1.Physical and Clinical Evaluation of Hip Spica Cast applied with Three-slab Technique using Fibreglass Material
Bitar KM ; , Ferdhany ME ; Ashraf EI ; Saw A
Malaysian Orthopaedic Journal 2016;10(3):17-20
Introduction: Hip spica casting is an important component
of treatment for developmental dysplasia of the hip (DDH)
and popular treatment method for femur fractures in
children. Breakage at the hip region is a relatively common
problem of this cast. We have developed a three-slab
technique of hip spica application using fibreglass as the cast
material. The purpose of this review was to evaluate the
physical durability of the spica cast and skin complications
with its use.
Methodology: A retrospective review of children with
various conditions requiring hip spica immobilisation which
was applied using our method. Study duration was from 1st
of January 2014 until 31st December 2015. Our main
outcomes were cast breakage and skin complications. For
children with hip instability, the first cast would be changed
after one month, and the second cast about two months later.
Results: Twenty-one children were included, with an
average age of 2.2 years. The most common indication for
spica immobilisation was developmental dysplasia of the
hip. One child had skin irritation after spica application. No
spica breakage was noted.
Conclusion: This study showed that the three-slab method
of hip spica cast application using fibreglass material was
durable and safe with low risk of skin complications.
Hip Fractures
2.Bilateral fracture of prostheses post-hip replacement
Surinder Santa ; Philip George
The Medical Journal of Malaysia 2017;72(1):71-72
Fracture of hip prostheses is a rare occurrence. A case of
bilateral hip prostheses fracture is described here. The need
to follow-up and remain vigilant post hip replacement is
highlighted.
Hip Fractures
3.Correlation between Anterior and Posterior Obliquity of the Sliding Lag Screw and Stability in Unstable Intertrochanteric Fractures.
Kyu Hyun YANG ; Je Hyun YOO ; Dong Joo RHEE ; Jung Hoon WON ; Dae Ya KIM ; Dong Sik SIM
Journal of the Korean Fracture Society 2004;17(4):308-313
PURPOSE: To investigate the characteristics of the sliding pattern of the proximal fragment (head and neck) in unstable intertrochanteric fractures, which were fixed with a dynamic hip screw (DHS) with anterior to posterior or posterior to anterior insertion angle in the axial view. MATERIALS AND METHODS: AO type A2.1 intertrochanteric fracture was reproduced in 10 proximal femur model (Synbone, Malans, Switzerland). Five fractured models were reduced and fixed using DHS with anterior to posterior insertion angle (group 1) and five models were fixed with posterior to anterior angle (group 2). Load of 500 N (30 cycles) was applied to the fracture fragment-plate complex using Instron 6022. Data on the distance of sliding and the angle of rotation of the proximal fragment were collected and analyzed. RESULTS: No significant difference was noted statistically in the distance of sliding between the two groups (p=0.92). However, the mean angle of rotation was 13.4degrees and 8.0degrees in group 1 and 2, respectively and the difference was statistically significant (p=0.012). Anterior cortical fracture of distal fragment was noted in 3 cases of group 1. There was no fracture of the anterior cortex in group 2. CONCLUSION: In unstable intertrochanteric fracture, the insertion angle of the lag screw in axial view does seem to play a role in the fate of bone-plate complex. Early eccentric contact of both fragments caused rotation of the proximal fragment in all cases and anterior cortical fracture of the distal fragment in 3 cases of group 1.
Femur
;
Hip
;
Hip Fractures*
4.Hip Arthroplasty in Intertrochanteric Fractures: Is It Acceptable Treatment?.
Young Chang KIM ; Ji Wan KIM ; Jae Young LIM
Journal of the Korean Fracture Society 2014;27(1):105-112
No abstract available.
Arthroplasty*
;
Hip Fractures*
;
Hip*
5.Changes of the Fracture Fragments of Lesser Trochanter after Operative Treatment in the Unstable Femoral Intertrochanteric Fractures.
Sohn Sung KEUN ; Seong Soo KIM ; Lee Kyu YEOL ; Kyung Taek KIM ; Byeong Hwan KIM ; Hyung Sup KIM
The Journal of the Korean Orthopaedic Association 1997;32(7):1550-1557
Unstable femoral intertrochanteric fractures are characterized by comminution of the posteromedial cortex, resulting in a fragment of variable size containing the lesser trochanter. Need for fixation of the fracture fragment of lesser trochanter remained controversial. We assessed the superior and medial migration of the fracture fragment of lesser trochanter, bone union, change of hip flexor power, limitation of motion and clinical results in a 29 unstable femoral intertrochanteric fractures which had been internally fixed with gamma interlocking nail (14 cases), compression hip screw (10 cases) and anatomical bent plate (5 cases). The fracture fragment of lesser trochanter was fixed with long trans-fixation screw in the cases of the anatomical bent plate. Superior migration of the fracture fragment of lesser trochanter is statistically different between Gamma interlocking nail and the other operations (P<0.05). Medial migration, bone union, change of hip flexor power, LOM and clinical results are not statistically different in the each operations (P>0.05). Although the stability could be provided by trans-fixation of the fracture fragment of lesser trochanter because the fragment acts as a buttress, clinical results was not influenced whether the fixation of the fracture fragment of lesser trochanter was done or not. We conclude that additional trans-fixation screw doesn t need if major fracture site was firmly fixed through any operation.
Femur*
;
Hip
;
Hip Fractures*
6.Epidemiology of hip fractures.
Hyoun Oh CHO ; Kyoung Duck KWAK ; Sung Do CHO ; Jung Hwan SUH ; Bub Jae LEE
The Journal of the Korean Orthopaedic Association 1993;28(3):1153-1159
No abstract available.
Epidemiology*
;
Hip Fractures*
;
Hip*
7.Trochanteric fractures treated by compression hip screw and additional pin fixations.
Ju Hai CHANG ; Won Jong BAHK ; Jong Min SOHN ; Joo Hyoun SONG
The Journal of the Korean Orthopaedic Association 1993;28(5):1648-1655
No abstract available.
Femur*
;
Hip Fractures*
;
Hip*
8.Treatment of Comminuted Trochanteric Fractures with Dynamic Hip Screw and DHS Trochanter Stabilizing Plate.
Jae Suk CHANG ; Soo Ho LEE ; Suck Chang JAY ; Key Yong KIM ; Sun Ahn HYUNG ; Byeong Ho HAN ; Soon Woo HONG
The Journal of the Korean Orthopaedic Association 1997;32(5):1206-1213
It has been emphasized that the treatment of choice for the trochanteric fracture of the femur is open reduction and rigid internal fixation. Regarding the stability of the fracture, most reports were focused on the comminution of the medial cortex, but few reports were paid attention to the additional fracture of the greater trochanter. This paper was aimed to evaluate the fragment of the greater trochanter on the maintenance of reduction. We treated 23 cases of unstable trochanteric fractures in which 16 cases were treated with Dynamic Hip Screw (DHS) alone, and 7 cases were treated with DHS and additional DHS Trochanter Stabilizing Plate (TSP). We compared the two groups and the results were as follows: 1. The average lag screw slipping distance was 17.1mm in DHS Group and 10.0mm in TSP Group. 2. The average distance of lateral displacement of greater trochanter over the trochantric fractures was 11.5mm in DHS Group and no change in TSP Group. The above results suggested that the comhined use of DHS Trochanter Stabilizing Plate with Dynamic Hip Screw provided good results in the treatment of uristable intertrochanteric fractures with completely detached greater trochanter and reverse oblique fracture.
Femur*
;
Hip Fractures*
;
Hip*
9.Treatment of intertrochanteric fractures of the femur: Comparison of the gamma nail and the dynamic hip screw.
Koing Woo KWUN ; Shin Kun KIM ; Sang Wook LEE ; Ki Hyun YOUN
The Journal of the Korean Orthopaedic Association 1993;28(5):1666-1673
No abstract available.
Femur*
;
Hip Fractures*
;
Hip*
10.Incomplete Intertrochanteric Fractures Based on Multiplanar Reconstruction Computerized Tomography : A Report of Three Cases.
Yeong Gon NA ; Young Sam KWON ; Young Kyun LEE ; Jeong Joon YOO ; Hee Joong KIM
Journal of the Korean Hip Society 2009;21(1):73-77
We experienced 3 cases of incomplete intertrochanteric fracture that were detected by multiplanar reconstruction computerized tomography (MPR CT). On the plain radiographs, two cases had only greater trochanteric fracture and the other case had a localized intertrochanteric fracture. There were linear hot uptakes in the intertrochanteric area in all cases on the bone scintigrams. On MPR CT, cortical breakage was found only in the anterior cortex, and the medial, lateral and posterior cortices were intact in all cases. Two cases were treated surgically with using compression hip screws and the other case was managed conservatively because of the patient's poor general condition. The findings of MPR CT were definitely different from those MRI findings of the previously reported incomplete intertrochanteric fractures.
Femur
;
Hip
;
Hip Fractures