Journal of Musculoskeletal Trauma

Steinmann Pin Assisted Reduction of Subtrochanteric Femoral Fracture: Seung Wan Lim, Oog Jin Shon; J Korean Fract Soc 2015;28(1):17-22. Published online January 31, 2015; DOI: https://doi.org/10.12671/jkfs.2015.28.1.17

PURPOSE
Nail insertion is the treatment of choice for subtrochanteric femoral fracture, but displacement of proximal bone fragment makes it difficult to find an ideal entry point. Therefore, in this study we aimed to determine the usefulness of treatment of subtrochanteric femoral fracture using Steinmann pin assisted reduction, internal fixation, and insertion of intramedullary nails.
MATERIALS AND METHODS
We evaluated 33 patients who were followed-up more than a year with a displaced subtrochanteric femoral fracture treated with closed reduction and intramedullary nail fixation between January 2008 and March 2013. In addition, we studied postoperative bone union time, postoperative reduction status, change of the femur neck shaft angle, evaluation of hip joint function, return to daily life, and complications.
RESULTS
All fractures with Steinmann pin assisted reduction were united but they included three cases of delayed union. In Fogagnolo classification, all cases were up to acceptable states and the varus change of femur neck shaft angle was 0.94degrees+/-3.1degrees; no significant difference in Harris hip score was observed between preoperative and last follow-up (p>0.05).
CONCLUSION
There were satisfactory results in bone union and reduction state with Steinmann pin assisted reduction. Therefore, Steinmann pin assisted reduction is a useful surgical technique for subtrochanteric femoral fracture.

Citations

Citations to this article as recorded by

Percutaneous acetabular anchoring pin-assisted cephalomedullary nailing for subtrochanteric and unstable intertrochanteric fractures
Keong-Hwan Kim, Youngsik Yoon, Eic Ju Lim
Injury.2020; 51(3): 769. CrossRef

197 View
4 Download
1 Crossref

Comparison of Results in Two Operative Treatments for Clavicle Shaft Fractures in Adult: Comparison of Results between Open Reduction and Internal Fixation with the Plate and Percutaneous Reduction by Towel Clip and Intramedullary Fixation with Steinmann Pin: Sung Sik Ha, Jae Chun Sim, Ki Do Hong, Jae Young Kim, Jung Ho Kang, Kwang Hee Park; J Korean Fract Soc 2007;20(3):233-238. Published online July 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.3.233

Abstract PDF

PURPOSE
To evaluate the results between open reduction and internal fixation with the plate and percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin for clavicle shaft fractures in adult.
MATERIALS AND METHODS
We have studied the results in 33 cases with the plate, 35 cases with the Steinmann pin among total 68 cases of clavicle shaft fracture. The patients were followed up over a period of at least 12 months. The final postoperative outcome was analyzed with the clinical outcomes using Kang's criteria, radiological union time and operation time.
RESULTS
The clinical outcome that was good or excellent according to the Kang's criteria showed a distribution of 88% in the group using the plate with 29 cases out of total 33 cases, 91% in the group using the Steinmann pin with 32 cases out of total 35 cases. The mean radiological union time was 8.9 weeks in the group using the plate, 9.1 weeks in the group using Steinmann pin. The mean operation time was 72 minutes in the group using the plate, whereas was 18 minutes in the group using Steinmann pin.
CONCLUSION
In the treatment of adult clavicle shaft fracture, two groups did not show a significant statistical difference in clinical and radiological outcomes. However, the operation time and postoperative functional recovery was significantly shorter and faster in the group using Steinmann pin. Additionally economic and cosmetic aspect was more satisfactory in the group using Steinmann pin.

Citations

Citations to this article as recorded by

Anatomical Reduction of All Fracture Fragments and Fixation Using Inter-Fragmentary Screw and Plate in Comminuted and Displaced Clavicle Mid-Shaft Fracture
Kyoung Hwan Koh, Min Soo Shon, Seung Won Lee, Jong Ho Kim, Jae Chul Yoo
Journal of the Korean Fracture Society.2012; 25(4): 300. CrossRef
Does Interfragmentary Cerclage Wire Fixation in Clavicle Shaft Fracture Interfere the Fracture Healing?
Jae-Kwang Yum, Yong-Woon Shin, Hee-Sung Lee, Jae-Gu Park
Journal of the Korean Fracture Society.2011; 24(2): 138. CrossRef

207 View
1 Download
2 Crossref

Treatment with Modified Steinmann Pins and Tension Band Wiring Technique in Proximal Humeral Comminuted Fractures with Osteoporosis: Soo Tai Chung, Joo Hak Kim, Hyung Soo Kim, Sang Joon Park; J Korean Fract Soc 2007;20(2):184-189. Published online April 30, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.2.184

Abstract PDF: PURPOSE
To evaluate the usefulness of internal fixation with modified Steinmann pins and tension band wiring technique in comminuted proximal humeral fracture with osteoporosis and the correlations among bone mineral density, age, Neer's score and period of union.
MATERIALS AND METHODS
Twelve cases of comminuted proximal humeral fracture with osteoporosis were surgically treated with modified Steinmann pins and tension band technique, and followed up for an average 20.8 months (range, 6~39 months). Average age was 73.6 years old (range, 59~85 years old). Results were assessed using Neer's evaluation criteria.
RESULTS
Excellent results were noted in eight cases and satisfactory results in four cases. Radiological union was obtained in all cases. Two cases showed impingement syndrome of the proximal portions of Steinmann pins, which were managed by early removal of the metal. One case developed operative wound infection, which were managed by antibiotics therapy, irrigation and secondary closure.
CONCLUSION
Internal fixation using modified Steinmann pins and tension band wiring technique for proximal humeral fracture, with osteoporosis, makes complete union of fracture, minimizes risk of complications, and enables early rehabilitation by rendering relatively rigid fixation.

127 View
1 Download

The Operative Treatment of Mid-Shaft Clavicular Nonunions: Intramedullary Fixation with Threaded Steinmann Pin and Bone Grafting: Jeong Ro Yoon, Hak Jun Kim, Taik Seon Kim, Haeng Kee Noh; J Korean Fract Soc 2005;18(4):415-420. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.415

Abstract PDF: PURPOSE
To evaluate the clinical and radiological results of the treatment of mid-shaft clavicular nonunions using intramedullary fixation with threaded Steinmann pin and bone grafting. MATERIAL AND METHODS: In 16 patients treated with intramedullary fixation of threaded Steinmann pin and autogenous iliac bone grafting for the mid-shaft clavicular nonunions, 10 patients with follow-up over 1 year were investigated. All patients (10 clavicle fractures) underwent conservative treatment initially. The average age of patients was 56 years old (range, 18~70 years old). Eight cases were atrophic nonunions, two hypertrophic. A clinical assessment was evaluated postoperatively after 5 months according to the evaluation method of Kona et al.
RESULTS
According to the evaluation method of Kona et al, four cases achieved excellent results, five cases good, and one case achieved a fair result. The average period until bony union was 9 weeks (range, 7~12.5 weeks) without infection, pin migration or breakage. One case showed skin irritation by lateral margin of Steinmann pin, which was subsided by pin removal after bony union.
CONCLUSION
We obtained satisfactory results and have concluded that intramedullary fixation with threaded Steinmann pin and bone grafting could appropriately treat nonunions of the mid-clavicular fracture occurred after conservative treatment, because it minimizes soft tissue injury, gets relatively stable fixation and early ROM, predicts early bone union, facilitates pin removal under local anesthesia.

122 View
1 Download

The Lateral Closing Osteotomy using Threaded Steinmann Pin for the Cubitus Varus Deformity Followed by Supracondylar Fracture around the Elbow: Jin Hak Kim, Song Lee, Byung Ki Kwon, Hyun Soo Kim, Soon Young Jeong, Dea Jung Choi; J Korean Soc Fract 2003;16(3):370-378. Published online July 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.3.370

Abstract PDF: PURPOSE
To investigate the usefulness of closing wedge osteotomy with threaded steinmann pin and wiring for the treatment of cubitus varus deformity after elbow fracture during childhood.
MATERIALS AND METHODS
From February 1994 to February 2002. We performed closing wedge osteotomy with threaded steinmann pin and wiring in 16 elbows with cubitus varus deformity. There are 11 men and 5 women. Mean age was 21.6 years and mean follow-up was 19.2 months. Mean deformed carrying angle was varus 21.7 degree. Mean period from initial injury to treatment was 16.5 years.
RESULTS
Mean angle that was corrected by above operation methods was valgus 12 degree. Average periods of immobilization was 27.8 days. One tardy ulnar nerve syndrome before surgery was solved at 8 weeks after operation. 2 cases with superficial infection was treated easily. 14 cases of all were estimated as good with Oppenheim's criteria.
CONCLUSION
Closing wedge osteotomy with threaded steinmann pin and wiring makes early range of motion exercise being possible as rigid fixation. The supracondylar closing wedge osteotomy with threaded Steinmann pin and wiring is thought to be the useful method.

146 View
1 Download

Search