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Review of Guide to Medical Certificate issued by Korean Medical Association
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Bu Hwan Kim, Jong In Im, Yong Kyun Im, Uk Nam
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J Korean Soc Fract 1999;12(1):56-60. Published online January 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.1.56
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- Doctors have some difficulties in deciding the duration of expected treatment for certain trauma patient in issuing medical certificate because of rarity of references about the medical certificate. In 1996, Korean Medical Association published Guide to Medical Certificate which helped many doctors in their practice of certificate issuing. But in reviewing the contents of the book, we would like to point out a few problems for amendment in next issue.
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Citations
Citations to this article as recorded by 
- PARK Formula Can Replace "Guide to Medical Certificate" Published by Korean Medical Association in Deciding the Treatment Duration
Chan Yong Park, Kwang Hee Yeo, Sora Ahn Journal of Trauma and Injury.2018; 31(2): 58. CrossRef - Ethical aspects for the rules and procedures for issuing medical certificates
Byung-In Choe, Gwi-Hyang Lee Journal of the Korean Medical Association.2014; 57(7): 594. CrossRef
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Unilateral Facet dislocation of Lumbosacral Junction: a case report
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Bu Hwan Kim, Jong In Im, Yong Kyun Im, Chang Hoon Ryu
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J Korean Soc Fract 1999;12(1):98-102. Published online January 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.1.98
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- Unilateral lumbosacral facet dislocation is very rare. In a review of literatures, only 14 cases have been documented. We could not find any report about this unusual injury in Korea. The mechanism of injury is hyperflexion and rotation. In general, attention is drawn to the association of fractured transverse process as an important clue to diagnosis. Attempts at closed reduction are futile, and the treatment of choice is open reduction and internal fixation with lumbosacral fusion.
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Treatment of Pilon Fracture, limited ORIF with External Fixation by Ilizarov Method
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Bu Hwan Kim, Jong In Im, Yong Kyun Yim, Deog Jeong Kang, Uk Nam
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J Korean Soc Fract 1998;11(4):798-805. Published online October 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.4.798
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- The authors retrospectively reviewed 22 pilon fractures in 22 patients treated with limited ORIF with external fixation by Ilizarov method. Clinical follow up averaged 28 months (range, 16-45 months). Interfragmental screw fixation of key fragments were done in fifteen cases and bone-grafting was done in thirteen cases. The average duration of external fixation was fourteen weeks. All of the fractures healed (one after delayed bone-grafting). The subjective and objective results were classified according to Ovadia and Beals. Sixteen patients (72%) had good and excellent results at final follow up. On the basis of these early results, the prevalence of complications asociated with pilon fractures and their treatments can be decreased by external fixation of Ilizarov method and limited internal fixation. We conclude that this method is good treatment modality on tibial pilon frature.
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Operative Treatment of Clavicle Fracture
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Bu Hwan Kim, Jong In Im, Uoung Kyun Yim, Jung Ju Kim
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J Korean Soc Fract 1998;11(3):658-664. Published online July 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.3.658
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- Clavicle fracture is one of the most common fractures and can be treated by conservative methods with a high rete of union and operative treatment itself was rearded as a cause of nonunion. But recently, we experienced some cases of delayed or nonunion following conservative treatment especially in high energy trauma patient. So we tried to treat 35 cases of clavicle fractures by open reduction and internal fixation with or without bone graft and analyzed the results. Results were as following. 1. The functional results were excellent in 16 cases(45.7%), good in 13 cases(37.1%), fair in 4 cases(11.4%) and poor in 1 case(0.28%), except 1 case of initial brachial plexus injury. 2. Of the 34 cases (except 1 case of nonunion), average time to union was 8.2 weeks in Knowles pin fixation and 8.4 weeks using plate with or without bone graft. Knowles pin fixation and 8.4 weeks using plate with or without bone graft. In the treatment of flesh clavicle fracture for early rehabilitation especially in young patients, open reduction and internal fixation is thought to be good method.
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Citations
Citations to this article as recorded by 
- 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 - Comparison of Plate Versus Threaded K-wire for Fixation of Midshaft Clavicular Fractures
Young-Jin Ko, Chul-Hyun Park, Oog-Jin Shon, Jae-Sung Seo Journal of the Korean Fracture Society.2012; 25(2): 123. CrossRef - Surgical Techniques for Percutaneous Reduction by Towel Clips and Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures
Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Tae-Ho Kim, Jong-Hyun Kim, Jong-Seong Lee Journal of the Korean Fracture Society.2012; 25(1): 31. 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 - Comparison of Results in Two Operative Treatments for Clavicle Shaft Fractures in Adult: Comparison of Results between Open Reduction and Internal Fixation with the Plate and Percutaneous Reduction by Towel Clip and Intramedullary Fixation with Steinmann
Sung-Sik Ha, Jae-Chun Sim, Ki-Do Hong, Jae-Young Kim, Jung-Ho Kang, Kwang-Hee Park Journal of the Korean Fracture Society.2007; 20(3): 233. CrossRef
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A Comparison study of the Gamma Nail the Dynamic Hip Screw for Peritrochanteric Fractures
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Jong In Im, Bu Hwan Kim, Gi Deug Lee
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J Korean Soc Fract 1994;7(2):322-330. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.322
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- Early operative treatment of peritrochanteric fracture in geriatric patients is now accepted practice and numerous versions of a sliding nail-plate system are the most widely used implants.
The Gamma nail was introduced for the treatment of peritrochanteric component and minimizing the surgical trauma.
We have operated 46 cases and studied 30 cases were followed up over 1 year.
At follow-up, all patients continued to ambulate and all fractures healed. and clinical results was satisfactory. But we experienced some technical problems and complications.
Intraoperative complications included difficulty in securely placing the distal screws(1 patient) and small fracture of the base of the greater trochanter(2 patients). Postoperative complications included gluteal bursitis(3 patients), progressive varus deformity(3 patients), progressive varus deformity(3 patients), thigh & knee pain(2 patients), cutting out of the femoral head (1 patient), and a femoral shaft fracture through the distal locking screws following a fall. We had no cases of infection or nonunion.
To minimize technical problems and complications, the following considerations are important.
1. Accurate preoperative templating is necessary.
2. Exact placement of the guide wire. It must enter the greater trochanter at the junction of its anterior third and posterior two-thirds, just lateral to its tip.
3. Selection of a nail 2mm narrower than the reamer was recommended.
4. Nail must be inserted by hand, not by hammering, along the medulla canal.
5. Lag screw must be inserted into femoral head deeply and avokd into superior part of head especially in severe porotic bone.
6. Subtrochanteric fractures extending to distal locking site are inapproprocate indication for standard Gamma-nailing. a spiral subtrochanteric fracture which cannot be reduced by a closed technique is managed with circumferential wiring with nimimal incision before nail is inserted.
7. Repeated check of device loosening is important, especially before distal locking screw insertion. Initial insertion of proximal part of distal screw is preferred and routine use of distal locking screws is prohibited.
8. Weighted bearing must be delayed when abnormal sliding of lag screw is noted before weight bearing and in severe osteoporosis with comminution.
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Triple plate fixation for subtrochanteric, shaft and congylarfracture of femur: 1 case report
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Bu Hwan Kim, Kyoo Seag Shin, Jae Jyek Kim, Jong In Im
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J Korean Soc Fract 1991;4(1):123-127. Published online May 31, 1991
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DOI: https://doi.org/10.12671/jksf.1991.4.1.123
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- No abstract available.
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