Case Analysis for Complications in Fracture Treatment

Chung, I H; Won, Y Y; Jeon, C H; Ahn, J I; Park, B M; Bim, B S

Abstract

The authors analysed 220 patients(225 cases) of complications including implant failure and refracture in fracture treatment which had been requested for medical consulta!ion by the Korean Automobile, Fire & Marine Insurance Co., Ltd. from July 1984 to December 1992. The results were as follows: 1. The patients were consisted of 178(81%) males and 42(19%) females. 2. The average age of patients was 36.9 years. 3. There were 140(60%) cases of femur,63(29%) cases of tibia and 12(5%) cases of humerus. 4. The most common previous mode of treatment was plate and screw fixation (183 cases,83%). 5. There were 171(78%) cases of metal flilure,14 cases of secondary factlue and 14 cases of efracture. 6. Among the causes of complications, improper postoperative care (156 cases,71%) was the most common causes of complications. 7. It is recommended that in the operative treatment of fracture, orthopaedic surgeon should obey the AO principles and proper postoperative care and also consider the conservative treatment as a good counter part of the operative treatment.