Journal of Musculoskeletal Trauma

Case Report

Fracture of the Humeral Shaft Secondary to High-Velocity Gunshot (Machine Gun) Injury: A Case Report: Ki Won Lee, Joo Yul Bae, Suk Kyu Lee; J Korean Fract Soc 2017;30(2):83-88. Published online April 30, 2017; DOI: https://doi.org/10.12671/jkfs.2017.30.2.83

Abstract PDF: High-velocity gunshot injury (muzzle velocity greater than 609.6 m/s) is uncommon and primarily a military injury. Humerus shaft fracture, caused by a high-velocity gunshot, should be considered as a severe open fracture. The principles of treatment are immediate and aggressive irrigation, wide debridement, primary delayed wound closure, and broad-spectrum intravenous antibiotics. External fixation has been widely used for fracture fixation. We report a case of humerus shaft fracture secondary to high-velocity gunshot (machine gun) injury, with a literature review.

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Original Article

Treatment of Periprosthetic Femoral Fractures with Cable Plate: Hyung Sun Ahn, Ki Won Lee, Chung Hwan Kim, Jae Hun Lee, Ju Sik Jeon; J Korean Fract Soc 2006;19(1):78-82. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.78

PURPOSE
To evaluate the results of Cable plate fixation for the treatment of periprosthetic femoral fracture after hip arthroplasty.
MATERIALS AND METHODS
We reviewed 10 cases of periprosthetic femoral fractures after hip arthroplasty between Nov. 2002 and May 2004. The mean follow up periods were 20 months. The fractures were classified according to Vancouver classification. Seven cases of type B1, one case of type B3 and two cases of type C were treated with open reduction and internal fixation with Cable plate. Evaluation of results was based on mean union time, postoperative complications and Harris hip score.
RESULTS
The mean time for bony union was 4.8 months in type B1, 6 months in type B3 and 8 months in type C fracture. As for complications, there were refracture, metal breakage and nonunion. The postoperative mean Harris hip score was 91.5 points for type B1, 85 points for type B3 and 72.5 points for type C fracure.
CONCLUSION
Cable plate can be useful for treatment of periprosthetic femoral fractures after hip arthroplasty, but the selection of treatment methods should be cautiously made according to the type of fracture and status of patients.

Citations

Citations to this article as recorded by

Treatment of Periprosthetic Femoral Fracture according to the Vancouver Classification
Il-Yong Choi, Duk-Moon Jung, Seoung-Pyo Seo, Young-Ho Kim
The Journal of the Korean Orthopaedic Association.2007; 42(2): 147. CrossRef

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