Journal of Musculoskeletal Trauma

Ig Gon Kim

9 Articles

Differences of Bone Mineral Density and Fracture Threshold Between Lumbar Spine Fracture and Control group: Ig Gon Kim, Jae Hyek Kim, Jung Ill Kim, Young Ill Hong; J Korean Soc Fract 2001;14(2):257-264. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.257

Abstract PDF: PURPOSE
The purpose of this study was to show how bone mineral densities of the lumbar spine decrease with aging, to investigate the relationship between the bone mineral densities of the control and fracture group, and to obtain fracture threshold values.
MATERIALS AND METHOD
From January 1995 to December 1999, we measured and evaluated BMD of L3 by DXA in 239 normal volunteers(96 men and 143 women), and in 218 patients with lumbar spine fracture(91 men and 127 women) above 50 years. The Chi-Square test was used for statistical analysis.
RESULTS
1. The average BMD of L3 in control group and lumbar spine fracture group were 0.772+/-0.030 g/cm2 in male and 0.732+/-0 . 0 8 9 g / c m2 i n female and 0.720+/-0 . 0 3 1 g / c m2 in male and 0.692+/-0 . 0 0 2 g / c m2 i n female, respectively.
RESULTS
2. The BMD of the control group and fracture group decreased with aging(p<0.05) and were higher in men than in women. There were statistically significant difference(p<0.001).
RESULTS
3. There were statistically significant difference between BMD of the control group and BMD of the lumbar spine fracture group(p<0.05). The BMD were higher in the control group than fracture group.
RESULTS
4. Fracture threshold of the lumbar spine fracture group were 0.867g/cm2( male: 0.898g /cm2, female:0.836g/cm2) according to 90 percentile.

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Operative Treatment with the Reconstruction Plate for the Displaced Clavicle Shaft Fracture of Adults: Ig Gon Kim, Jae Hyek Kim, Ryong Hwang, Young Ill Hong; J Korean Soc Fract 2000;13(4):941-947. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.941

PURPOSE
The purpose of this study was to know the usefulness of bony union and faster recovery of shoulder motions by the open reduction and internal fixation with the reconstruction plate for the displaced clavicle shaft fracture of adults. MATERIAL AND METHOD: From January 1993 to December 1997, for 5 years, we analyzed 28 cases which underwent for a year of displaced clavicular shaft fracture over 11mm after open reduction and internal fixation with the reconstruction plate and supplementary iliac bone graft.
RESULT
At all 28 cases, there were united without delayed union for average 7.2 weeks after operation. Motion of the shoulder joint were returned to normal within 1.8 weeks except two cases who had combined humerus fracture and partial gastrectomy for peptic ulcer.
CONCLUSION
It seems that operative treatment with the reconstruction plate and supplementary bone graft for the displaced clavicle shaft fracture of adults showed effective union and faster recovery of shoulder motions.

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Does cerclage wiring interfere with fracture healing of osteosynthesis in comminuted midshaft clavicle fractures? A multicenter study
Hyo Jin Lee, Yong Bok Park, Chang Heon Shim, Young Min Noh
Orthopaedics & Traumatology: Surgery & Research.2021; 107(8): 103091. CrossRef
Anatomical Reduction of All Fracture Fragments and Fixation Using Inter-Fragmentary Screw and Plate in Comminuted and Displaced Clavicle Mid-Shaft Fracture
Kyoung Hwan Koh, Min Soo Shon, Seung Won Lee, Jong Ho Kim, Jae Chul Yoo
Journal of the Korean Fracture Society.2012; 25(4): 300. CrossRef
Does Interfragmentary Cerclage Wire Fixation in Clavicle Shaft Fracture Interfere the Fracture Healing?
Jae-Kwang Yum, Yong-Woon Shin, Hee-Sung Lee, Jae-Gu Park
Journal of the Korean Fracture Society.2011; 24(2): 138. CrossRef

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Differences of Bone Mineral Density and Fracture Threshold Between Hip Joint Fracture and the Control group: Ig Gon Kim, Jae Hyek Kim, Cul Hyun Kim, Jong Suck Kim; J Korean Soc Fract 1999;12(2):231-238. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.231

Abstract PDF: Osteoporosis represents reduced amount of bone mass per unit volume as compared with controls of the same age and sex. In this condition, bone mineral density decreases and the skeleton becomes more prone to fracture. The purpose of this study was to show how bone mineral densities of the femoral neck area decrease with aging, to in vestigate the relationship between the bone mineral densities of the control and fracture group, and to obtain fracture threshold values. This report observed BMD of femoral neck region in femoral neck and intertrochanteric fracture group was less than that of control group and the differences were significant. We measured and evaluated BMD of femoral neck region by DEXA in 234 normal volunteers(99 men and 135 women), in 105 patien ts with femoral neck fracture(41 men and 64 women) and in 103 patients with intertrochanteric fracture(40 men and 63 women) above 50 years-old. Following results were obtained: 1. The average BMD of femoral neck region in control group, femoral neck fracture group and intertrochanteric fracture group were 0.751+/-0.030 g/cm2 in male and 0.661+/-0.089g/cm2 in female, 0.660+/- 0.031g/cm2 in male and 0.557+/-0.002g/cm2 in female and 0.661+/-0.008g/cm2 in male and 0.562+/-0.005g/cm2 in 2. The BMD of the control group and fracture group decreased with aging and were higher in men than in women and there were statistically significant difference(p<0.001). 3. There were statistically significant difference between BMD of the control group and BMD of the hip fracture group(p<0.005) but no significant differences between BMD of the femoral neck fracture group and intertrochanteric fracture group. 4. Fracture threshold of the hip fracture group were 0.815g/cm2(male:0.832g/cm2, female:0.733g/cm2) according to 95 percentile.

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Operative Treatment of the Displaced Clavicle Shaft Fracture in Adult: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Kim, Ryong Hwang; J Korean Soc Fract 1998;11(2):273-280. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.273

Abstract PDF: Clavicle fracture is one of the most common fracture, which had been managed via conservative methods with some exceptions such as nonunion. Operative treatment had been regarded as an important cause of nonunion and poor outcome. Nowadays, however, the goal of fracture treatment has become anatomical reduction, rigid fixation and early rehabilitation for better final results. We managed 43 clavicular shaft fracture which was displaced above 11mm, with conservative treatment (23 cases) and operative treatment (20 cases) since 1990 to 1995. All patients achieved good union in both group, except 5 nonunions of conservative treatment and no significant difference in union time. By functional evaluation of shoulder by Weitzman, final results were excellent in 17, good in 2 cases, fair in 1 case with operative treatment and excellent in 12, good in 4, fair in 3 and poor in 4 cases with conservative treatment. It was concluded that early operative treatment of clavicular shaft fracture showed better result than conservative treatment, especially in displaced and comminuted ones.

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A critical Analysis of Long-Term Result and Prognostic Factors of Fractures of the Calcaneus: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Kim, Jong Suck Kim; J Korean Soc Fract 1998;11(2):354-361. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.354

Abstract

Forty-six patients who had had forty-nine calcaneal fractures were managed with closed reduction and a cast, closed reduction and axial pin fixation, and open reduction and internal fixation. The results were reviewed retrospectively, between twelve months and twenty-six months after the treatment, with criteria usued in assesssment of result by Salama30) and with plain radiographs. The purpose of this study were to analyze the relationship between the prognostic factors and post-treatment results. The results of treatment and prognostic factors obtained from this study were as follows. 1. The negative prognostic factors that were associated with an unsatisfactory out come were an age of more than fifty years, a greater body weight, work involving strenuous labor, subtalar incongruity, a decreased fibulocalcaneal space, and a decreased B hler-angle ratio of the fractured to the normal side. 2. Patients who had had a tongue-type fracture had a better result than those who had had a central depression fracture, while those who had had a central depression fracture had a better outcome than those who had had a comminuted fracture. 3. The length of the Achilles-tendon fulcrum, which is directly related to the calcaneal length, was not related to the outcome.

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Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture
Myung Jin Lee, Sung Keun Sohn, Kyu Yeol Lee, Sung Soo Kim, Min Soo Kang, Hyeon Jun Kim, Sang Kyu Sun
Journal of the Korean Fracture Society.2010; 23(3): 303. CrossRef

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Usefulness of Miniplate Fixation for the Fractures of Metacarpal and Phalangeal Bones of the Hand: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Kim, Chul Hong Park; J Korean Soc Fract 1997;10(1):156-163. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.156

Abstract PDF: Before the introduction of internal fixation, the healing of a fracture was an unpredictable event. Internal fixation provides stability, and fractures heal predictably. The miniplate is used for unstable metacarpal and phalangeal fractures of the hand to provide stability and to allow early motion. We analysed 32 patients, 41 cases of metacarpal and phalangeal fractures of the hand which were treated with miniplates from Jan. 1990 to June 1995. The following results were obtained. 1. Mean age was 35 years and the male was predominent(81.3%). The most common fracture site was the metacarpal(51.2%). 2. TAM(total active motion) was 2240 in average and the best result was obtained in the metacarpal fractures(TAM = 239). The roentgenographic union was 16.8 weeks in average. 3. There were 6 complications(complication rate 14.6%) which were 3 cases of joint stiffness, a case of wound infection, a case of loss of reduction, and a case of delayed union. 4. Miniplate fixation is considered to be an useful method to get fracture union and good range of motion with low complication rate in the treatment of metacarpal and phalangeal fractures of the hand.

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A Comparison of the Using of Plate fixation and Ender nailing in Humeral Shaft Fractures: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Eim, Soo Dong Baek; J Korean Soc Fract 1996;9(1):161-169. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.161

Abstract PDF: The humerus is anatomically and physiologically unique bone: firstly, it is a non-weight bearing bone; secondly, it has greatest range of motion; thirdly, while the person is standing, the axis of bone hangs vertically and is influenced by gravity, and conservative methods are usually used in treatment. However. in the cases of closed reduction failure, open fracture, multiple fracture, and old age etc, operative methods may be employed. This decision should be based on the type, location of fracture. the presence of concomittent injuries, the age, and the general condition of the patient. When open reduction and internal fixation is carried out, the periosteum and soft tissue attachment is stripped off and operative time is longer Flexible Ender nailing is a simple procedure which does not disrupt or strip off periosteum and soft tissue at the fracture site, and decreases the chance of infection and allows early exercise. Authors carried out fixation in 28 patients and Ender nailing in 24 patients having humeral shaft fractures who were treated at the orthopedic department, Hae Dong hospital from March, 1990 to February, 1994.

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Comparison of Reamed and Unlearned type Intramedullary Interlocking Nail in Treatment of Tibia Shaft Fracture: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Kim, Soo Gon Kim; J Korean Soc Fract 1995;8(3):572-577. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.572

Abstract PDF: The authors analyzed 41 cases of fresh diaphyseal fracture of tibia who were treated with intramedullary interlocking nail between Oct. 1991 to Oct. 1993. in Hae-Dong hospital and followed up for 12 months or more. Among 41 cases, 18 cases were treated with reamed nailing method, and the others with unlearned method. The authors compared the results of 2 type of nailing method and obtained the following results. 1. Most of the cases(63%) had injury in their third and forth decade. Male was 31 cases. 2. The most common cause of injury was traffic accident(61%). 3. The mean bony union time was 16.5 weeks in reamed case, and 15.6 weeks in unlearned case. 4. The patients were judged to have good or excellent result in 89% of reamed cases and 87% of unlearned cases according to functional result by Klemm and Borner. The merits of unlearned intramedullary interlocking nail were relatively easier in procedure, short operation time, and less bleeding. So the authors concluded that unlearned intramedullary interlocking nail is useful method to treat the tibial diaphyseal fractures, especially in open fracture, elder patient and complicated patient.

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A Diagnosis and Treatment of Carpal Scaphoid Fractures: Ig Gon Kim, Soo Gon Kim; J Korean Soc Fract 1994;7(2):371-378. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.371

Abstract PDF: The scaphoid fracture is the most common fracture in carpal bones. Its diagnosis is very difficult because of less symptoms and swelling. But unfortunately its complications such as nonunion, avascular necrosis, and osteoarthritis were severe. We reviewed 27 cases of the carpal scaphoid fractures treated from March 1989 to March 1993 in Hae-Dong hospital and obtained following results. 1. The highest peak was third and forth decades. 24 cases were male among 27 cases. The most common cause of fracture was outstretched hand injury. 2. The middle third was the most common location(60%) and transverse type fractures were 12 cases(75%) among these fractures. 3. We gained 75% bone union at average 15.4 weeks in proximal 1/3 carpal scaphoid fractures, 93% union at average 12.9 weeks in middle 1/3 fractures, and 100% union at average 11.2 weeks in distal 1/3 fractures. 4. The results of treatments were evaluated by Maudsley method. Excellent and good results were 10 of 11 cases in conservative treatment, 13 of 16 cases in operative treatment. According to fracture sites excellent, and good results were 1 of 4 cases in proximal fracture, 14 of 16 cases in middle fracture and all of 7 cases in distal. 5. The complications were 2 cases of nonunion,3 cases of avascular necrosis and 2 cases of osteoarthritis. 6. In case of delayed diagnosis, the longer duration of treatments were needed, We obtained better results in fresh, undisplaced fractures with thumb spica cast than old displaced fractures. We gained better results in displaced fractures with open reduction and bone graft than conservative methods.

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