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Original Articles
- Conservative Treatment of the Displaced Clavicular Shaft Fracture in Multiple Injury
- Hyun Dae Shin, Kwang Jin Rhee, Young Mo Kim, Se Min Woo, Ho Sup Song
- J Korean Fract Soc 2004;17(4):333-337. Published online October 31, 2004
- DOI: https://doi.org/10.12671/jkfs.2004.17.4.333
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Abstract
PDF - PURPOSE
To analyse the comparative clinical results between adults with multiple injury including the clavicular shaft fracture and only clavicular shaft fracture who had supportive care through retrospective aspect.
MATERIALS AND METHODS
We had 48 adult patients in this hospital with simple fracture and multiple injury including the clavicular shaft whom we were able to evaluate at least more than a year. 12 of 48 patients were with only clavicular shaft fracture and the rest of them were with multiple injury. We classified patients into two groups those who had fracture with displacement for group A (A1 for the cases with over 50% of fracture surface contact rate and A2 for less than 50% from the images of simple X-ray) and those who had comminuted fracture for B. We compared the time of bone union, nonunion rate of only clavicular fractures and multiple injury, clinical results for patients who had supportive care with retrospective aspect.
RESULTS
A1 (7 cases), A2 (4 cases), B (1 case) were prevalent in the group of only clavicular shaft fracture and A1 (8 cases) and A2 (16 cases) and B (12 cases) were prevalent in the group of multiple injury. For the cases with supportive care, we could find 1 nonunion case (8%) and 11 union cases on average 2.91 months in the group of only clavicular shaft fracture and 7 nonunion cases (19%) and 29 union cases on average 3.58 months in the group of multiple injury. The best clinical results had occurred in 8 cases (67%) of only clavicular shaft fracture group and 19 cases (53%) of multiple injury group. We could find out the union from all 8 nonunion cases that took operation afterward.
CONCLUSION
Although the choice of treatment of clavicular fracture is supportive care, but multiple injury including the clavicular fracture is a high-energy injury, so the possibility of comminuted and displacement is high, so that nonunion rate is high. The possibility of early surgery must be considered seriously.
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- Treatment of the Humeral Shaft Fracture by Rush nailing: In the Cases of Multiple Trauma Patient
- Chong Kwar Kim, Byung Woo Ahn, Teck Jin Ahn, Sang Yup Lee, Soo Won Kim
- J Korean Soc Fract 1996;9(4):1061-1068. Published online October 31, 1996
- DOI: https://doi.org/10.12671/jksf.1996.9.4.1061
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Abstract
PDF
- There are many methods to treat the humeral shaft fracture. Various types of hulneral shaft fracture in multiple trauma patients were treated by intrarnedullary stabilization with Rush nail. We reviewed twenty two patients who were treated with Rush nail in Masan Samsung Hospital from August. 1990 to May.1995. The purpose of this study is to report the results and kilow whether Rush nailing is recommendable in multiple trauma patients. The results virere as follows: 1. The most common type of fracture was comminuted with large displaced fragment type (11 cases,47.8%), most common site was distal one third of shaft(10 cases,43.5%). 2. The average operation time was about 40 minutes. 3. The average time of radiological bone union was about 14 weeks. 4. Complications were 5 cases of mild joint stiffness (2 cases in shoulder and 3 cases in elbow),5 cases of nonunion, 5 cases of angulation deformity(average 7 degree) and 2 cases of nail migration. We had satisfactory functional outcome rated by Stewart and Hundly. In spite of some complication, we think that Rush nailing can be applied safely and effectively to humeral shaft fractures associated with multiple injury.
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