Journal of Musculoskeletal Trauma

Case Report

Surgical management of a displaced proximal fibular fracture with peroneal nerve injury in Korea: a case report: Sang-Gon Kim, Sang-Heon Oh, Ki-Bong Park; Received May 15, 2026 Accepted July 1, 2026 Published online September 21, 2026; DOI: https://doi.org/10.12671/jmt.2026.00213 [Epub ahead of print]

Abstract PDF: This case report describes a rare inferomedially displaced proximal fibular fracture associated with acute common peroneal nerve injury in a 73-year-old man after an industrial crush injury. The patient presented with severe knee pain and a subjective sensory deficit on the dorsum of the right foot. Given the marked inferomedial displacement of the fracture fragment and the associated neurological symptoms, surgical intervention was selected to achieve anatomical reduction and permit direct nerve assessment. After four days of soft-tissue management, open reduction and internal fixation were performed via a posterior approach with the patient in the prone position. The fragment was securely fixed with 4.5-mm cannulated screws, and nerve exploration confirmed mild nerve sheath injury without complete disruption; therefore, neurorrhaphy was not required. This case illustrates that operative intervention may be considered in selected patients with markedly inferomedially displaced proximal fibular fractures, particularly when acute neurological deficits are present. In this specific displacement pattern, a posterior approach in the prone position may provide a useful surgical option for achieving anatomical reduction while allowing direct neurovascular protection. Level of evidence: V.

74 View
4 Download

Original Article

Does the Use of a Silicone Ring Tourniquet Help Reduce Bleeding in the Minimally Invasive Internal Fixation with Locking Plate for Distal Femoral Fractures?: Ki-Bong Park, Hong-Ki Jin, Il-Yeong Hwang, Sung-Who Chang, Sung-Cheon Na; J Korean Fract Soc 2020;33(3):148-153. Published online July 31, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.3.148

Purpose
This study evaluated the usefulness of a silicone ring tourniquet by analyzing the changes in the perioperative hemoglobin (Hb) levels or amount of perioperative bleeding compared to those of a pneumatic tourniquet or no usage during minimally invasive plate fixation for distal femoral fractures.
Materials and Methods
From January 2017 to December 2019, 30 patients who underwent minimally invasive plate fixation using a locking compression plate for distal femoral fractures were evaluated and classified as a silicone ring tourniquet (Group 1), a pneumatic tourniquet (Group 2), and no usage (Group 3). The variables for analysis were age, sex, preoperative Hb (preHb), postoperative 72-hour Hb (postHb), differences between preHb and postHb (preHb-postHb), amount of intraoperative and overall transfusion, estimated unit of transfusion corrected by preHb-postHb and total transfusion (Hb-lost), amount of intraoperative and postoperative and total bleeding. One-way ANOVA was used to identify the differences between the groups.
Results
The age, sex, operation time, preHb, preHb-postHb, amount of intraoperative and overall transfusion and Hb-lost were similar in the two groups. The amount of intraoperative bleeding was significantly lower in Group 1 than Group 3 (p=0.004), but there was no difference in the amount of postoperative and total bleeding between the two groups.
Conclusion
The use of a silicone ring tourniquet in the minimally invasive plate fixation for distal femoral fractures decreased the amount of intraoperative bleeding compared to no use of a tourniquet.

Citations

Citations to this article as recorded by

Silicone ring tourniquet could be a substitute for a conventional tourniquet in total knee arthroplasty with a longer surgical field: a prospective comparative study in simultaneous total knee arthroplasty
Tae sung Lee, Kwan Kyu Park, Byung Woo Cho, Woo-Suk Lee, Hyuck Min Kwon
BMC Musculoskeletal Disorders.2023;[Epub] CrossRef

1,802 View
6 Download
1 Crossref

First
Prev
Page of 1
Next
Last

Search