• Title/Summary/Keyword: Fracture treatment methods

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A Case Report of Conservative Treatment of the Lumbar Incomplete Burst Fracture (불완전 방출성 요추 골절 환자에 보존적 치료를 시행한 치험 1례)

  • Kim, Su-Young;Min, Kwan-Sik;Kim, Tae-Hun;Jeong, Hae-Chan;Jun, Byung-Chul;Lee, Jin-Hyuk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.85-94
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    • 2010
  • Objectives : The propose of this study is to find out the clinical application of conservative treatment to the patient who has Lumbar incomplete burst fracture. Methods : We examined 1 patient with lumbar burst fracture who admitted Jaseng Hospital of Oriental Medicine. Results : In this study, the patient showed a certain degree of improvement in gait disturbance. Low back and leg pain were also reduced significantly after conservative oriental medical treatment. Conclusions : Conservative oriental medical treatment can be effective for improving symptoms of Lumbar incomplete burst fracture, decreasing pain.

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Treatment of Clavicle Medial End Fracture Using Double-plate Fixation

  • Jang, Seang;Byun, Youngsoo;Yoo, Hyun Seung;Jung, Chul;Shin, Dongju
    • Clinics in Shoulder and Elbow
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    • v.18 no.3
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    • pp.162-166
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    • 2015
  • Clavicle medial end fracture is rare, and it has not been studied extensively. Although there is debate regarding its treatment methods, because of the complications of conservative treatment, surgical treatment has been considered more than conservative treatment. This study describes a surgical method using double-plate fixation for treatment of clavicle medial end fractures in which plates were used on each anterior and superior border according to the anatomical structure of the clavicle. In addition, we report operative results of three patients treated by double-plate fixation.

Anatomical and Functional Recovery of Intracapsular Fractures of the Mandibular Condyle: Analysis of 124 Cases after Closed Treatment

  • Lee, Jong-Sung;Jeon, Eun-Gyu;Seol, Guk-Jin;Choi, So-Young;Kim, Jin-Wook;Kwon, Tae-Geon;Paeng, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.6
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    • pp.259-265
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    • 2014
  • Purpose: The purpose of this study is to evaluate the influence of intracapsular fracture lines of the mandibular condyle on the anatomical and functional recovery after non-surgical closed treatment. Methods: Clinical and radiological follow-up of 124 patients with intracapsular fractures of the mandibular condyle was performed after closed treatment between 2005 and 2012. The intracapsular fractures were classified into three categories: type A (medial condylar pole fracture), type B (lateral condylar pole fracture with loss of vertical height) and type M (multiple fragments or comminuted fracture). Results: By radiological finding, fracture types B and M lost up to 24% vertical height of the mandibular condyle compared to the height on the opposite side. In Type M, moderate to severe dysfunction was observed in 33% of the cases. Bilateral fractures were significantly associated with the risk of temporomandibular joint (TMJ) dysfunction in fracture types A and B. Bilateral fracture and TMJ dysfunction were not statistically significantly associated in type M fractures. Conclusion: Most of the mandibular intracapsular condylar fractures recovered acceptably after conservative non-surgical treatment with functional rehabilitation, even with some anatomical shortening of the condylar height. The poor functional recovery encountered in type M fractures, especially in cases with additional fracture sites and bilateral fractures, points up the limitation of closed treatment in such cases.

Clinical Study on the case of Lumbar compression fracture with Traditional Korean Medicine, Especially the SAAM Acunpture, Carthami-Flos Herbal Acupuncture (사암 어혈방과 홍화약침요법을 병행한 요추압박골절 1례에 관한 고찰)

  • Lee Kil Soong;Lee Geon Mok;Yeom Seong Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.4
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    • pp.1228-1231
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    • 2004
  • There are little report on treatment of compression fracture with Traditional Korean Acupuncture Therapy. We suggest to treat Lumbar compression fracture with the SAAM(사암) Acunpture, Carthami-Flos Herbal Acupuncture Therapy. The Treatment methods of the SAAM(사암). Acnpucture, Eliminating extravasated Blood, was apllied at SP3, LU9, LI11 and Carthami-Flos Herbal Acupuncture at the waist. We treated the patient who was diagnosed as lumbar compression fracture by MRI. After 15 days of Treatment, SAAM Acupuncture and Carthami-Flos Herbal Acupuncture, a remarkable improvement was made for Lumbar compression fracture. There was reports about SAAM Acupuncture and Carthami-Flos Herbal Acupuncture of Patient with Lumbar Compression Fracture. It is very effective to reduce the pain and shortening the period of therapy.

A CLINICAL STUDY ON THE FACIAL BONE FRACTURE (악안면골절의 임상적고찰)

  • Jang, Hyun-Seok;Jang, Myung-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.3
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    • pp.454-462
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    • 1996
  • With the increase of population, dramatic urbanization, traffic, leisure and sports, the number of maxillofacial injury has increased markedly. Subsequently the number of motor vehicle accident, sports accident and industrial accident were increased and the number of oral and maxillofacial trauma patients were also markedly increased. A clinical study on 177 patients with facial bone fracture who visited Kangnam General Hospital during 4 years(1992-1995) was done by analysing sex, cause, fracture site, treatment method, complication and involvement of other body part. The results obtained were as follows : 1. The occurrence was more frequent in male than in female with the ratio of 4.2 : 1 and most frequently in twenties. 2. Violence was the most common cause of facial bone fracture. 3. Mandible was the most frequently occurred site and there were more cases of simple fracture(81.9%) than cases of compound fracture. 4. Simple fracture was most frequently occurred(44.0%). 5. In mandible fracture, simple fracture was 86.1%, fracture site was average 1.5 sites, most frequently in symphysis. 6. As treatment methods, open reduction(78.5%) was used more frequently than closed reduction(21.5%). 7. Post-operative complication occurred in 29.4% of the cases. 8. Other injuries that were related to maxillofacial fracture occurred in 28.2%.

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Usefulness of indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture associated with orbital blowout fracture

  • Kim, Tae Ho;Kang, Seok Joo;Jeon, Seong Pin;Yun, Ji Young;Sun, Hook
    • Archives of Craniofacial Surgery
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    • v.19 no.2
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    • pp.102-107
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    • 2018
  • Background: Nasal fracture and orbital blowout fracture often occur concurrently in cases of midface blunt trauma. Generally, these multiple fractures treatment is surgery, and typically, the nasal bone and orbit are operated on separately. However, we have found that utilizing a transconjunctival approach in patients with concurrent nasal bone fracture and orbital blowout fracture is a useful method. Methods: The participants in the present study included 33 patients who visited the Plastic Surgery outpatient department between March 2014 and March 2017 and underwent surgery for nasal fracture and orbital blowout fracture. We assessed patients' and doctors' satisfaction with surgical outcomes after indirect open reduction via a transconjunctival approach for the treatment of nasal bone fracture with associated orbital blowout fracture. Results: According to the satisfaction scores, both patients and doctors were satisfied with transconjunctival approach. Conclusion: We presented here that our method enables simultaneous operation of nasal fracture accompanied by orbital blowout fracture, rather than treating the two fractures separately, and it allows precise reduction of the nasal fracture by direct visualization of the fracture site without any additional incisions or difficult surgical techniques. Also, by preventing the use of excessive force during reduction, this method can minimize damage to the nasal mucosa, thereby reducing the incidence of nasal bleeding.

Surgical Treatment of Distal Tibia Fractures (원위 경골 골절의 수술적 치료)

  • Jeong, Jae-Jung;Kang, Do-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.3
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    • pp.174-181
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    • 2013
  • Distal tibia fractures were mainly caused by high energy trauma and the lower legs were enveloped in poor soft tissue. Therefore, there are many open fractures and concomitant soft tissue injuries in distal tibia fractures. For the restoration of ankle function, the surgical treatment was performed in distal tibia fractures. However, it is difficult to treat the distal tibia fracture surgically. There are many complications in distal tibia fracture due to highly comminuted fracture and poor soft tissue condition. There are many surgical methods for distal tibia fractures, such as, external fixator, intramedulary nailling, open reduction & internal fixation, and minimally invasive plate osteosynthesis. We reviewed the surgical treatments of distal tibia fractures.

Radiofrequency Neurotomy for Remnant Pain after Vertebroplasty as the Treatment of Severe Compression Fracture

  • Kim, Saeng-Youp;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.40 no.2
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    • pp.95-98
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    • 2006
  • Objective : The aim of this study is to evaluate the feasibility, safety and effectiveness of radiofrequency neurotomy[RFN] for remnant pain after vertebroplasty for the treatment of severe compression fracture. Methods : 25 patients with remnant pain after vertebroplasty for one level severe compression fracture were treated by RFN. The severe compression fractures were defined to the vertebrae which less than 50% of their original heights have collapsed. Pain relief was evaluated at 2 weeks, 6 weeks and 3 months after the procedure using a visual analog scale[VAS]. Results : Successful outcome was determined if pain reduction exceeded 50% on the VAS at 6 weeks. Six of the 25 patients did not respond favorably to RFN [pain reduction less than 50%], and nineteen patients showed successful responses. Mean VAS score was decreased from 5.48 to 2.96 at 6 weeks. Conclusion : The radiofrequency neurotomy may be both feasible and useful treatment for the remnant pain after vertebroplasty. However long-term follow up is needed to confirm the effectiveness.

A Case Report of Delayed Healing in Femoral Shaft Fractured Child (대퇴골 간부 골절 후 골절유합이 지연된 환아의 한의치료 증례보고)

  • Sung, Hyun-Kyung;Kim, Jang-Hyun;Min, Sang-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.25 no.1
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    • pp.63-71
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    • 2011
  • Objectives: The purpose of this study is to report the clinical effects of oriental medical treatment on delayed healing in femoral shaft fractured child. Methods: We treated the patient with herb medicine named Kamiboatang and Pyritum. Child took Kamiboatang and Pyritum for 2 months, and Kamiboatang for 1 month. After 3 months treatments, we examined the case with radiological findings. Results: The patient's delayed femoral shaft fracture was improved after 3 months oriental medical treatment. Conclusions: This case showed that oriental medical treatment on delayed healing in femoral shaft fractured child was effective. To prove the effectiveness of Kamiboatang and Pyritum, the more clinical study of Oriental medical treatment for this case might be also needed.

Surgical Treatment of Type II Talar Neck Fractures (제 2형 거골 경부 골절의 수술적 치료)

  • Jeon, Taek-Soo;Kim, Sang-Bum;Kim, Sung-Hun;Kim, Tae-Kyun;Kim, Seung-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.91-96
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    • 2007
  • Purpose: To evaluate the clinical results and determine appropriate methods of surgical treatment about type II talar neck fracture. Materials and Methods: Among nineteen patients who received surgical treatment for type II talar neck fracture from May 2000 to May 2005. Fourteen patients with a follow-up period of more than 1 year were divided into two groups. Six patients reduced by closed reduction (Group A) with screw fixation and eight patients reduced by open reduction with screw fixation. We analyzed preoperative, postoperative and follow-up simple radiographs and reviewed patient hospital records retrospectively. Clinical results were evaluated by Hawkins scoring system. We analyzed pain, limp, range of motion of ankle and subtalar joint. Results: Five patients (83.3%) in group A and seven patients (87.7%) in group B had excellent and good clinical results. There were no complications including avascular necrosis, delayed union, nonunion. Conclusion: Closed reduction with screw fixation of talar neck fracture shows correct reduction and satisfactory results. But because of short term period of follow-up, we need long term results.

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