• Journal of the Korean Orthopaedic Association
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• v.52 no.1
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• pp.25-32
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• 2017

Purpose: The purpose of this study was to analyze the radiological and clinical outcomes in elderly patients with unstable intertrochanteric femur fractures in accordance with the length of intramedullary nail. Materials and Methods: Between August 2009 and December 2014, a total of 139 patients-older than 65 years of age with AO/OTA classification of 31-A2 unstable intertrochanteric femur fracture-who has been followed-up for at least 1 year after the treatment with internal fixation by using an intramedullary nail were enrolled for this retrospective control study. The subjects were classified into two groups according to the length of intramedullary nail: 106 patients in the short group (group I) and 33 patients in the long group (group II). For radiological assessments, the reduction state, time to union, and implant related complications were examined. The clinical outcomes were assessed by preoperative hemoglobin, operating time, intraoperative bleeding amount, blood transfusion rate, hospitalization period, and Charnley hip pain scoring system at the final follow-up. Results: The postoperative radiographs showed good or acceptable reduction in all cases. The mean time of radiologic bone union was 4.8 months, and there was no difference between the two groups. With respect to surgical time, the group II was found to take longer (57.87 minutes) than the group I (45.65 minutes) (p=0.003). The bleeding amount during surgery of the group II was greater (288.78 ml) than that of the group I (209.90 ml) (p=0.046). The clinical results at the final follow-up were found to be satisfactory in both groups. Conclusion: In cases of good reduction of the fracture from the treatment of unstable intertrochanteric femur fracture accompanying the posteromedial fragment in elderly patients, both groups-long and short intramedullary nails-showed satisfactory radiological and clinical outcomes.

• The Journal of Engineering Geology
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• v.19 no.2
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• pp.191-203
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• 2009

The effect of stabilizing piles on cut slopes is checked and the behavior of slope soil and piles are observed throughout the year by field measurements on the large-scale cut slopes. First of all, the behavior of the slope soil was measured by inclinometers during slope modification. Landslides occurred in this area due to the soil cutting for slope modification. The horizontal deformations of slope soil are gradually increased and rapidly decreased at depth of sliding surface. As the result of measuring deformation, the depth of sliding surface below the ground surface can be known. Based on the measuring the depth of the sliding surface, some earth retention system including stabilizing piles were designed and constructed in this slope. To check the stability of the reinforced slope using stabilizing piles, an instrumentation system was installed. As the result of instrumentation, the maximum deflection of piles is measured at the pile head. It is noted that the piles deform like deflection on a cantilever beam. The maximum bending stress of piles is measured at the soil layer. The pile above the soil layer is subjected to lateral earth pressure due to driving force of the slope, while pile below soil layer is subjected to subgrade reaction against pile deflection. The deflection of piles is increased during cutting slope in front of piles for the construction of soil nailing. As a result of research, the effect and applicability of stabilizing piles in large-scale cut slopes could be confirmed sufficiently.

• Journal of the Korean Geotechnical Society
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• v.22 no.2
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• pp.5-17
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• 2006

In order to investigate the stabilizing effect of nails against sliding, a series of model tests were carried out. The apparatus of model test was designed to perform the model test of soil slope reinforced by nails. The instrumentation system was used to measure the deflection behavior of nails during slope failure. As a result of model tests, the quantity and the occurred position of the maximum bending stress are changed according to the area ratio and the inclination angles of nails. The maximum stabilizing effect against sliding of nails is presented at 0.7$\%$ of the area ratio because the biggest maximum bending stress occurs at this time. But, the stabilizing effect of nails decreases with more than 0.7$\%$ of the area ratio. In the same condition of the area ratio, the stabilizing effect of nails is excellent at -10$^{circ}$ of the inclination angles of nails. The sliding surface can be predicted on the basis of the position of the maximum bending stress in each nails. The shape and depth of sliding surface are changed according to the area ratio and the inclination angles of nails.

• The Journal of the Korean bone and joint tumor society
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• v.8 no.3
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• pp.96-105
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• 2002

Purpose: The purpose of this study was to assess the oncologic results and functional outcomes of limb salvage surgery performed in patients of primary bone tumors of the shoulder girdle. Materials and Methods: Twenty-nine patients who underwent limb sparing resection for shoulder girdle neoplasm between 1982 and 2001 were analyzed. Follow up periods averaged 7 years and 1 month. Mean age of the patients was 35 (11~71) years. There were 14 males and 15 females. Primary malignant bone tumors of shoulder girdle (proximal humerus 21, scapula 3, both 1) were 23 cases; osteosarcomas 7, chondrosarcoma 14, parosteal osteosarcoma 1, hemangioendothelioma 1, and giant cell tumor of proximal humerus were 6 cases. Limb salvage surgery was performed by curettage and cementing in 7 patients, by cement molding arthroplasty in 10 patients, and by tumor prosthesis in 7 patients, by other method such as resection only, bone graft, arthrodesis in 5 patients. The Musculoskeletal Tumor Society functional rating system was used to assess functional outcomes. Results: One osteosarcoma and 2 chondrosarcoma patients died, and the survival of the salvaged limb was 88.6% at the final follow-up. There were 6 local recurrences, 2 lung metastases, 2 local recurrences and lung metastases. The functional outcome was 80%. There was statistically significant difference of functional results among the patients treated by cement filling (86%), cement molding arthroplasty and IM nailing (71%), and tumor prosthesis (83%). (p=0.034) There were three complications including 1 radial nerve palsy and 1 axillary nerve palsy, and 1 wound infection. Dislodgement of vascularized fibular graft in one patient was treated by internal fixation. Conclusion: Limb salvage surgery seems to be useful method to treat bone tumors of the shoulder girdle.