Cause and Treatment of the Nonunion of Femoral Shaft Fracture after Interlocking Intramedullary Nailing Sung-Soo Kim, Sung-Keun Sohn, Chul-Hong Kim, Myung-Jin Lee, Lih Wang Journal of the Korean Fracture Society.2007; 20(2): 141. CrossRef
Since development of sports and leisure, ankle fracture occurs frequently. The goal of treatment of ankle fracture is anatomic restoration of ankle joint. With introduction of tension band wiring technique by A-O group, this technique was used popularly.
The authors reported 15 cases of medial malleolar fracture in which patients were treated by tension band wiring with anchoring of screw instead of primary osseous tunnel, from September 1987 to August 1989.
The advantage of modified tension band wiring technique is shortening of operative time and simplicity of technique.
The treatment of supracondylar and intercondylar fracture of femur has been controversial due to its anatomical characteristics and potential complications.
We analyzed 27 cases of supracondylar and intercondylar fracture of femur in the Department of Orthopaedic Surgery in Korea Veterans Hospital from Jan. 1983 to Sep. 1988.
The results were as follows.
1. The prevalent age distribution were 3rd, 5th and 8th decades(63.2%).
2 The most common cause of injury was traffic accident(48.2%).
3. Fifteen out of nineteen cases treated by anatomical reduction with figid internal fixation achieved satisfactory results(78.9%).
4. Four out of eight cases treated by conservative method achieved satisfactory results(50.0%).
5. The main complications were infection(22.2%), posttraumatic arthritis(2.2%) and malunion(11.1%).
6. The result of treatment depend largely on anatomical reduction, rigid internal fixation and early joint motion.