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Helical Blade Locking Sleeve Disassembly Following Failed Femur Intertrochanter Fracture - A Case Report - 股骨粗隆间骨折失败后螺旋刀片锁紧套拆卸1例报告
Pub Date : 2021-07-01 DOI: 10.12671/jkfs.2021.34.3.112
S. Huh, Hong-Man Cho, Ji-Yeon Park
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引用次数: 0
Clinical and Radiologic Outcome of Intertrochanteric Fracture Treatment Using TFNA (Trochanteric Fixation Nail-Advanced) TFNA(高级转子固定钉)治疗转子间骨折的临床及影像学结果
Pub Date : 2021-07-01 DOI: 10.12671/jkfs.2021.34.3.105
H. Lee, H. Choi, B. Kim, Seung Hwan Jo, Sang Hong Lee
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引用次数: 2
Bisphosphonate: An Invaluable Medication or Abandoned Acid? 双膦酸盐:宝贵的药物还是废弃的酸?
Pub Date : 2021-07-01 DOI: 10.12671/jkfs.2021.34.3.122
Hoejeong Chung, J. W. Lee, Jaewoong Um, Hoon-Sang Sohn
Financial support: None. Conflict of interests: None. Over the last two decades, bisphosphonate has widely been applied in the treatment of osteoporosis. We reviewed the various adverse effects, current trials involving diverse bone metabolic diseases, and the future direction of bisphosphonate. Acute phase reaction, hypocalcemia, ocular inflammation, and gastrointestinal disturbances are the well-known short-term side-effects of bisphosphonate. Long term side-effects include osteonecrosis of the jaws and atypical femur fracture. In the modern clinical setting, bisphosphonate is widely used in treatments for osteoporosis, osteopenia, osteoarthritis, rheumatoid arthritis, and metastatic bone cancer. Further studies are underway for expanding the application as a bone-targeting agent in bone-related diseases. Bisphosphonate remains useful and invaluable as the 1st line medication for osteoporosis. Considering the numerous clinical situations, including time to medication after fracture, duration of drug usage, and individual drug holiday, an optimal and proper use of bisphosphonate needs to be achieved. In the current scenario, bisphosphonate will retain a strong position due to good efficacy and effectiveness for osteoporosis treatment, and the precise application to various bone diseases. We anticipate a key role of bisphosphonate for future application in the treatment of metabolic bone diseases. Further studies and advancement are highly anticipated, considering the high potential of bisphosphonate for various uses.
资金支持:无。利益冲突:无。近二十年来,双膦酸盐已广泛应用于骨质疏松症的治疗。我们回顾了各种不良反应,目前涉及各种骨代谢疾病的试验,以及双膦酸盐的未来发展方向。急性期反应、低钙血症、眼部炎症和胃肠道紊乱是众所周知的双膦酸盐的短期副作用。长期副作用包括颌骨骨坏死和非典型股骨骨折。在现代临床环境中,双膦酸盐被广泛用于治疗骨质疏松症、骨质减少症、骨关节炎、类风湿关节炎和转移性骨癌。进一步的研究正在进行中,以扩大其作为骨靶向剂在骨相关疾病中的应用。双膦酸盐仍然是治疗骨质疏松症的一线药物。考虑到多种临床情况,包括骨折后的用药时间、用药持续时间和个人用药假期,需要实现最佳和适当的双膦酸盐使用。在目前的情况下,由于双膦酸盐对骨质疏松症治疗的良好疗效和有效性,以及对各种骨病的精确应用,将保持强大的地位。我们期待双膦酸盐在代谢性骨病的治疗中发挥关键作用。考虑到双膦酸盐在各种用途上的巨大潜力,人们高度期待进一步的研究和进展。
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引用次数: 0
Current Concepts of Vitamin D and Calcium in the Healing of Fractures 目前维生素D和钙在骨折愈合中的概念
Pub Date : 2021-07-01 DOI: 10.12671/jkfs.2021.34.3.117
Jihyo Hwang
Financial support: None. Conflict of interests: None. Fragile fractures, also known as osteoporosis fractures, insufficiency fractures, and senile fractures are a significant problem encountered by orthopedic surgeons. Calcium and vitamin D are essential for maintaining bone health and deficiencies in calcium and vitamin D are major risk factors for the development of osteoporosis. Sufficient amounts of calcium are also required for fracture-callus mineralization. Hence, compromised bone repair that is frequently observed in osteoporotic patients might be attributed to calcium and vitamin D deficiencies. Consequently, calcium and vitamin D supplementation represents a potential strategy for treating compromised fracture healing in osteoporotic patients. There is some clinical evidence of the positive effect of supplementation in fracture healing and posttraumatic bone turnover, but research in this area is ongoing. Calcium and vitamin D should be the primary treatment of choice in osteopenic patients with an insufficiency of calcium and vitamin D and for the prevention of secondary osteoporotic fractures. Calcium and vitamin D can also be used as addition to other primary osteoporotic medications such as antiresorptive or bone-forming agents. The role of calcium and vitamin D in fracture healing and the therapeutic potential of calcium and vitamin D supplementation is summarized in this context.
资金支持:无。利益冲突:无。脆性骨折,也被称为骨质疏松骨折,不全骨折和老年性骨折是骨科医生遇到的重要问题。钙和维生素D对维持骨骼健康至关重要,缺乏钙和维生素D是骨质疏松症的主要危险因素。骨折-骨痂矿化也需要足量的钙。因此,在骨质疏松症患者中经常观察到的骨修复受损可能归因于钙和维生素D缺乏。因此,补充钙和维生素D是治疗骨质疏松患者骨折愈合受损的潜在策略。有一些临床证据表明补充剂对骨折愈合和创伤后骨更新有积极作用,但这一领域的研究仍在进行中。钙和维生素D应作为钙和维生素D不足的骨质减少患者的主要治疗选择,并预防继发性骨质疏松性骨折。钙和维生素D也可以作为其他主要骨质疏松药物的补充,如抗吸收或成骨剂。本文总结了钙和维生素D在骨折愈合中的作用以及钙和维生素D补充剂的治疗潜力。
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引用次数: 0
Comparison of the Results between Plating and Intramedullary Nailing for Ipsilateral Fibular Fractures in Pilon Fractures 钢板与髓内钉治疗同侧腓骨骨折在Pilon骨折中的疗效比较
Pub Date : 2021-07-01 DOI: 10.12671/jkfs.2021.34.3.97
Y. Cho, J. Lee, J. Lim, Jehong Ryu, Jung ho Lee
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引用次数: 0
Injury of the Ascending Branch of the Lateral Femoral Circumflex Artery Caused by a Spike of the Displaced Lesser Trochanter in an Intertrochanteric Femoral Fracture: A Case Report 股骨粗隆间骨折小粗隆突移位致旋股外侧动脉升支损伤1例
Pub Date : 2021-04-01 DOI: 10.12671/JKFS.2021.34.2.71
S. Huh, Hong-Man Cho, Jiyeon Park
Financial support: None. Conflict of interests: None. Although vascular injuries associated with femoral intertrochanteric fractures have been reported infrequently, bleeding due to vascular injury can lead to severe complications that can be potentially life and limb-threatening. The authors report a case of an injury of the ascending branch of the lateral femoral convolutional artery in a patient who underwent surgical treatment for a femoral intertrochanteric fracture. Vascular injury occurred due to the sharp margin of displaced lesser trochanter five weeks after surgery. Percutaneous transcatheter embolization was done and improved without additional complications. Therefore, the surgeons need to be aware of possible associated vascular injuries caused by displaced lesser trochanter fragments in femoral intertrochanteric fractures.
资金支持:无。利益冲突:无。虽然与股骨粗隆间骨折相关的血管损伤很少报道,但血管损伤引起的出血可导致严重的并发症,可能危及生命和肢体。作者报告了一例股骨粗隆间骨折手术治疗的患者,其股外侧旋流动脉上升支损伤。手术后5周,由于小转子移位的尖锐边缘导致血管损伤。经皮经导管栓塞术得到改善,无其他并发症。因此,在股骨粗隆间骨折中,外科医生需要注意小粗隆碎片移位可能引起的相关血管损伤。
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引用次数: 0
Comparison of the U-Blade Gamma3 Nail and the Zimmer Natural Nail for the Treatment of Intertrochanteric Fracture u型刀片Gamma3钉与Zimmer自然钉治疗转子间骨折的比较
Pub Date : 2021-04-01 DOI: 10.12671/JKFS.2021.34.2.57
Jae-Sung Suh, H. Ryu, Y. Roh, Dae Won Shin, Sang-Min Kim
Purpose: This study was performed to compare the clinical results and radiological follow-up differences between intertrochanteric fractures treated with the U-blade Gamma3 nail or the Zimmer natural nail (ZNN). Materials and Methods: The medical records of 129 cases diagnosed with an intertrochanteric fracture (90 cases of U-blade Gamma3 nail, 39 cases of ZNN) from July 2015 to December 2018 were reviewed. Patients were assigned to a U-blade Gamma3 nail (n=39) or a ZNN (n=39) group. To reduce selective bias, groups were subjected to Propensity score matching by age, body mass index, bone mineral density, and fracture type. Patients that met the following criteria were excluded; age < 65 years, non-ambulatory, high energy or pathologic fracture, and a follow-up of < 6 months. Operation times, estimated blood losses, preoperative and postoperative Koval grades, Harris hip score and radiological lag screw positions in the femoral head, reduction quality, cut-out, tip-apex distance (TAD), lag screw sliding distances, and times to union were compared. Results: Clinical results were similar in the two groups, but lag screw TAD was significantly greater in U-blade Gamma3 nail group (23.4 mm vs. 21.0 mm) (p=0.042). One case of cut-out occurred in the U-blade Gamma3 nail group, but no other nail-related postoperative complication was noted. Conclusion: No significant difference was observed between the outcomes of U-blade Gamma3 nail or ZNN treatments of intertrochanteric fractures. We conclude that the U-blade confers no specific advan -tage.
目的:本研究比较u型Gamma3钉与Zimmer自然钉(ZNN)治疗股骨粗隆间骨折的临床结果和影像学随访差异。材料与方法:回顾性分析2015年7月至2018年12月收治的129例股骨粗隆间骨折病例(u型Gamma3钉90例,ZNN钉39例)的临床资料。患者被分配到u型Gamma3指甲组(n=39)或ZNN组(n=39)。为了减少选择性偏倚,对各组进行年龄、体重指数、骨密度和骨折类型的倾向评分匹配。符合以下标准的患者被排除在外;年龄< 65岁,非活动,高能量或病理性骨折,随访时间< 6个月。比较手术时间、估计出血量、术前和术后Koval评分、Harris髋关节评分和股骨头内固定螺钉的放射学位置、复位质量、切口、尖端-尖端距离(TAD)、固定螺钉滑动距离和愈合时间。结果:两组临床结果相似,但u型刀片Gamma3钉组lag螺钉TAD明显大于对照组(23.4 mm vs. 21.0 mm) (p=0.042)。u型刀片Gamma3组出现1例切口,无其他术后并发症。结论:u型刀片Gamma3钉与ZNN治疗粗隆间骨折疗效无显著差异。我们得出结论,u型叶片没有特别的优势。
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引用次数: 0
Delayed Pseudoaneurysm of Deep Femoral Artery Caused by Migration of Lesser Trochanter, Subsequent to an Intertrochanteric Fracture Surgery: A Case Report 股骨粗隆间骨折术后小转子移位致股深动脉迟发性假性动脉瘤1例
Pub Date : 2021-04-01 DOI: 10.12671/JKFS.2021.34.2.76
Bum-Soo Kim, Seong-Tae Kim, S. Shin, Changjiang Yu
{"title":"Delayed Pseudoaneurysm of Deep Femoral Artery Caused by Migration of Lesser Trochanter, Subsequent to an Intertrochanteric Fracture Surgery: A Case Report","authors":"Bum-Soo Kim, Seong-Tae Kim, S. Shin, Changjiang Yu","doi":"10.12671/JKFS.2021.34.2.76","DOIUrl":"https://doi.org/10.12671/JKFS.2021.34.2.76","url":null,"abstract":"","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132333704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of Reductions of Left and Right Proximal Portions of Intertrochanteric Fractures Treated by Intramedullary Nailing 髓内钉治疗股骨粗隆间骨折左右近端复位的比较
Pub Date : 2021-04-01 DOI: 10.12671/JKFS.2021.34.2.64
H. Oh, J. Ha, Yung Park, Sang Hoon Park, H. Yoon
Purpose: This study examined the effect of lag screw insertion on proximal fragments by separating the right and left sides of intertrochanteric fractures in elderly patients that underwent intramedullary nailing. Materials and Methods: Patients aged ≥65 years that underwent intramedullary nailing after a diag nosis of intertrochanteric fractures during the period February 2012 to May 2016 were included in the study. The subjects were divided into right and left side groups. The effect of the clockwise rotational force generated when a lag screw was inserted on the proximal fragment was evaluated in both groups. Results: In the right and left groups, most proximal fragments were located in the intramedullary canal after surgery (45 cases [75.0%] and 67 cases [73.6%], respectively). Clockwise rotation due to lag screw placement in the right group occurred in two cases (3.3%), which both showed internal rotation, and in four cases (4.4%) in the left group, all of which showed external rotation. Conclusion: After intramedullary nailing of intertrochanteric fractures in elderly patients, proximal fragments were mostly located in the intramedullary cavity. The results obtained confirmed that the clockwise rotational force generated by lag screw insertion did not affect left or right sides.
目的:本研究探讨高龄患者行髓内钉治疗股骨粗隆间骨折时,通过分离左右两侧插入拉力螺钉对近端骨折碎片的影响。材料与方法:2012年2月至2016年5月,年龄≥65岁,诊断为粗隆间骨折后行髓内钉治疗的患者纳入研究。受试者被分为右侧组和左侧组。评估两组患者在近端碎片上插入拉力螺钉时产生的顺时针旋转力的影响。结果:右侧组和左侧组术后近端碎片大部分位于髓内管内(45例[75.0%]和67例[73.6%])。右侧组2例(3.3%)因螺钉放置滞后而发生顺时针旋转,均表现为内旋,左侧组4例(4.4%)均表现为外旋。结论:老年患者股骨粗隆间骨折髓内钉治疗后,近端碎片多位于髓内腔内。结果证实了螺杆插入产生的顺时针旋转力不影响左右两侧。
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引用次数: 1
Pediatric Fractures around the Wrist 小儿手腕周围骨折
Pub Date : 2021-04-01 DOI: 10.12671/JKFS.2021.34.2.80
Gihun Kim, K. Park
Financial support: None. Conflict of interests: None. Fractures around the wrist are the third most common fracture among all pediatric fractures. Furthermore, distal radius fractures, a type of wrist fracture, are the most common fractures in children. Understanding pediatric fractures around the wrist is very important considering their prevalence. There is a specific belief that pediatric fractures can heal easily because of remodeling, but not all fractures can heal without proper treatment. Complications such as growth problems, nonunion can occur if the fracture is not treated properly. This paper reviewed recent articles about distal radius fractures, Galeazzi-equivalent fractures, and carpal bone fractures, including scaphoid fractures in children and adolescents. Successful treatment can be achieved without complications when an accurate diagnosis and proper non-surgical or surgical treatment are performed based on this article.
资金支持:无。利益冲突:无。手腕周围骨折是所有儿童骨折中第三常见的骨折。此外,桡骨远端骨折是一种腕部骨折,是儿童中最常见的骨折。考虑到儿童手腕周围骨折的普遍性,了解儿童手腕周围骨折非常重要。有一种特殊的观点认为,儿童骨折可以很容易地愈合,因为重塑,但并不是所有的骨折都能在没有适当治疗的情况下愈合。如果骨折治疗不当,可能会出现生长问题、骨不连等并发症。本文综述了最近关于儿童和青少年桡骨远端骨折、galeazzi等效骨折和腕骨骨折(包括舟状骨骨折)的文章。在本文的基础上进行准确的诊断和适当的非手术或手术治疗,可以实现无并发症的成功治疗。
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引用次数: 0
期刊
Journal of the Korean Fracture Society
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