Effect of Traumatic Brain Injury on Healing of Femur shaft Fracture.
- Author:
Myung Ho KIM
1
;
Moon Jip YOO
;
Hee Gon PARK
;
Yeon Jun KIM
Author Information
1. Department of Orthopedic Surgery, Dankook University Hospital, Chon-an, Korea. osdku@dankook.ac.kr
- Publication Type:Original Article
- Keywords:
Femur shaft;
Traumatic brain injury;
Brain;
Callus formation;
Callus;
Alkaline phosphatase;
fracture healing
- MeSH:
Alkaline Phosphatase;
Bony Callus;
Brain;
Brain Injuries;
Calcium;
Femur;
Follow-Up Studies;
Fracture Healing;
Humans;
Osteogenesis;
Retrospective Studies;
Serologic Tests
- From:Journal of Korean Orthopaedic Research Society
2010;13(2):88-94
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Among the fracture patients, there is a tendency to form more callus and get fracture united earlier in groups with traumatic brain injury. This retrospective study is to evaluate the factors that might accelerate the bone formation by comparing two groups in serologic tests, clinical and radiologic results. MATERIALS AND METHODS: From March 2001 to July 2009, femur shaft fracture patients were divided in two groups 1) without traumatic brain injury (32cases), 2) fracture with traumatic brain injury combined (30cases). We evaluated the routine serologic exams, amount of callus formations during the follow up period. RESULTS: There was no statistical difference in WBC, CRP, total calcium, LDH level between two groups, except Alkaline phosphatase level. Amount of callus formation on AP radiograph at the last follow up period was 74.9% in study, 42.6% in control group. Lateral radiograph showed 73.2% of callus formation rate in study group and 32.0% in control group. CONCLUSION: Two groups had no significant difference with the routine serologic exam except Alkaline phosphatase. Group with traumatic brain injury had much more amount of callus formation but there was no evidence of traumatic brain injury accelerate the fracture healing.
