Journal of Musculoskeletal Trauma

Excessive Sliding of the Helical Blade and the Femoral Neck Fracture after Insertion of Proximal Femoral Nail Anti-Rotation for Type A2 Intertrochanteric Fractures - A Case Report -: Bong Ju Park, Hong Man Cho, Ju Han Kim, Woo Jin Sin; J Korean Fract Soc 2013;26(2):151-155. Published online April 30, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.2.151

Proximal femoral nail anti-rotation (PFNA) with a lag screw that is shaped like a spiral blade shape is an orthopedic implant to fix trochanteric fractures of the proximal femur. In addition the reason of the biomechanical advantages, PFNA widely been used recently. We report an 83-year-old man with excessive sliding of the helical blade and a femoral neck fracture after AO/OTA type A2 intertrochanteric fracture, which was fixed with a PFNA.

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Helical Blade Locking Sleeve Disassembly Following Failed Femur Intertrochanter Fracture - A Case Report -
Soon Ho Huh, Hong-Man Cho, Ji-Yeon Park
Journal of the Korean Fracture Society.2021; 34(3): 112. CrossRef
Retrospective Comparative Study of the Intraoperative Fracture Gap Compression in the Treatment of Intertrochanteric Fracture Using Proximal Femoral Nail Antirotation
Se Jin Kim, Hong Man Cho, Jiyeon Park, Ki Yong An, Young Woo Chung, Woojin Shin
Journal of the Korean Fracture Society.2020; 33(4): 179. CrossRef
Failure of a Rotation Control Gamma 3 Lag Screw Used to Treat a Trochanteric Fracture
Kyungho Choi, Yongtae Kim, Shicheng Zhou, Jihyo Hwang
Hip & Pelvis.2018; 30(2): 129. CrossRef
Femoral neck fractures after internal fixation of trochanteric fractures with implants in situ in adults: A systematic review
Antonio Barquet, Peter V. Giannoudis, Andrés Gelink
Injury.2018; 49(12): 2121. CrossRef

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Inlay Fibular Autograft and Helical LCP Fixation for a Segmental Comminuted Fracture of the Osteoporotic Proximal Humerus: A Case Report: Young Soo Byun, Dong Ju Shin, Se Ang Chang, Do Yop Kwon; J Korean Fract Soc 2006;19(1):100-103. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.100

Abstract

Unstable fractures of the proximal humerus should be treated with precise reduction and stable fixation, and early joint motion should be permitted. But stable fixation of the proximal humerus is frequently difficult to obtain in older patients due to osteoporosis and fracture comminution. We treated one case of a segmental comminuted fracture of the proximal humerus with severe osteoporosis with a method of inlay fibular autograft and fixation with a helical locking compression plate (LCP). Stable fixation was obtained, so early motion of the shoulder joint was permitted. The fracture was healed in 12 weeks after the operation without loss of fixation and there were no problems at the donor site of the fibula. Functional recovery of the shoulder was satisfactory. The result of Neer's functional score was 87 points (satisfactory) and Constant score was 83 points.

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Helical Plating for Fractures of the Proximal Humeral Shaft
Young-Soo Byun, Dong-Ju Shin, Young-Bo Park, Min-Guek Kim, Toe-Hoe Gu, Jae-Hwi Han
Journal of the Korean Orthopaedic Association.2017; 52(3): 232. CrossRef
Allogeneic Inlay Cortical Strut Grafts for Large Cysts or Post-curettage Cavitary Bony Defects
Yang-Guk Chung, Yong-Koo Kang, Chol-Jin Kim, An-Hi Lee, Jeong-Mi Park, Won-Jong Bahk, Hyun-Ho Yoo
The Journal of the Korean Bone and Joint Tumor Society.2011; 17(2): 73. CrossRef
Minimally Invasive Plate Osteosynthesis, MIPO
Young-Soo Byun
Journal of the Korean Fracture Society.2007; 20(1): 99. CrossRef

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Blade Plate Fixation of Proximal Tibial Fractures: Young Soo Byun, Hong Tae Kim, Soon Man Hong, Sang Chul Shin, Soo Yeol Jeon, Byung Doo Jang; J Korean Soc Fract 2000;13(3):507-514. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.507

Abstract PDF: PURPOSE
This study demonstrates the effectiveness of the blade plate as an implant for the operative management of proximal tibial fractures.
MATERIALS AND METHODS
Twelve proximal tibial fractures (AO classification, 10 type A and 2 type C) were treated by direct or indirect reduction and condylar blade plate fixation. The condylar blade plate was fixed on the anteromedial surface of the proximal tibia and cancellous bone graft was performed in 4 fractures with severe cortical comminution or bone defect in early cases. At the final follow-up assessment, the patients were evaluated as to subjective symptoms, objective findings, and radiographic findings.
RESULTS
All fractures were healed in an average of 13.2 weeks (range, 9.0 to 25.0 weeks). There were 3 major complications of a delayed union, a 6-degree varus malunion, and a reduced range of motion of the knee related with associated multiple fractures of the ipsilateral lower limb, but there were no soft tissue problems, loss of fixation, infection, nonunion, and traumatic arthritis. A few patients complained a prominence of the plate on the anteromedial side of the proximal tibia.
CONCLUSION
Blade plate fixation is a reliable method of stable fixation to obtain good results for proximal tibial fractures by early rehabilitation and good fracture healing, particularly in patients with osteoporosis and cortical comminution.

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