kumar Roy, Mahesh Prasad
Journal of Evidence Based Medicine and Healthcare.2017; 4(41): 2481. CrossRef
Clinical and Radiographical Follow-up for Residual Displacement of Fracture Fragments after Interlocking Intramedullary Nailing in Humeral Shaft Fractures
Jae-Kwang Yum, Dong-Ju Lim, Eui-Yub Jung, Su-Een Sohn
The Journal of the Korean Shoulder and Elbow Society.2013; 16(2): 107. CrossRef

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