Journal of Musculoskeletal Trauma

Limited Open Reduction and Intramedullary Nailing of Proximal Femoral Shaft Fracture: Sang Ho Ha, Jun Young Lee, Sang Hong Lee, Sung Hwan Jo, Jae Cheul Yu; J Korean Fract Soc 2009;22(4):225-231. Published online October 31, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.4.225

Abstract PDF: PURPOSE
To evaluate the result of treatment of proximal femoral shaft fracture with limited open reduction and intramedullary nailing. MATERIALS AND METHODS: Fifteen patients who had limited open reduction and intramedullary nailing due to proximal femoral shaft fracture for follow-up for more than 12 months were selected between March 2001 and December 2005. The clinical and radiologic results were analyzed. Winquist-Hansen classification and OTA/AO classification were used. RESULTS: Thirteen cases achieved bone union and 2 cases showed delayed union. The mean bone union period was 21.3 weeks (14~32). There was no postoperative infection. Nonunion was observed in 2 cases of which bone union was acquired with the exchange of intramedullary nail and bone graft in one case and with the additional plate fixation and bone graft in the other case. CONCLUSION: Treating proximal femoral shaft fracture with limited open reduction and intramedullary nailing seems to be a technique to manage proximal femoral shaft fracture that has combined fracture or ipsilateral femoral fracture or is unable to acquire acceptable reduction with closed reduction.

Closed Interlocked intramedullary nailing of the humerus shaft Fracture: Bu Bwan Kim, Jong ln Yim, Hee Yeong Chung, Joon Young Park; J Korean Soc Fract 1996;9(1):177-184. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.177

Abstract PDF: The interlocked intramedullary nailing of humerus shaft fracture has been used as a available method because of the advantages, including relatively simple procedure, stable fixation method, and allowing early ROM and low complication. The authors have reviewed 24 cases of humerus shaft fractures, which were treated with closed interlocked intramedullary nailing from Mar. 1992 to Feb. 1994 at Dae-Dong General Hospital. The results were as follows; 1. Twenty four patients treated with intramedullary nailing revealed primary bone union and the average time for bone union was about 8.5 weeks. 2. There was no serious post operative complication such as nonunion, infection, rotatory deformity, metal failure of nail or interlocking screw. 3. According to the Stewart & Hundley classification of result, excellent, good and fair were observed in 21 cases(87%). 4. To prevent the impingement syndrome and rotator cuff injury, the proximal end of the nail was countersunk but the deeper the insertion, the more difficult the removal.

Treatment of the Supracondylar Fractures of the Femur with an Interlocked Intramedullary Nail: Dong Min Shin, Sang Ho Ha, Hyung Chull Mun; J Korean Soc Fract 1995;8(1):72-78. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.72

Abstract PDF: The purpose of this paper is to report the technical problems, indications and contraindications of treatment by interlocked intramedullary nail in supracondylar fracture of the femur. The authors analyEed 5 cases of femoral supracondylar fractures in patients who were treated by interlocked intramedullary nailing. All 5 cases treated with interlocked intramedullary nail were obtained primary bone union. According to Neers criteria, excellent result was achieved in 1 patient, satisfactory and unsatisfactory results in 2 patients, respectively. In conclusion, we consider that interlocked intramedullary nail fit as follows: 1. Type A of AO classification. 2. In case of more proximally located fracture. 3. Supracondylar fracture of the femur with severe communited fracture of the ipsilateral femora diaphyses but unfit as follows; 1) Supracondylar fracture of the femur with severe osteoporosis. 2) In case of more distally located fracture. 3) Type C of AO classification.

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