Journal of Musculoskeletal Trauma

Femoral head fracture associated with posterior hip dislocation: Joo Chul Ihn, Poong Teak Kim, Sin Yoon Kim, Dong Lyul Yang; J Korean Soc Fract 1994;7(2):597-605. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.597

Abstract PDF: We analyzed Twenty eight cases of femoral head fracture associated with posterior hip dislocation managed in Kyungpoek National University Hospital between 1984 march and 1993 June. Classification was made by Pipkin and we added impaction fracture as another classification by post reduction CT finding. The results were as follows 1. Most common type of fracture was impaction of femoral head by CT, Which is not included by pipkin classification. 2. Excellent, or Good result according to Epstein criteria, 7 of 8 cases in Pipkin type I, 1 of 3 cases in type II ,0 off 4 cases in type III , 1 off 4 cases in type IV, 6 off 9 cases in impaction racture. 3. There were no significant difference between the results of operative treatment and conservative treatment. 4. Post reduction CT was useful to determine the method of the further treatment. 5. Complications were avascular necrosis in 5 cases, posttrumatic arthritis in 3 cases, sciatic nerve paresis in 2 cases, heterotropic ossification in 1 case.

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Treatment of Intertrochanteric Fractures using Gamma Nail: Joo Chul Ihn, Byung Chul Park, Sin Yoon Kim, Hyung Soo Ahn; J Korean Soc Fract 1994;7(2):588-596. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.588

Surgical fixation, early weight bearing and bony union remain a challange in the treatment of intertrochanteric femur fractures, especially if the fractures are comminuted or unstable. We have experienced 18 cases of intertrochanteric femur fracture that were treated using Asian Gamma nails(Gamma AP) in Kyungpook National University Hospital in period from Feb. 1993 to Oct. 1993. Early full weight bearing was encouraged and this seemed to be beneficial for old patients. All fractures were healed securely and many patients(15/18) could be painless ambulatory regardless of fracture configuration(9 fractures classified as unstable). Major complications included screw cut-out(2 cases), lateral cortical fracture(1 cases) and delayed union(1 case). In this early experience, the Gamma nail appears to be useful internal fixator for intertrochanteric femur fractures and it allows early ambulation regardless of the fracture configuration with excellent clinical results.

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Surgical Treatment of Femoral Unstable Intertrochanteric Fractures in Elderly Patients -Comparative Study between Compressive Hip Screws and Additional Trochanteric Stabilizing Plates-
Kap Jung Kim, Dae Suk Yang, Sang Ki Lee, Won Sik Choy, Kyoung Wan Bae
Journal of the Korean Fracture Society.2011; 24(4): 295. CrossRef
Comparison between Results of Internal Fixation and Hemiarthroplasty in Unstable Intertrochanter Fracture of Osteoporotic Bone
Haw Jae Jung, Jae Yeol Choi, Hun Kyu Shin, Eugene Kim, Se-Jin Park, Yong Taek Lee, Gwang-Sin Kim, Jong-Min Kim
Journal of the Korean Fracture Society.2007; 20(4): 291. CrossRef

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Treatment of Intertrochanteric Fractures using Gamma Nail: Joo Chul Ihn, Byung Chul Park, Sin Yoon Kim, Hyung Soo Ahn; J Korean Soc Fract 1994;7(2):580-587. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.580

Abstract PDF: Surgical fixation, early weight bearing and bony union remain a challange in the treatment of intertrochanteric femur fractures, especially if the fractures are comminuted or unstable. We have experienced 18 cases of intertrochanteric femur fracture that were treated using Asian Gamma nails(Gamma AP) in Kyungpook National University Hospital in period from Feb. 1993 to Oct. 1993. Early full weight bearing was encouraged and this seemed to be beneficial for old patients. All fractures were healed securely and many patients(15/18) could be painless ambulatory regardless of fracture configuration(9 fractures classified as unstable). Major complications included screw cut-out(2 cases), lateral cortical fracture(1 cases) and delayed union(1 case). In this early experience, the Gamma nail appears to be useful internal fixator for intertrochanteric femur fractures and it allows early ambulation regardless of the fracture configuration with excellent clinical results.

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