1.Management of Long Bone Fractures with Severe Bone Defect.
Jae Woo CHO ; Jinil KIM ; Han Ju KIM ; Jong Keon OH
Journal of the Korean Fracture Society 2015;28(3):205-214
No abstract available.
Fractures, Bone*
2.The clinical analysis of multiple long bone fractures.
Dae Moo SHIM ; Churl Hong CHUN ; Yong Ok LEE ; Sang Soo KIM
The Journal of the Korean Orthopaedic Association 1991;26(5):1450-1456
No abstract available.
Fractures, Bone*
3.The Flail and Pulseless Upper Limb: an Extreme Case of Traumatic Scapulo-thoracic Dissociation
Maria SW ; Sapuan J ; Abdullah S
Malaysian Orthopaedic Journal 2015;9(2):54-56
Scapulo-thoracic dissociation is an infrequent injury
resulting from high energy trauma which is often associated
with severe neurological and vascular injuries which may be
unrecognised at the time of presentation. A 24 year-old
female presented with bilateral rib fractures, pneumothorax,
liver and kidney injuries following a road traffic accident.
She also sustained fractures of her right scapula, odontoid,
right transverse processes of the thoracic and lumbar
vertebrae and a closed fracture of her right femur. Her right
upper limb was later noted to be flail and pulseless, due to
complete right brachial plexus injury, scapula-thoracic
dissociation and subclavian artery avulsion. We managed
the upper limb injuries non-operatively, and focused on
resuscitation of the patient. Early exploration of the complete
brachial plexus injury was not undertaken in spite of the
possible associated poor functional outcome as there was no
life-threatening indication.
Fractures, Bone
4.The Outcome of Complex Pelvic Fracture after Internal Fixation Surgery
Ismail HD ; Lubis MF ; Djaja YP
Malaysian Orthopaedic Journal 2016;10(1):16-21
Introduction: Complex pelvic fracture, which has a very
high mortality and even higher morbidity, needs internal
fixation surgery as an integral part for its management. It was
necessary to conduct a study regarding outcome of complex
pelvic fractures after internal fixation surgery.
Material & Method: Twenty-six patients with complex
pelvic fractures that had been treated with internal fixation
surgery during 2011-2014 were enrolled. These patients had
an open pelvic fractures or Tile type B or C pelvic fracture
who had undergone internal fixation surgery with at least 6
months follow-up. Evaluation of the morbidity and
functional scoring was performed using Majeed and
Hannover Score.
Results and Discussions: Average of age was 31 years old
and follow up time was 25 months. There were 7 patients
with open pelvic fracture and 19 with closed fracture.
Excellent Majeed Score were found on 78.6% cases in Tile
B fractures and 50% in Tile C. Good Hannover Score was
found in 64.3% Tile B cases and 80% Tile C cases. Fracture
type was statistically insignificant with acquired sexual
dysfunction (p>0.05), but significant with the chronic pain
(p=0,.017). We also found that urogenital injury is associated
with sexual dysfunction (p=0.005).
Conclusions: The outcome of complex pelvic fracture after
internal fixation surgery was excellent. More than 90%
patients got an excellent and good result on Majeed Score,
and also very good and good result on Hannover Score.
Fractures, Bone
5.Treatment of Middle Third Humeral Shaft Fractures with Anteromedial Plate Osteosynthesis through an Anterolateral Approach
Kumar BS ; Soraganvi P ; Satyarup D
Malaysian Orthopaedic Journal 2016;10(1):38-43
Background: Treatment of humeral shaft fractures has been
a subject of debate for many decades. Even though a large
majority of humeral shaft fractures can be treated by non
operative methods, few conditions like open fractures, polytrauma,
ipsilateral humeral shaft and forearm fractures
require surgical intervention. The goal of treatment of
humeral shaft fractures is to establish union with an
acceptable humeral alignment and to restore the patient to
pre-injury level of function. The objective was to assess the
incidence of radial nerve palsy, non-union and mean time
required for in anteromedial plate osteosynthesis with
anterolateral approach and also to measure the functional
outcome of this procedure.
Method: A prospective study was conducted in the
Department of Orthopaedics, PESIMSR, Kuppam, Andhra
Pradesh, from August 2012 to August 2015 with a total of 54
patients who were operated with anteromedial plate
osteosynthesis were included in the study. RodriguezMerchan
criteria was used to grade the functional outcome.
Results: Of the 54 patients, 28 (58.85%) were in the age
group of 30-40 years. The most common fracture pattern
identified was A3 type (48.14%).The mean (+ SD) duration
of surgery for anteromedial humeral plating was 53 ± 5.00
minutes. The time taken for the fracture to unite was less
than 16 weeks in the majority or 50 patients (92.59%). Four
(7.40%) patients had delayed union. There was no incidence
of iatrogenic radial nerve palsy. Rodriguez – Merchan
criteria showed that 37(68.51%) of the patients had good and
12 (22.22%) had excellent functional outcome.
Key Words:
Humeral shaft fractures; Plate osteosynthesis; Antero-lateral approach
Fractures, Bone
6.Clinical Application of Bone Hook in the Reduction of Long Bone Fracture
The Journal of the Korean Orthopaedic Association 1983;18(5):971-974
No abstract available in English.
Fractures, Bone
7.Review 14 cases of fracture of knot connection to femur (called upper femoral fracture) treated by porous splint AO.
Journal of Practical Medicine 2002;435(11):42-43
Upper femoral fracture occurs in all ages but most common in elderly due to stumble. 14 cases of upper femoral fracture treated by porous splint AO were studied to evaluate the bone contiguity and mechanical rehabilitation. Results: good (all patients): certain bone contiguity; axis direct bone; normal fold of hip joint.
Fractures, Bone
;
Femoral Fractures
;
therapeutics
8.Correlation of fat mass with bone mineral density and FRAX-based fracture risk among postmenopausal Filipino women
Davidson V. Pastran ; Jerry M. Obaldo
The Philippine Journal of Nuclear Medicine 2021;16(1):18-24
Background:
Post-menopausal women experiences changes in estrogen levels affecting body metabolism, which may lead to
weight gain and obesity. Moreover, one of the most prevalent diseases among this group is osteoporosis.
However, the relationship between fat mass and its protective property remains unclear. This study assesses the
correlation of fat mass with bone mineral density (BM) and 10-year FRAX based fracture probability among
Filipino women.
Methods:
A cross-sectional review of records of post-menopausal Filipino women who underwent whole body bone
mineral densitometry scans via dual-energy X-ray absorptiometry (DXA) between January 1, 2015, and
December 31, 2018 in the Radioisotope Laboratory of the Philippine General Hospital was done. Pearson
correlation and simple linear regression analyses were done to determine the correlation between the two
outcomes – BMD and 10-year FRAX based fracture probability.
Results:
A total of 258 postmenopausal women were included in the analysis. There was a weak positive correlation of
fat mass with BMD of L1-L4 vertebrae (R-score of 0.318), BMD of femoral neck (R-score of 0.3937) and hips
(R - score of 0.3031). The 10-year FRAX based fracture probability for both hip and osteoporotic had very weak
and weak negative correlation, respectively (R-score of - 0.06752 and - 0.29017).
Conclusion
Despite having varying available, data on the protective effects of fat mass on fracture protection, this study
showed that fat mass has a poor correlation with BMD and reduction in FRAX probability.
Postmenopause
;
Bone Density
;
Fractures, Bone
9.Retroperitoneal hematoma with pelivc bone fracture.
Chang Soon CHO ; Byoung yoon RYU ; Hong Ki KIM ; Chang Sig CHOI
Journal of the Korean Surgical Society 1993;44(5):699-706
No abstract available.
Fractures, Bone*
;
Hematoma*
10.Effect of Fracture Gap on Biomechanical Stability of Compression Bone-Plate Fixation System after Bone Fracture Augmentation.
Duk Young JUNG ; Sung Jae LEE ; Seon Chil KIM ; Jong Keon OH
Journal of the Korean Fracture Society 2010;23(2):220-226
PURPOSE: The goal of this study using the biomechanical test was to evaluate the mechanical stability of the bone-plate fixation system according to changes of the fracture gap sizes and widths. MATERIALS AND METHODS: For mechanical test, four types with different fracture models simulating the clinical situations were constructed depending on the gap size (FGS, mm) and the gap width (FGW, %) at the fracture site: 0 mm/0%, 1 mm/100%, 4 mm/100%, 4 mm/50%. For analyzing the effects of fracture gap on the biomechanical stability of the bone-plate fixation system, 4-point bending test was performed under all same conditions. RESULTS: It was found that the fracture gap sizes of 1 and 4 mm decreased mechanical stiffness by about 50~60% or more. Furthermore, even without fracture gap size, 50% or more fracture gap width considerably decreased mechanical stiffness and suggested the possibility of plate damage through strain results. CONCLUSION: Our findings suggested that at least 50% contact of the fracture faces in a fracture surgery would be maintained to increase the mechanical stability of the bone-plate fixation system.
Fractures, Bone
;
Sprains and Strains