Journal of Musculoskeletal Trauma

Risk Factors for Subsequent Contralateral Hip Fracture following Osteoporotic Hip Fracture Surgery: Kyung-Jae Lee, Jung-Hoon Choi, Hee-Uk Ye, Young-Hun Kim, Kyung-Hwan Lim; J Korean Fract Soc 2021;34(2):51-56. Published online April 30, 2021; DOI: https://doi.org/10.12671/jkfs.2021.34.2.51

Purpose
This study examined the risk factors contributing to subsequent hip fractures in patients with osteoporotic hip fractures.
Materials and Methods
Between March 2008 and February 2016, 68 patients sustained a subsequent contralateral hip fracture after surgery for a primary osteoporotic hip fracture (Study group). The patients were compared with 475 patients who had been followed up for a minimum of one year with a unilateral osteoporotic hip fracture (Control group). The demographic data, bone mineral density (BMD), osteoporosis medication, osteoporotic fracture history, comorbid disease, type of surgery, preoperative, postoperative ambulatory capacity, and postoperative delirium in the two groups were compared.
Results
The demographic data, BMD, osteoporosis medication history, comorbid disease, type of surgery, and postoperative delirium were similar in the two groups. At three months after the primary surgery, the poor ambulatory capacity was significantly higher in the study group than the control group (p<0.001).
Conclusion
The ambulatory capacity after primary surgery is an important risk factor in the occurrence of subsequent hip fractures after osteoporotic hip fracture. Cause analysis regarding the poor ambulatory capacity after surgery will be necessary, and the development of a functional recovery program and careful management of the walking ability recovery will be needed.

Citations

Citations to this article as recorded by

Osteoporotic Hip Fracture: How We Make Better Results?
Byung-Chan Choi, Kyung-Jae Lee
Journal of the Korean Fracture Society.2024; 37(1): 52. CrossRef

151 View
3 Download
1 Crossref

Treatment of Periprosthetic Femoral Fractures after Hip Arthroplasty: Jung Hoon Choi, Jong Hyuk Jeon, Kyung Jae Lee; J Korean Fract Soc 2020;33(1):43-51. Published online January 31, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.1.43

Abstract PDF: Although the incidence of postoperative periprosthetic femoral fractures after hip arthroplasty is expected to increase, these complex fractures are still challenging complications. To obtain optimal results for these fractures, thorough clinical and radiographic evaluation, precise classification, and understanding of modern management principles are mandatory. The Vancouver classification system is a simple, effective, and reproducible method for planning proper treatments of these injuries. The fractures associated with a stable femoral stem can be effectively treated with osteosynthesis, though periprosthetic femoral fractures associated with a loose stem require revision arthroplasty. We describe here the principles of proper treatment for the patients with periprosthetic femoral fractures as well as how to avoid complications.

186 View
0 Download

A Comparison of the Results between Internal Fixation and External Fixation in AO C Type Distal Radius Fractures: Yoon min Lee, Hwa Sung Lee, Seok Whan Song, Jae Hoon Choi, Jong Tae Park; J Korean Fract Soc 2018;31(3):87-93. Published online July 31, 2018; DOI: https://doi.org/10.12671/jkfs.2018.31.3.87

Abstract PDF

PURPOSE
The purpose of this study was to evaluate the radiological and clinical results of plate fixation and external fixation with additional devices for treating distal radius fracture in AO type C subtypes, and propose a treatment method according to the subtypes.
MATERIALS AND METHODS
Two hundred and one AO type C distal radius fracture patients were retrospectively reviewed. Eighty-five patients in group 1 were treated with volar or dorsal plate, and 116 patients in group 2, were treated with external fixation with additional fixation devices. Clinical (range of mtion, Green and O'Brien's score) and radiological outcomes were evaluated.
RESULTS
At the 12-month follow-up, group 1 showed flexion of 64.4Â°, extension of 68.3Â°, ulnar deviation of 30.6Â°, radial deviation of 20.8Â°, supination of 76.1Â°, and pronation of 79.4Â° in average; group 2 showed flexion of 60.5Â°, extension of 66.9Â°, ulnar deviation of 25.5Â°, radial deviation of 18.6Â°, supination of 73.5Â°, and pronation of 75.0Â° in average. The mean Green and O'Brien score was 92.2 in group 1 and 88.6 in group 2. The radial height of group 1 and group 2 was 11.6/11.4 mm; radial inclination was 23.2Â°/22.5Â°; volar tilt was 11.6Â°/8.7Â°; and the ulnar displacement was 1.27/0.93 mm.
CONCLUSION
Judicious surgical techniques during device application and tips for postoperative management during external fixation can produce similar clinical results compared with internal fixation patients.

Citations

Citations to this article as recorded by

Intra-articular fracture distal end radius external fixation versus locking volar radius plate: A comparative study
S.P.S Gill, Manish Raj, Santosh Singh, Ajay Rajpoot, Ankit Mittal, Nitin Yadav
Journal of Orthopedics, Traumatology and Rehabilitation.2019; 11(1): 31. CrossRef

77 View
0 Download
1 Crossref

Primary Causes and Treatment of Nonunion of the Humeral Shaft Fracture: Soo Kyoon Rah, Hoon Choi, You Sung Suh, Byung Ill Lee, Yon Il Kim; J Korean Soc Fract 2000;13(4):952-959. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.952

Abstract PDF: PURPOSE
An analysis of primary causes and treatment of the nonunion of humeral shaft fracture.
MATERIALS AND METHODS
Incidence of nonunion of humeral shaft fracture among the 183 cases was 10.4%. Among 19 cases of nonunion of humeral shaft fracture from March 1994 to December 1999, 14 cases were men and 11 cases were in third to fifth decade. The causes of the fracture were mainly due to motor vehicle accident and machinery injury. The most common site of nonunion in humeral shaft was at middle 1/3 in 10 cases.
RESULTS
Underlying causes of nonunion were complex ; 9 cases of inadequate plate internal fixation, 2 cases of infection, 6 cases of poor external immobilization and 7 cases of over distraction and soft tissue interposition. Bony union was obtained by compression plate, intra medullary nail, and external fixator with autogenous bone graft in 3.5months. Post-operative complications were radial nerve palsy in 4 cases and elbow and shoulder joint contracture in 6 cases.
CONCLUSIONS
The main factors that influence the development of humeral nonunions were over distraction of the fracture, inadequate internal fixation, and infection. We should consider that enough operative exposure, the proper choice of plate and screw depending on the bone contour and fracture site, adequate period of immobilization, and rigid fixation in internal plate fixation. It is also recommanded that interposed soft tissue be removed for anatomical reduction. Union was obtained in all cases .

42 View
0 Download

Bilateral Salter-Harris Type II Proximal Tibial Epiphtyseal Fracture: A Case: Byung Ill Lee, Hoon Choi, You Sung Suh, You Il Kim, Soo Kyoon Rah, Chang Uk Choi; J Korean Soc Fract 2000;13(2):252-257. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.252

Abstract PDF: An uncommon fracture of the proximal tibial epophysis can be classified into 5 types based in the mechanism of injury and the relationship of the fracture line to the physeal plate. The separation extends along the physeal plate and then through a portion of the metaphysis, Salter-Harris type II is the most common physeal fracture. We experienced a very rare case of bilateral flexion type Salter-Harris type II fracture of the proximal tibia, which was treated by long leg cast. At six weeks fusion is complete at the proximal tibial epiphyses of both knees, and the range of motion is full at follow-up six months

112 View
0 Download

Search