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Jong Oh Kim 54 Articles
The Efficiency of Additional Fixation of the Alternative Bone Substitute in Unstable Intertrochanteric Fractures of Femur Treated with Gamma Nail
Jong Oh Kim, Young One Ko, Mi Hyun Song
J Korean Fract Soc 2011;24(1):1-6.   Published online January 31, 2011
DOI: https://doi.org/10.12671/jkfs.2011.24.1.1
AbstractAbstract PDF
PURPOSE
To evaluate the efficiency of additional fixation of the alternative bone substitute in unstable intertrochanteric fractures treated with gamma nail and alternative bone substitute and only with gamma nail.
MATERIALS AND METHODS
Radiologic comparison was done between forty-four patients of unstable intertrochanteric fracture (AO type A2.2, A2.3) during six months. The patients were divided into two groups, a group treated with gamma nail and alternative bone substitute (22 patients, group 1) and another group treated only with gamma nail (22 patients, group 2). Postoperative reduction status, Cleveland index, Tip-apex distance and complications during the follow-up period was compared. Lag screw slippage and femoral neck-shaft angle change were measured between two groups.
RESULTS
No significant difference of reduction status, Cleveland index and Tip-apex distance was found. In group II, there was a 1 more case of cutting-out of the lag screw, but also there was a significant difference. Lesser change in lag screw slippage and neck-shaft angle change was investigated.
CONCLUSION
As there are lesser lag screw slippage and neck-shaft angle change, alternative bone substitutes applied in unstable intertrochanteric fractures seems to be useful in maintaining reduction and preventing failure of internal fixation when proper reduction and screw insertion is performed.
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Treatment of the Unstable Intertrochanteric Fracture with Proximal Femoral Nail Antirotation: Comparison with Compression Hip Screw with Trochanteric Stabilizing Plate
Tae Ho Kim, Jong Oh Kim, Seung Yup Lee, Geon Ung Yun
J Korean Fract Soc 2010;23(4):353-359.   Published online October 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.4.353
AbstractAbstract PDF
PURPOSE
To evaluate the effectiveness of Proximal Femoral Nail Anti-rotation (PFNA) for the treatment of unstable intertrochanteric fracture comparing with Compression Hip Screw (CHS) with Trochanteric Stabilizing Plate (TSP).
MATERIALS AND METHODS
With clinical study, 43 patients who were treated surgically for unstable intertrochanteric fractures were retrospectively evaluated. One group was treated with CHS and TSP (Group 1, 22 cases) and the other was treated with PFNA (Group 2, 21 cases). By postoperative radiograph and last follow up radiograph we measured Tip-apex distance, Cleveland index, Lag screw slippage, Neck-shaft angle change and Union time. And By retrospective medical record review, the clinical results were evaluated with the operation time, intraoperative estimated blood loss, amount of drainage, amount of transfusion, walking ability change and complication.
RESULTS
There was a lower operation time, intraoperative estimated blood loss, amount of drainage, amount of transfusion, lag screw slippage and neck shaft angle change in the Group 2 than in the Group 1 (p<0.05).
CONCLUSION
PFNA showed better results than CHS with TSP in operation time, estimated blood loss, amount of drainage and transfusion, lag screw slippage and neck-shaft angle change.

Citations

Citations to this article as recorded by  
  • Results of Asian Type Gamma 3 Nail in Treatment of Trochanteric Fractures
    Bing Zhe Huang, Yong Wook Park, Jin Su Park, Kyu Cheol Noh, Soung Yon Kim, Kook Jin Chung, Hong Kyun Kim, Hyong Nyun Kim, Yong Hyun Yoon, Ji Hyo Hwang
    Journal of the Korean Fracture Society.2014; 27(3): 213.     CrossRef
  • Comparative Study of Intertrochanteric Fracture Treated with the Proximal Femoral Nail Anti-Rotation and the Third Generation of Gamma Nail
    Jae-Cheon Sim, Tae-Ho Kim, Ki-Do Hong, Sung-Sik Ha, Jong-Seong Lee
    Journal of the Korean Fracture Society.2013; 26(1): 37.     CrossRef
  • Comparative Study of Proximal Femoral Nail Antirotation and Zimmer Natural Nail for the Treatment of Stable Intertrochanteric Fractures
    Jee-Hoon Kim, Oog-Jin Shon
    Journal of the Korean Fracture Society.2013; 26(4): 305.     CrossRef
  • A Comparison between Compression Hip Screw and Intramedullary Nail for the Treatment of AO/OTA A2.2 Intertrochanteric Femoral Fracture
    Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Jong Hyun Kim
    Journal of the Korean Fracture Society.2013; 26(1): 44.     CrossRef
  • The Treatment of Intertrochanteric Femoral Fracture with Proximal Femoral Nail Antirotation
    Jong Won Kim, Hyun Soo Park, Young Soo Jang, Jae Hyuk Choi, Sung Ju Bae, Chan Il Bae
    Journal of the Korean Fracture Society.2012; 25(4): 257.     CrossRef
  • Operative Treatment with Gamma 3 Nail in Femur Intertrochanteric Fracture
    Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Tae-Ho Kim, Yoon-Ho Choi, Jong-Hyun Kim
    Journal of the Korean Fracture Society.2011; 24(1): 7.     CrossRef
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Factors Predicting Complications after Internal Fixation of Femoral Neck Fractures
Tae Ho Kim, Jong Oh Kim, Sung Sik Kang
J Korean Fract Soc 2009;22(2):79-84.   Published online April 30, 2009
DOI: https://doi.org/10.12671/jkfs.2009.22.2.79
AbstractAbstract PDF
PURPOSE
To evaluate the factors predicting complications after internal fixation using multiple cannulated screws in the patients with femoral neck fracture, the authors performed a comparative study of a success group and a failure group and reviewed the literature.
MATERIALS AND METHODS
Sixty-eight patients with intracapsular femoral neck fractures were treated by multiple pinning from January 2000 to July 2007 and followed up more than one year. Relationships between the complications such as failure of union, collapse of femoral head due to osteonecrosis of femoral head and several affecting factors including the degree of displacement by Garden stage, state of reduction, position of screws, patient's age, time interval from injury to operation, anatomical fracture site and two weeks postoperative (99m)Tc-MDP bone scan were analyzed.
RESULTS
Statistically significant factors were the degree of displacement by Garden stage (p<0.001), reduction state (p<0.001) and postoperative two weeks (99m)Tc-MDP bone scan (p<0.001).
CONCLUSION
An accurate anatomical reduction is needed to decrease complications with multiple cannulated screws fixation of femoral neck fracture. Displacement of fracture by Garden stage and (99m)Tc-MDP bone scan are major factors predicting complications.
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Volar Percutaneous Cannulated Screw Fixation for Subacute Scaphoid Wasit Fracture
Jae Kwang Kim, Jong Oh Kim, Seung Yup Lee, Nam Hoon Do
J Korean Fract Soc 2009;22(2):104-109.   Published online April 30, 2009
DOI: https://doi.org/10.12671/jkfs.2009.22.2.104
AbstractAbstract PDF
PURPOSE
To report the surgical results of volar percutaneous cannulated compression screw fixation in subacute scaphoid fracture.
MATERIALS AND METHODS
Between January 2004 and January 2007, eight consecutive patients with subacute scaphoid waist fracture, who sought medical attention between 4 weeks to 6 months after injury, were included in this study. All patients were male of an average age 29.2 years (range, 19 to 44). Mean duration of injury was 10.3+/-4.1 weeks. An acutrak cannulated screw (Acumed, Hillsboro, OR) was introduced volarly under image intensifier guidance in all patients. We performed radiological evaluation preoperatively and postoperatively. And we performed 12 months postoperatively using grip strength, range of motion (ROM) of the wrist, Mayo Modified Wrist Score (MMWS) and Disabilities of the Arm, Shoulder and the Hand (DASH) score for functional evaluation.
RESULTS
Preoperative radiography showed minimal sclerosis line in three patients and a bone resorption around fracture sites in two patients. However, no patient had dorsal intercalated segment instability or more than 35 degrees of lateral intrascaphoid angle. Fractures united successfully at 11.6+/-2.1 weeks postoperatively without any requirement for a further procedure. At 12 months follow-up evaluations, ROM of the injured wrist was 93% of the uninjured wrist and grip strength of the injured wrist was 95% of the injured wrist. The mean MMWS was 93+/-6.6 and the mean DASH score was 4.8+/-1.2.
CONCLUSION
We believe that volar percutaneous cannulated screw fixation is a reliable method in case of subacute scaphoid waist fracture without scaphoid deformity or carpal instability.

Citations

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  • Surgical Outcome of Stable Scaphoid Nonunion without Bone Graft
    Eun Sun Moon, Myung Sun Kim, Il Kyu Kong, Min Sun Choi
    Journal of the Korean Fracture Society.2010; 23(1): 69.     CrossRef
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Clinical and Functional Result after Internal Fixation of Severely Displaced Floating Shoulder
Sang Hun Ko, Chang Hyuk Choe, Sung Do Cho, Jae Sung Seo, Jong Oh Kim, Jaedu Yu, Sang Jin Shin, In Ho Jeon, Kwang Hwan Jung, Jong Keun Woo, Ji Young Jeong, Gwon Jae No
J Korean Fract Soc 2006;19(1):46-50.   Published online January 31, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.1.46
AbstractAbstract
PURPOSE
To evaluate the follow-up result of 11 cases that were operated with internal fixation of scapular neck and internal fixation of clavicle or acromioclavicular dislocation for severely displaced floating shoulder which was high energy injury and unstable.
MATERIALS AND METHODS
We examined the scapular neck fracture with clavicle fracture or acromioclavicular joint dislocation by multidisciplinary research from August 1997 to July 2004. The scapular neck fractures were operated in the case of translational displacement of more than 25 mm and angular displacement of more than 45 degrees with 3.5 mm reconstruction plate fixation and internal fixation for clavicle fracture or acromioclavicular joint perpormed simultaneously. And we evaluated 11 cases that can be followed up for more than 9 months.
RESULTS
We achieved bony union in all cases. In ASES functional score, we got average 89.2 (75~95) points. In Rowe functional score, we got average 89.1 (75~100) points. In complication, there was external rotation weakness in 1 case.
CONCLUSION
In severely displaced floating shoulder due to high energy injury, we got good clinical and functional result after internal fixation for scapular neck and clavicle or acromioclavicular joint.
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Evaluation of Rotational Displacement of the Posterior Facet on the Sagittal Plane in Computed Tomographic Images of Calcaneal Fractures
Su Young Bae, Yi Kyoung Shin, Jong Oh Kim, Jung Hee Lee, Churl Woo Lee, Jae Hung Shin
J Korean Fract Soc 2005;18(2):165-169.   Published online April 30, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.2.165
AbstractAbstract PDF
PURPOSE
To find out whether or not the computed tomographic (CT) classification systems of the calcaneal fracture are efficient in illuminating displaced posterior facet fragment and the degree of displacement can be evaluated by analyzing serial CT images.
MATERIALS AND METHODS
Seventy-seven hundred calcaneal fractures were classified by CT classification systems including Sanders classification, and the sagittal rotation angle of the posteior facet fragment was measured on the plain lateral radiograph. Among the serial axial CT images, a number of images with the cortical bone embedded in the cancellous portion were recorded and any significant relationship between each data were evaluated.
RESULTS
The conventional CT classification systems are rather insufficient in illuminating the extent of sagittal rotatory displacement. However, the number of CT images in which the cortical radiodensity was observed showed a significantly related with the degree of displacement.
CONCLUSION
The conventional CT classification of the calcaneal fractures is unsatisfactory in expressing the degree of sagittal rotatory displacement of the posterior facet fragment; this problem may be alleviated by observing the number of axial CT images in which cortical radiodensity was revealed within the calcaneal body.

Citations

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  • Tricortical-allobone Grafting in Screw Fixation for Intra-articular Calcaneal Fracture via Ollier Approach
    Taejung Bang, Su-Young Bae, Seung Hun Woo, Hyung-Jin Chung
    Journal of Korean Foot and Ankle Society.2017; 21(1): 27.     CrossRef
  • The Effect of Temporary K-wire Fixation in the Plate Fixation for Displaced Intra-articular Calcaneal Fracture
    Kiwon Young, Jin Su Kim, Jinseon Moon
    Journal of Korean Foot and Ankle Society.2014; 18(3): 119.     CrossRef
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Inferior Subluxation of Humeral of Head after Surgery for Fracture of Proximal Humerus
Jun Gyu Moon, Hyok Woo Nam, Jong Oh Kim, Jong Kyoung Ha, Seok Bae Ryu
J Korean Fract Soc 2005;18(1):43-47.   Published online January 31, 2005
DOI: https://doi.org/10.12671/jkfs.2005.18.1.43
AbstractAbstract PDF
PURPOSE
To study the development of inferior shoulder subluxation after surgery for proximal humerus fractures. To analyze the mechanism development of such subluxation and the association between different types of proximal humerus fractures, quality of reduction achieved the method of operation performed.
MATERIALS AND METHODS
A retrospective analysis of 45 proximal humerus fractures that were treated by surgery between March 1997 and July 2002 was done. All patients had a minimum of 12 months of postoperative follow up. Preoperative radiographs were classified by the Neer's classification. Different operative treatment methods, post reduction alignment and the degree of postoperative subluxation if present, were analysed. In order to evaluate effect of loss of negative intraarticular pressure, we compared this series with 15 cases of recurrent shoulder dislocation treated by open Bankart operation.
RESULTS
13 patients out of 45 (29%) developed immediate postoperative inferior shoulder subluxation. 3-part fractures of the proximal humerus showed a higher incidence of the same than the 2-part types. The better reduced fractures had lesser rates of subluxation. Open reduction (39%, 11 patients) results in an increased incidence of inferior subluxation than closed methods of reduction (13%, 2 patients).
CONCLUSION
Inferior subluxation of the humeral head after surgery for the proximal humerus fracture can occur and persist till postoperative period of 2 months. Deltoid muscle tone affected by shortening of humeral neck plays an important role. Early active exercise for restoration deltoid tone may be effective in prevention of inferior subluxation.

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  • Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report
    Samuel Baek, Geum-Ho Lee, Myung Ho Shin, Tae Min Kim, Kyung-Soo Oh, Seok Won Chung
    Clinics in Shoulder and Elbow.2023; 26(3): 302.     CrossRef
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Loss of Fixation after Internal Fixation of Intertrochanteric Femoral Fracture with Compression Hip Screw
Jong Oh Kim, Sang Yeol Chang, Joon Gue Moon, Hoon Jeong, Woo Chul Jeong
J Korean Soc Fract 2003;16(3):334-339.   Published online July 31, 2003
DOI: https://doi.org/10.12671/jksf.2003.16.3.334
AbstractAbstract PDF
PURPOSE
To evaluate the factors which might affect the loss of fixation after surgical treatment of intertrochanteric fracture with compression hip screw.
MATERIALS AND METHODS
From February 1996 to February 2001, seventy nine cases of intertrochanteric fracture which we operated with compression hip screw was reviewed with minimal follow up for 6 months. There were twelve cases of loss of fixation. The cases were analyzed according to each factors which we thought to affect the loss of fixation. The factors are fracture type by modified Evans classification, Singh index, placement of screw in femoral head, quality of reduction. Then we analyzed these factors with chi square test.
RESULTS
Difference between age group and sex were not thought to be statistically meaningful factors (p>0.05). There were difference of prevalence between two group divided by fracture stability (p<0.05). In cases of superior placement in femoral head, there were more loss of fixation. Displacement of cortex of proximal femur on radiologic AP view other than lateral view showed meaningful difference (p<0.05).
CONCLUSION
Age, sex, Singh index did not affect the loss of fixation. But, next factors as follows affected the loss of fixation; Superior placement of hip screw, unstable fracture pattern, displacement of fracture site more than 5 mm after surgical reduction on radiologic AP view.
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Fracture of Vertebral Body in Flexion-Distraction Injury of Thoracolumbar Spine
Young Do Koh, Jong Oh Kim, Yeo Hon Yun, Jae Doo Yoo, Jun Mo Jung
J Korean Soc Fract 2003;16(2):262-269.   Published online April 30, 2003
DOI: https://doi.org/10.12671/jksf.2003.16.2.262
AbstractAbstract PDF
PURPOSE
To evaluate the configuration of vertebral body fractures in flexion-distraction injuries of thoracolumbar spine.
MATERIALS AND METHODS
We investigated the location of fractures, anterior or posterior vertebral body height, kyphotic angle of injured segments, canal encroachment and severity of comminution on radiologic examinations of 21 cases.
RESULTS
There were 11 compression fractures and 9 burst fractures. 85% of fractures were located in the inferior vertebrae of injured segments. Anterior vertebral height decreased by 27% on average with decrease of 18% in compression fractures and 40% in burst fractures. Posterior height decreased by 1% on average with increase of 1% in compression fractures and decrease of 4% in burst fractures. The average kyphotic angle of injured segments was 19.5 degrees with 15.4degrees in compression fractures and 26.8 degrees in burst fractures. The canal encroachment in 9 burst fractures was 27% on average, and the comminution of vertebral body was mild in 74%.
CONCLUSION
The fracture of vertebral body in flexion-distraction injuries of thoracolumbar spine was very common, and located on the inferior vertebrae of injured segment. The decrease of vertebral height, canal encroachment and severity of comminution was relatively less than the estimated from mechanism of injury, with offset effect of distraction force.

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  • Differences in Thoracolumbar Burst Fractures by Falls from Height with Associated Foot and Ankle Fractures
    Chung-Shik Shin, Eea-Sub Chung, Chang-Eon Yu, Byeong-Yeol Choi
    Journal of Korean Society of Spine Surgery.2012; 19(2): 47.     CrossRef
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Stability and Usefulness of Compression Hip Screw in the Treatment of Femur Intertrochanter Fracture in the Elderly
Jong Oh Kim, Kwon Jae Roh, Yeo Heon Yun, Young Do Koh, Jae Doo Yoo, Jun Mo Jung, Han Cheon Bang, Jae Hak Jung
J Korean Soc Fract 2003;16(2):128-135.   Published online April 30, 2003
DOI: https://doi.org/10.12671/jksf.2003.16.2.128
AbstractAbstract PDF
PURPOSE
To evaluate the relationship between fracture stability and functional results, and analyze the correlation between stability factors and the outcome in intertrochanteric fractures of the elderly.
MATERIALS AND METHODS
Of the 231 patients, 84 patients with age above 60 were able to follow up for minimum 6 months. We measured the sliding length of the lag screw, varus degree, position of lag screw, reduction status and medialization of distal fragment radiologically. The functional outcome of the treatment was evaluated with the Clawson's result classification and we evaluated the correlation between the radiological results of measurement and the functional recovery depending on the Evans fracture classification.
RESULTS
There were good results in 40 cases out of 51 stable fractures, and in 10 cases out of 33 unstable fractures (p<0.001). In case of sliding of lag screw more than 10 mm, good results were obtained in 4 cases, and poor in 21. And in case of sliding less than 10 mm, good results were obtained in 46, and poor in 13 (p<0.001). But there was no relationship between other radiologic factors and clinical results. In unstable type, there were 12 cases with lag screw sliding more than 10 mm and 10 cases with less than 10 mm. In comminuted type, there were 11 cases with lag screw sliding more than 10 mm and 2 cases with less than 10 mm (p<0.001).
CONCLUSION
The sliding of lag screw more than 10 mm may result in poor outcome. As in comminuted unstable pattern, sliding of lag screw might be excessive, the use of compression hip screw alone is not a good treatment option.
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The Usefulness of Low-Intensity Ultrasound for Nonunion and Delayed Union
Yeo Heon Yun, Jong Oh Kim, Young Do Ko, Jae Doo Yoo, Jun Mo Jung, Jong Gun Oh, Han Chen Bang, Chang Ho Choi, Myeung cheol Shin
J Korean Soc Fract 2003;16(1):104-111.   Published online January 31, 2003
DOI: https://doi.org/10.12671/jksf.2003.16.1.104
AbstractAbstract PDF
PURPOSE
To evaluation of usefulness of low-intensity ultrasound for nonunion and delayed union.
MATERIALS AND METHODS
For 5 months, we treated 7 delayed union and 8 nonunion using low-intensity ultrasound. After 5 months, in checked X-ray AP and Lateral view, when cortical bridge formation was done, we through union.
RESULTS
In 7 delayed union, 5 cases-2 femur, tibia, humerus, radius were healed. In 8 nonunion, 3 femur nonunion were healed. Union rate was 71% in delayed union 37.5% in nonunion.
CONCLUSION
we thought that the low-intensity ultrasound has capacity of induction of union and was considered as the method of treatment for delayed union.
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The Prefracture Factors on The Hip Fracture in Elderly
Jong Oh Kim, Yeo Hon Yoen, Young Do Ko, Jae Doo Yoo, Jun Mo Chung, Han Cheon Bang, Kyu Bok Kang
J Korean Soc Fract 2002;15(4):531-537.   Published online October 31, 2002
DOI: https://doi.org/10.12671/jksf.2002.15.4.531
AbstractAbstract PDF
PURPOSE
We studied the co-relation on the causes of the hip fracture through the analysis of a relevance on the etiological factors as increased incidence according increasing old ages.
MATERIALS AND METHODS
Total 158 cases that treated on the hip fracture from 2001 Jan. to 2002 May were studied. The parameters were age, gender, smoking, obesity, type of fracture, place of fracture, other comorbidity, activity of daily living, bone marrow densitometry, hardness of floor, orientation, injury energy. And then, we analysis of difference between femur neck fracture and femur intretrochanter fracture and between stable femur intertrochanter fracture and unstable femur intertrochanter fracture.
RESULTS
The incidence of the femoral intertrochanteric fracture was larger significantly than that of the femoral neck fracture in the older than 80(p < 0.001). On the comparison of the pre-fractural activity of daily living, the group revealed lower activity had larger incidence of femoral intertrochateric fracture(p < 0.001). Also, the femoral intertrochanteric fracture was more larger in osteoporosis patient group(p < 0.005), and lower energy trauma(P<0.05). In a unstable femoral intertrochanteric fracture, 21 cases(77.7%) of total 27 cases were belong to the group of the activity of daily living scale below C(p < 0.05), 24 cases of 27 cases were belong to the osteoporosis patient who was estimated below -3.0 on T-score(p < 0.001).
CONCLUSION
In the hip fracture of the elderly patients, the femoral intertrochanteric fracture is more prevalance rather than the femoral neck fracture on the cases of older patient more than 80 year-old, lower activity of daily living scale, lower T-score less than -3.0 on BMD, lower energy trauma. Also, in femur intertrochanter fracture, unstable fracture is more common in low daily activity and osteoporosis

Citations

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  • The Daily Life Functions of Elderly Peritrochanteric Fracture Patients after Surgical Treatment
    Dae Moo Shim, Tae Kyun Kim, Jong Yun Kim, Duk Hwa Choi, Joung Suk Lee, Seong In Lee
    Journal of the Korean Fracture Society.2012; 25(1): 8.     CrossRef
  • The Usefulness of Hip to Thigh Ratio as an Anthropometric Indicator for the Incidence of Hip Fracture
    Jin Park, Kyu Hyun Yang, Seong Hwan Moon
    Journal of the Korean Fracture Society.2009; 22(1): 1.     CrossRef
  • Minimally Invasive Two-Incision Total Hip Arthroplasty for Treating Acute Displaced Femoral Neck Fractures in Active Elderly Patients
    Chang-Ich Hur, Taek-Rim Yoon, Kyung-Soon Park, Sang-Gwon Cho, Ji-Hyeon Yim
    The Journal of the Korean Orthopaedic Association.2008; 43(5): 643.     CrossRef
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Modified Tension Band Wiring using Cortical Screw for Displaced Medial Malleolar Fractures
Jong Oh Kim, Sang Hun Ko
J Korean Soc Fract 2002;15(4):459-464.   Published online October 31, 2002
DOI: https://doi.org/10.12671/jksf.2002.15.4.459
AbstractAbstract PDF
PURPOSE
To evaluate the clinical results of minimal incision and modified tension band wiring using 3.5mm cortical screw in the treatment of ankle fracture including displaced medial malleolar fractures MATERIALS AND METHODS: From March 1997 to May 2001, 77 patients were treated by modified tension band wiring using minimal incision about 4cm for medial malleolar fracture.
RESULTS
According to Lauge-Hansen classification, there were 47 supination-external rotation type fractures (61%), 14 supination -adduction type fractures (18.2%), 10 pronation-external rotation type(12.9%), 6 pronation-abduction type fracture(7.8%). The average time to union was 12.5weeks. In the functional outcome (according to Meyer and Kumler), 71 patients(92%) showed excellent results.
CONCLUSION
We concluded that modified tension band wiring using cortical screw proved effective fixation method in the treatment of the displaced medial malleolar fracture. The merits of this procedure are minimal incision about 4cm and preservation of blood supply on suprafracture area due to not injuried periosteum, stable fixation and early range of motion of joint, simple procedure and reduced surgical time.
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Ideal Placement of the Herbert/Whipple Screw in Scaphoid Fracture: A Model Study
Jae Doo Yoo, Jong Oh Kim, Yeo Hon Yun, Young Do Koh, Su Young Bae, Jeong Joon Lee
J Korean Soc Fract 2002;15(4):581-586.   Published online October 31, 2002
DOI: https://doi.org/10.12671/jksf.2002.15.4.581
AbstractAbstract PDF
PURPOSE
To evaluate optimal placement of the Herbert/Whipple screw in scaphoid fracture.
MATERIALS AND METHODS
Forty eight models molded from four cadaver scaphoids were used for this study. Using the Herbert/Whipple jig, the guide wire was placed distal to proximal into each scaphoid with twelve method which were four entry points and three target points. Guide wire placement was then evaluated with three planes in the proximal, middle, distal planes and distance from the nearest cortex.
RESULTS
The most concentric position in the proximal plane was D5, in the middle plane C10. As distal entry point, the most concentric position in proximal plane was C. There were no statistical concentric, as middle, distal plane, and proximal entry point, CONCLUSION: The most ideal placement were D5 in proximal fractures of the scaphoid, C5 in distal fractures. In waist fractures of the scaphoid, there were relatively safe, except A0 and D0. The position of entry points was more important than that of target points for ideal screw placement.
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Radiologic Evaluation for the Safe Zone of Percutaneous Iliosacral Screw Fixation
Jong Keon Oh, Su Young Bae, Jong Oh Kim, Kwon Jae Roh, Jeong Joon Lee, Sang Yeol Chang
J Korean Soc Fract 2002;15(3):336-341.   Published online July 31, 2002
DOI: https://doi.org/10.12671/jksf.2002.15.3.336
AbstractAbstract PDF
PURPOSE
To evaluate the correlation of the safe zone of percutaneous iliosacral screw fixation with sacral dysmorphism and sacral alar slope variation.
MATERIALS AND METHODS
We studied the plain radiographs and the pelvic bone CT images of 52 patients. We reviewed each cases in terms of Routt 's dysmorphism and sacral alar slope variation(anterior, coplanar and posterior to inter-ICD line). We divided each cases into narrow and wide groups by the width of safe zone for the transverse 6.5mm cannulated cancellous screw. The data were analysed by McNemar x2-test and Cochran Q-test(p<0.05).
RESULTS
Typical sacral dysmorphism was found in five cases(9%). Four cases with dysmorphism(80%) and eighteen non-dysmorphic cases(38.2%) revealed narrow safe zones. The sacral slopes were anterior in 16 cases, coplanar in 25 cases, and posterior in 11 cases. The safe zone was significantly narrow in the group with anterior slope variation.
CONCLUSION
We could not found definite correlation between sacral dysmorphism and a narrow safe zone because the incidence of dysmorphism was too low in our study which differed from Routt 's report. An anterior sacral alar slope on CT can be a significant risk indicator for potential narrow safe zone and the risk of screw malposition.

Citations

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  • Measurement of Optimal Insertion Angle for Iliosacral Screw Fixation Using Three-Dimensional Computed Tomography Scans
    Jung-Jae Kim, Chul-Young Jung, Jonathan G. Eastman, Hyoung-Keun Oh
    Clinics in Orthopedic Surgery.2016; 8(2): 133.     CrossRef
  • Operative Treatment of Unstable Pelvic Ring Injury
    Sang Hong Lee, Sang Ho Ha, Young Kwan Lee, Sung Won Cho, Sang Soo Park
    Journal of the Korean Fracture Society.2012; 25(4): 243.     CrossRef
  • Upper Sacral Morphology Related to Iliosacral Screw Fixation in Korean
    Jung-Jae Kim, Chul-Young Jung, Hyoung-Keun Oh, Byoung-Se Yang, Jae-Suck Chang
    Journal of the Korean Fracture Society.2007; 20(2): 115.     CrossRef
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Radiation Exposure from Fluoroscopy during Orthopaedic Surgical Procedures
Su Young Bae, Jong Oh Kim, Jae Doo Yoo, Seong Yong Yoon, Jin Won Jang
J Korean Soc Fract 2001;14(4):792-798.   Published online October 31, 2001
DOI: https://doi.org/10.12671/jksf.2001.14.4.792
AbstractAbstract PDF
PURPOSE
The aim of this study was to evaluate the radiation dose administered in orthopedic operative procedures and to determine whether all operation room personnel must use the lead protector.
MATERIALS AND METHODS
From March 2001 to May 2001, sixty six orthopedic operations were done with fluoroscopic intensifier(Series 9600TM, OEC Medical Systems Inc.). The accumulative exposure doses of operator, 1st assist, scrub nurse, circulating nurse and anesthesiologist were assessed by TLD(Thermo luminescence dosimeter) and compared with the dose limit set by the KINS(Korea Institute of Nuclear Safety). The exposure times and doses were evaluated in each cases and analyzed according to the each procedure. The exposure doses were assessed by the distance (Om, 0.5m, 1m, 2m) from the fluoroscopic generator.
RESULTS
Accumulative exposure doses(3 months) were checked 1.37mSv in operator, 1.73mSv in 1st assist, 0.17mSv in scrub nurse, 1.01mSv in circulating nurse, 0.01mSv in anesthesiologists and all doses were lower than dose limit set by the KINS(12.5mSv). Low exposure was checked in procedure of hand, ankle, cervical spine but high exposure was checked in IM nailing of femur(one way Anova with postHoc test, p<0.05). The exposure doses were decreased with the distance and exposure dose out of 1m was minimal.
CONCLUSION
Radiation is higher in IM nailing procedure but the total accumulative doses were safe especially in personnel who can fall apart from the operation field more than lm. So, we conclude that the lead protector is not essential to the all operation room personnel.

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  • Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea
    Seonghoon Kang, Eun Shil Cha, Ye Jin Bang, Teresa W. Na, Dalnim Lee, Sang Youn Song, Won Jin Lee
    Journal of Occupational Medicine and Toxicology.2020;[Epub]     CrossRef
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Treatment of Humeral Shaft Nonunion after Primary Internal Fixation
Jong Oh Kim, Yeo Hon Yun, Dong Wook Kim, Young Do Ko, Jae Doo Yoo, Jin Won Jung
J Korean Soc Fract 2001;14(2):236-244.   Published online April 30, 2001
DOI: https://doi.org/10.12671/jksf.2001.14.2.236
AbstractAbstract PDF
PURPOSE
To evaluate the methods of treatment to obtain rigid fixation for nonunion of humerus shaft fractures developed after operative treatment.
MATERIALS AND METHODS
From January 1993 to January 2000, twenty-one patients of nonunion of humerus shaft after primary internal fixation were reviewed and the results were analyzed. Three cases who have loss of follow-up were excluded.
RESULTS
In twenty-one cases, nineteen had union but, two cases have failed. In the group of compression plate fixation and bone graft, bone union was completed at mean 4.4 months, in the group of IM nailing and bone graft at 4.9 months, in case of bone graft only with state of IM nailing at 5.5 months. Mean time until bone union was 4.6 months.
CONCLUSION
Distraction should be avoided during IM nailing at primary internal fixation. Secondly, To obtain rigid fixation in nonunion of humerus shaft after primary internal fixation, use larger and more broad plate, dual plate or IM nail.
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Evaluation of Radiological Results After Closed Reduction in Colles` Fracture
Jong Oh Kim, Yo Hun Yun, Dong Wook Kim, Yong Do Koh, Jae Doo Yoo, Jin Chang
J Korean Soc Fract 2001;14(1):113-120.   Published online January 31, 2001
DOI: https://doi.org/10.12671/jksf.2001.14.1.113
AbstractAbstract PDF
PURPOSE
This study is to evaluate the radiologic results after close reduction for the distal radius fractures that were reduced. MATERIAL AND METHOD: From March 1996 to Feburary 1999, thirty-four patients with distal radius fracture were treated with close reduction and cast immobilizationat at Ewha Womans University Hospital. The radiograph were taken after reduction and at 3days, 2 weeks, 4 weeks, 6 weeks. Three parametersof the radiograph were measured.; radial inclination, palmar angulation and radial shortening. The radiological results were estimated by the criteria of Sarmiento.
RESULTS
In 34 patients, type I were 10 cases, type II were 15 cases, type III were 6 cases, type IV-A were 3 cases by the Universal classification. The average value of the radiologic parameters after reduction were followings s; radial inclination(RI) 18.2°, palmar angulation(PA) 9.3° and radial shortening(RS) 1.8mm in type I. RA 17.2°. PA 8.4° and RS 2.0mm in type II. RI 16.5°, PA 8.0°, RS 2.5mm in type III. RI 14.9°, PA 7.7°, RS 3.5mm in type IV. At 6weeks after reduction, RI 17.8°, PA 9.2° and RS 2.1mm in type I. RA 16.7°, PA 7.6° and RS 2.6mm in type II, RI 15.4°, PA 7.0°, RS 4.0mm in type III. RI 13.3°, PA 6.2°, RS 5.2mm in type IV.
CONCLUSION
Loss of reduction after close reduction with cast immobilization for type III and IV were occurred more frequtently than type I and II.

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  • Redisplacement of Distal Radius Fracture after Initial Closed Reduction: Analysis of Prognostic Factors
    Ho-Wook Jung, Hanpyo Hong, Hong Jun Jung, Jin Sam Kim, Ho Youn Park, Kun Hyung Bae, In-Ho Jeon
    Clinics in Orthopedic Surgery.2015; 7(3): 377.     CrossRef
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Operative Treatment of Acetabular Fractures
Jong Oh Kim, Yo Hun Yun, Dong Wook Kim, Young Do Koh, Jae Doo Yoo, Hyoung Jin Jeong, Yi Kyoung Shin
J Korean Soc Fract 2000;13(4):761-770.   Published online October 31, 2000
DOI: https://doi.org/10.12671/jksf.2000.13.4.761
AbstractAbstract PDF
PURPOSE
We reviewed 47 cases of acetabular fractures which was treated operatively, to review the clinical results of operative treatment of acetabular fractures considering the experience of a surgeon, to assess the relationship between the quality of the operative reduction and the clinical results.
MATERIALS AND METHODS
We reviewed 47 cases of acetabular fractures which was treated operatively from September 1993 to December 1999 and follow up more than 1 year. And we analyzed retrospectively the data in the aspect of the relationships between the radiologic evaluation of the reduction and the clinical results, and we reviewed the initial 20 cases as a group I and the later 27 cases as a group II to compare the differences of clinical results of the two groups.
RESULTS
In the accuracy of reduction, anatomical reductions were 4 hips in the group I and 13 in the group II, satisfactory 7 hips in the group I and 9 hips in the group II, unsatisfactory 9 hips in the group I and 5 hips in the group II. We assess the over-all clinical result with the criteria of Merle d'Aubigne and Postel. In the group I, 20 hips, the clinical result was excellent for 3 hips(15%), good for 6 hips(30%), fair for 5 hips(25%), and poor for 6(30%) hips. In the group II, 27 hips, the clinical result was excellent for 11 hips(41%), good for 8 hips(30%), fair for 5 hips(18%), and poor for 3(11%).
CONCLUSION
The accuracy of reduction was closely related to the clinical results. And the more a surgeon getting experienced, the better accurate reduction and clinical results were possible.
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Radiologic Follow-up Results of Distraction After Treatment of Distal Radius Fractures using External Fixator
Jong Oh Kim, Dong Wook Kim, Young Do Koh, Jae Doo Yoo, Kyoung Soo Kim
J Korean Soc Fract 1999;12(4):988-994.   Published online October 31, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.4.988
AbstractAbstract PDF
External fixation for severe fractures of the distal radius is accepted treatment offering the potential advantages of controlled distraction, accurate positioning of fracture fragments, and avoidance of extensive open procedures. One of the limitation of external fixation for distal radius fractures is excessive distraction, which affect the outcome. This study was conducted to evaluate the changes of the distraction of the intercarpal and radiocarpal joint, developed after treatment of distal radius fractures with external fixator. Restrospective study was done for 28 paitents, who were evaluated by chart review, questionnaire, radiograph, and physical examination. The carpal height ratio, radial inclination, velar tilt, radial length were measured in the postoperative and follow-up radiographs. The carpal height ratio was used to quantify the distraction. Functional evaluation was performed with Demerit-Point system described by Garthland and Werley. Five fractures had an excellent results, 16 had a good results, 4 had a fair results, and 3 had poor results. After union, average radial inclination was 21.3 degree, average dorsal angulation was -0.5 degree, and radial shortening was 1mm. Increased carpal height ratio of the 9 cases did not decrease to less than 0.56 at one year after operation. The over-distraction of intercarpal and radiocarpal joint developed after external fixation of the distal radius fracture, did not have decreased in the one year follow-up radiographs after operation. The over- distraction should be avoided intraoperativly.
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Brooker Intramedually Nailing for the Treatment of Distal 1/3 Tibial Fractures with Compromised Soft Tissue
Chung Nam Kang, Jong Oh Kim, Yeo Hon Yun, Dong Wook Kim, Young Do Koh, Jae Doo Yoo, Jong Keon Oh, Ki Woong Lee
J Korean Soc Fract 1999;12(4):924-931.   Published online October 31, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.4.924
AbstractAbstract PDF
The treatment of distal tibial fractures with compromised soft tissue poses many problems that usually occurs from the high-energy trauma, and the results are often unsatisfactory following lots of complications like loss of reduction, malunion, and inlection. We studied to evaluate the treatment results of Brooker intramedually nailing for the distal 1/3 tibial fractures with compromised soft tissue. Twenty-three cases of distal tibial fractures with comprolnised soft tissue were reviewed and we analyzed the results of surgical treatment in the viewpoint of union time, loss of reduction, malunion, complication and its final outcome. The range of follow-up was 24 months to 38 months with mean 29 months follow-up. Most of patients were between twenty and sixty years, and average age was 43.2 years. Acording to Gustilo and Andersons classification, 3 were Type I, 2 were Type II of 5 open fractures. According to Tschernes classification, 13 were Grade I, 5 were Grade II of 18 closed fractures. The average to union was 15 weeks with range 11 to 20 weeks. The healing was slowest in Tschernes Type II and fastest in Tschernes Type I fracture. There were 3 cases of malunion, more than 5 degrees. All of the 3 cases were posterior angulation. Only 1 case was the loss of reduction. This case was 3 to 10 degrees of varus angulation. There were 3 cases of superficial infection. The infection was controlled with antibiotic therapy. Only 1 case was acceptable of the final outcome. This case waf limping gait because of pain and loss of ankle dorsiflexion to 15 degrees. But, the limitation of ordinary work was not seen. And 18 cases were excellent and 4 cases were good. We recommand that wherever possible, Brooker intramedually nailing can be used for distal tibial fractures with compromised soft tissue. And a high rate of union and a low rate of complication can be expected with thit treatment modality.
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Problems of compression Hip Screw for the Treatment of Intertrochanteric Fracture in Elderly Patients
Kwon Jae Roh, Jong Oh Kim, Hyung Ho Kim
J Korean Soc Fract 1999;12(3):502-508.   Published online July 31, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.3.502
AbstractAbstract PDF
The principle in the treatment of an elderly patient with an intertrochanteric fracture has swung from traction to internal fixation due to complication such as pneumonia, skin ulcer, and thromboernbolic disease, etc. Many surgeons have used sliding compression screw for trochanteric fracture fixation which was regarded as a most effective device to manage the fracture. but, they have reported several risk factors to cause fixation failure such as screw impaction or loosening, because of osteoporosis, large defect on posteromedial aspect of neck, eccentric fixation of lag screw. The aim of the present investigation was to study the relationships between the type of fracture, the trabecular bone grading of proximal femur, reduction status, the implant position and the extent of impaction or loosening of the comression screw. We studied 47 elderly patients(age>60) who were managed using of compression hip screw as operative management and followed more than 6 months after operative treatment at Department of orthopaedic surgery, Ewha womens university Mokdong hospital from 1994 to 1998. The results were as follows 1. Screw impaction or loosening was developed in 7 cases of 47 cases after internal fixation. 2. Of 7 cases, 2 cases were stable fracture(modified Evans type I, II) and 5 cases unstable (modified Evans type III, IV, V). 3. Of 7 cases, 3 cases were high trabecula grade(grade VI, V, IV), 4 cases were low trabecula grade(grade I, II, III). 4. No siginificant diffierence of impaction or loosening development was in screw position. 5. Of 7 cases, 2 cases were anatomical reduction and 5 cases medial reduction.

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  • Treatment of Senile Osteoporotic Intertrochanteric Fracture using Proximal Femoral Nail
    Dong-Hui Kim, Sang-Hong Lee, Young-Lae Moon, Jun-Young Lee, Kun-Sang Song
    Journal of the Korean Fracture Society.2007; 20(3): 215.     CrossRef
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Relationship between Simple X-ray and CT Findings on the Degree of Canal Encroachment in Burst Fracture of Thoracolumbar Junction
Young Do Koh, Jong Oh Kim
J Korean Soc Fract 1999;12(2):388-394.   Published online April 30, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.2.388
AbstractAbstract PDF
In burst fracture of thoracolumbar junction, compressive injury of middle column is characteristic and neurologic symptom develops by retropulsion of bony fragment into spinal canal. Authors had treated 44 cases with burst fracture of thoracolumbar junction at Ewha Woman' University Mokdong Hospital from September, 1993 to December, 1997 and analyzed the relationships between simple radiologic findings and canal encroachment and between neurology and canal encroachment. The results were as follows; Canal encroachment by bony fragment was larger in lower vertebra than in upper one. Canal encroachment was larger in Denis type A than in type B. Both anterior vertebral height(AVH) and presence of neurology were not related with the amount of canal encroachment. The lesser loss of posterior vertebral height(PVH) and kyphotic angle were, the more canal encroachment was. In summary, factors that influenced the amount of canal encroachment were fracture level and type. There was no significant relationship between neurology and the amount of canal encroachment. AVH, PVH and kyphotic angle were not related with the amount of canal encroachment.
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Risk Factors in Progression of Deformity in Compression Fracture of Thoracolumbar Junction
Young Do Koh, Jong Oh Kim
J Korean Soc Fract 1999;12(2):372-378.   Published online April 30, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.2.372
AbstractAbstract PDF
Compression fracture of thoracolumbar junction is considered to be stable, and usually treated by conservative methods, such as bed rest followed by bracing. However, we can often see the progression of deformity during follow-up. Authors had treated 62 cases with compression fractures of thoracolumbar junction conservatively at Ewha Woman' University Mokdong Hospital from September, 1993 to December, 1997, and analyzed risk factors of progression in anterior vertebral height (AVH) collapse and kyphotic angle after the minimum 1 year follow-up. The results were as follows; The anterior vertebral height significantly more decreased in the group with age over 60, but increase of kyphotic angle was not related with age factor. In female, decrease of AVH and increase of kyphotic angle were more than in male. AVH significantly more decreased in L1 than in T12 or L2, but increase of kyphotic angle was not related with fracture level. Decrease of AVH and increase of kyphotic angle were not related with fracture type. Osteoporosis seems to be the most important single risk factor in progression of compression and more strict wearing of well-fitting brace is necessary to protect the progression in case of severe osteoporosis.

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  • The Influence of Initial Magnetic Resonance Imaging Findings on the Compression Rate of Thoracolumbar Osteoporotic Vertebral Compression Fracture
    Seok-Ha Hwang, Seung-Pyo Suh, Young-Kyun Woo, Ho-Seung Jeon, Ho-Won Jeong
    Journal of the Korean Orthopaedic Association.2018; 53(4): 341.     CrossRef
  • Nonfusion Method in Thoracolumbar and Lumbar Spinal Fractures
    Yong-Min Kim, Dong-Soo Kim, Eui-Sung Choi, Hyun-Chul Shon, Kyoung-Jin Park, Byung-Ki Cho, Jae-Jung Jeong, Young-Chan Cha, Ji-Kang Park
    Spine.2011; 36(2): 170.     CrossRef
  • The Efficacy of Kyphoplasty on Osteoporotic Vertebral Compression Fracture - A 1-Year Follow-up Study -
    Dong-Ki Ahn, Song Lee, Dea-Jung Choi, Hoon-Seok Park, Kwan-Soo Kim, Tae-Woo Kim
    Journal of Korean Society of Spine Surgery.2009; 16(2): 79.     CrossRef
  • Clinical Outcome of Conservative Treatment for Osteoporotic Compression Fractures in Thoracolumbar Junction
    Whoan Jeang Kim, Jong Won Kang, Kun Young Park, Jae Guk Park, Se Hyun Jung, Won Sik Choy
    Journal of Korean Society of Spine Surgery.2006; 13(4): 240.     CrossRef
  • Results of Non-fusion Method in Thoracolumbar and Lumbar Spinal Fractures
    Yong-Min Kim, Dong-Soo Kim, Eui-Seong Choi, Hyun-Chul Shon, Kyoung-Jin Park, Kyeong-Il Jeong, Young-Chan Cha, Hu-Shan Cui
    Journal of Korean Society of Spine Surgery.2005; 12(2): 132.     CrossRef
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The prognostic factors in Tongue shaped calcaneal fractures treated by Essex-Lopresti method
Jong Oh Kim, Dong Wook Kim, Young Do Koh, Jae Doo Yoo, Dong Wook Lee
J Korean Soc Fract 1999;12(2):328-334.   Published online April 30, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.2.328
AbstractAbstract PDF
There is a great difference in opinion regarding the treatment of intraarticular fractures of the calcaneus. In Essex-Lopresti method, a heavy Steinmann pin is introduced into the cancellous part of tongue fragment and the fracture is reduced by lifting the fragment by the level effect of the Steinmann pin. The authors had treated 38 cases in 36 patients with displaced intraarticular tongue shaped fractures using Essex-Lopresti axial fixation at our hospital from 1993 to 1997. We obtained the following results. 1. Of 36 patients, 31 patients were male and 5 female 2. The main cause of fractures were fall from height in 86 percent of cases and spine injury was associated in 8 cases(22%). 3. The favorable result was obtained in 29 cases(76%). 4. The poor prognostic factors in functional outcome were old age, comminution of fracture, osteoporosis and the loss of correction in B.. ohler angle at postoperative and follow up Xrays.
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Results and Problems of open Intramedullary Nailing of Femoral Shaft Fracture
Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Do Koh, Jae Doo You, Kyoung Soo Kim
J Korean Soc Fract 1999;12(1):28-34.   Published online January 31, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.1.28
AbstractAbstract PDF
The intramedullary nailing is one of the most available methods in treatment of femoral shaft fracture. The closed intramedullary nailing is known to be the best method of treatment of femur shaft fracture, but it is not always available in cases of deficit of equipment, severe associated injury, and some fracture pattern. The open intramedullary nailing has advantage of easily obtaining anatomical reduction but it increases the risk of infection, the incidence of delayed union and additional operations inevitably. We reviewed 33 cases of open intramedullary nailing in femur shaft fracture from September 1994 to September 1997. The results were as follows : 1. The average union time was 27.3 weeks. 2. Location of fractures was middle one-thirds in most cases, and Winquist-Hansen classification type II was the most common. 3. The complication included 8 delayed unions, 3 nonunions, 2 infections, shortening of more than two centimeters in 3 patients. 4. In 4 cases, we did open intramedullary nailing with bone graft initially, but all of them has complication as delayed union and nonunion. We can use open intramedullary nailing method in some femur shaft fractures, but there are many problems and complications. So we must consider it carefully before using this method.
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Surgical Treatment of Displaced Acetabular Fractures - focused on Complications after open reduction -
Chung Nam Kang, Jong Oh Kim, Kong Uk Kim, Yeong Do Koh, Byeong Geun Kim
J Korean Soc Fract 1998;11(3):477-486.   Published online July 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.3.477
AbstractAbstract PDF
Management of displaced fractures of the acetabulum represents one of the greatest challenges in fracture surgery. The results had been proved to be successful after anatomical reduction and stable internal fixation. The purpose of this study is to analyze the clinical results and complications of open reduction of the displaced acetabular fractures to minimize the complications, and to present suggestions for the treatment of these fractures. We reviewed our experience with 23 displaced acetabular fractures which had been treated by open reduction to evaluate the clinical results and complications. The results were as follows; 1. The most common type of elementary fractures was posterior wall fractures according to Letournel's classification. 2. Excellent or good results were obtained in 88% among the satisfactory reduction group, and it means that accurate reduction was the most reliable factors contributing to successful clinical outcomes. 3. Complications were 1 deep infection, 2 ectopic bone formation, 1 intraarticular hardware, and 1 chondrolysis. 4. In the treatment of displaced acetabular fractures, careful initial assessment using radiograph, angiogram and 3-D CT, appropriate selection of surgical approach and accurate surgical clinical outcome and minimize the complication rate.
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Treatment of Type IIIB Open Tibial Shaft Fractures
Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Doo Koh, Jae Doo You, Jong Keon Oh, Young Seuk Kim
J Korean Soc Fract 1998;11(3):560-566.   Published online July 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.3.560
AbstractAbstract PDF
In general, severe open fractures of the tibial shaft have been treated initially with external fixation. However, despite many refinements in this technique, it has been associated with numerous complications, including problems at the sites of pins, non-union, delayed union, malunion, and infection. The purpose of this retrospective study is to analyze the results in a consecutive series of patients. There were 8 males and 2 females with an average age of the 44.9 years(range, 26-64 years). The mean follow up period was 23.2 nibtgs(range, 34-120 days). Free flap procedures were performed on all patients. The average time between removal of the fixator and intramedullary nailing was 16.5 days(range, 11-26 days). Indication of conversion to nailing was abscence of any serous discharge, reddness or local heating around pin-sites and normal renge of laboratory data. All 10 fractures had united with additional bone graft in 7 cases. The most frequent complications were delayed union in 7 cases and infection(superficial infection: 6 cases, osteomyelitis: 1 case) after IM nailing. We concluded that pin-tract infection is the major cause of infection after IM nail, but duration of external fixation and time interval(between removal of external fixator and nailing) are not isolated factors.

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  • Study on Instant Fish Cake Noodle Manufacturing Techniques Using Ultra-fine Powdered Kelp
    Yoo-Jin Park, Se-Jong Kim, Myung-Ryun Han, Moon-Jeong Chang, Myung-Hwan Kim
    Food Engineering Progress.2019; 23(3): 217.     CrossRef
  • Treatment of Type IIIb Open Tibial Fractures
    Seong Yeon Lim, Il Jae Lee, Jae Ho Joe, Hyung Keun Song
    Journal of the Korean Fracture Society.2014; 27(4): 267.     CrossRef
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Treatment of Femoral Shaft Fracture by Interlocking Intramedullary Nailing - Relative Analysis Between Closed Nailing and Open Nailing -
Jong Oh kim, Young Do Koh
J Korean Soc Fract 1998;11(2):328-336.   Published online April 30, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.2.328
AbstractAbstract PDF
The closed intramedullary nailing is the best method of treatment in femur shaft fracture, but it is not available in some fracture patten or fracture level, and also need specific technique under specific equipment. conventional closed intramedullary nailing dose not provide adequate fixation if cortical contact of the major fragments is lost due to severe comminution. Open intramedullary nailing with aditional wire fixation or bone graft do not always produce good result and involved and increased risk of infection, delayed union, and also need additional operation. We analysed 80 cases of interlocking intramedullary nailing from September 1994 to September 1997. closed intramedullary nailing was used in 47 cases and open intramedullary nailing in 33 cases. The results were as follows; 1. The average union time was 17.58 weeks in closed Im nailing group, and 27.32weeks in open IM nailing group. 2. In open IM nailing group, complications incluled 10 delayed union, 3 nonunion, two infections, shortening of more than two centimeters, which occurred in 3patients. In closed IM nailing group only one complication is transient peroneal nerve palsy.
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Essex-Lopresti Axial Fixation for Intra-articular Calcaneal Fractures
Young Do Koh, Jong Oh Kim
J Korean Soc Fract 1998;11(2):371-377.   Published online April 30, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.2.371
AbstractAbstract PDF
Fracture of the calcaneus is quite common, and displace intraarticular fractures can be associated with serious and prolonged disability. However, there still a great deal of controversy regarding the treatment of intraarticular fractures of calcaneus. Authors had treated 41 cases of 32 patients with displaced intraarticular calcaneal fractures using Essex-Lopresti axial fixation at Ewha Woman's University Mokdong Hospital from September, 1993 to February, 1996, and analyzed the functional results after the minimum 2 year follow-up. The results as follows; 1. Of 41 intraarticular calcaneal fractures, 27 fractures were tongue type and 14 fractures were joint depression type according to Essex-Lopresti classification. 2. Postoperatively Bohler angle was restored to mean 24.5degree intongue type, and to mean 13.8degree in joint depression type. 3. The reduction loss of Bohler angle was 7% in tongue type and 18.8% in joint depression type at the final follow-up. 4. The satisfactory results were obtained in 77.7% of tongue type and in 49.9% of joint depression type.
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Correction Angular Deformity & Evaluation of Overgrowth for Femoral Shaft Fractures in Children
Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Do Koh, Jae Doo You, Seong Man Kim
J Korean Soc Fract 1998;11(1):123-128.   Published online January 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.1.123
AbstractAbstract PDF
We reviewed 40 cases of femoral shaft fractures in children treated with Russel traction. The treatment of femoral shaft fractures in children is various according to age. Satisfactory result have been reported with russel traction. At an average follow-up of 30 months, We obtained following results. 1. The average time of traction was 18 days, and hip spica cast was applied for 28 days. 2. Malunion exceeding 25degree in flexion & valgus & varus was not developed. 3. Remodeling of angulation deformities occurred slowly over the duration of the follow-up period in our patients. At the last evaluation no patient was aware that he had any residual angulation but many did have X-ray evidence of an abnormal contour of the femur, that is average rate of spontaneous correction is 83% in anterior angulation, 87% in varus deformities, 88% in valgus deformities. 4. Fracture occurred most commonly in the middle third of the femoral shaft, but overgrowth was the greatest in proximal one third fracture. The average overgrowth was 1.2 cm in length and, growth acceleration was the greatest in oblique fracture and, among the children 4 to 9 years of age, significant overgrth(average 1.2 cm) was seen. 5. Skeletal Russel traction is easy, safe and convenient to treat all femoral shaft fractures of the children between four and ten years old.
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Operative Treatment of Intraarticular Fractures of the Distal Radius
Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Jong Oh Kim, Dong Jun Kim, Jong Keon Oh, Han Cheon Bang
J Korean Soc Fract 1998;11(1):56-62.   Published online January 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.1.56
AbstractAbstract PDF
Intraarticular fractures of the distal part of the radius comprise a distinct subgroup of fractures that are difficult to manage and are associated with a high frequency of complication and represent one of the greatest challenges to the orthopaedic surgeon. We reviewed 30 cases(28 patients) of intraarticular fractures of the distal radius treated surgically in orthopaedic department of Ewha medical center between January 1993 to May 1996 and analyzed the correlation between the clinical end results and radiographic parameters. The clinical end results were significantly worse when radia inclination didn't exceed 15, or radial length was less than 10mm or dorsal tilt exceeded 0. Ulna styloid fractre did adversely affect the clinical results. In our study 2mm articular step off did not show any difference in clinical results. But this is thought to be the result of relatively short period of follow up. Therefore we need to analyse this factor with long term follow up data.
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Traumatic Fracture - Dislocation of the Hip
Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Do Koh, Sang Hoon Ko, Jae Doo Yoo, Joo Seok Eom, Dong Wook Lee
J Korean Soc Fract 1997;10(4):772-777.   Published online October 31, 1997
DOI: https://doi.org/10.12671/jksf.1997.10.4.772
AbstractAbstract PDF
Traumatic dislocation or fracture-dislocation of the hip is relatively uncommon, but high velocity accidents have increased its incidence in recent years. The purpose of this study was to review the result of the treatment and to evaluate the prognostic factor. We retroprospectively reviewed 28 patients with traumatic fracture-dislocation of the hip between October, 1993 and March, 1996. 21 were males and 7 females. The mean age was 33.5 years(range, 11 to 67 years). Average follow-up was 18 months(range, 13 to 28 months). Exellent or good results were obtained in 19 patients(68%) by the criteria of Epstein. The complications were followings 2 cases of avascular necrosis and 1 case of osteoarthritis. Factors associated with a good prognosis included an early reduction, low level of initial trauma, abscence of associated injury.
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Comparison of Hemiarthroplasty and Compression Hip Screw on Elderly Unstable Intertrochanteric Fractures
Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Do Koh, Sang Hoon Ko, Ki Woong Lee
J Korean Soc Fract 1997;10(4):738-745.   Published online October 31, 1997
DOI: https://doi.org/10.12671/jksf.1997.10.4.738
AbstractAbstract PDF
Intertrochanteric fractures of the femur usually occur in the elderly and osteoporotic patients. These appear to be increasing in frefuence and are usually unstable. Sixthy two cases were treated ai our hospital from September 1993 through October 1995. 29 elderly patients underwent bipolar hemiarthroplasty and 33 patients underwent internal fixation with compression hip screw(C.H.S). The results were as follows ; 1. Functional results according to hip rating scale of Merle D,Aubiigne was superior in bipolar group. 2. The incidence of postoperative complications was much fewer in bipolar group than in compression hip screw group. 3. In casees of definite osteoporosis with Singhs index below 3 and Evans unstable type frartures, the incidence of mechanical complications was increased, especially in compression hip screw group. 4. There was no siginificant difference between 2 groups in operative time and blood loss.

Citations

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  • Fixation of Greater Trochanter Using an AO Trochanteric Reattachment Device (AO TRD) in Arthroplasty for Intertrochanteric Femur Fracture of Elderly Patients
    Weon-Yoo Kim, Young-Yul Kim, Jae-Jung Jeong, Do-Joon Kang
    Hip & Pelvis.2013; 25(4): 274.     CrossRef
  • Hemiarthroplasty for Hip Fractures in Elderly Patients over 80 Years Old - Comparative Analysis between Femoral Neck Fracture and Intertrochanteric Fracture -
    Chae-Hyun Lim, Young-Yool Chung, Jeong-Seok Kim, Chung-Young Kim
    Hip & Pelvis.2013; 25(1): 44.     CrossRef
  • Hip Arthroplasty Using Collarless Polished Tapered Stem -Minimum 2 Years Follow-up Results-
    Yerl-Bo Sung, Jung-Yun Choi, Su-Chan Oh
    Hip & Pelvis.2012; 24(1): 18.     CrossRef
  • Comparison between the Results of Internal Fixation Using Proximal Femur Nail Anti-rotation and Bipolar Hemiarthroplasty in Treatment of Unstable Intertrochanteric Fractures of Elderly Patients
    Sung-Hwan Kim, Soo-Won Lee, Gyu-Min Kong, Mid-Um JeaGal
    Hip & Pelvis.2012; 24(1): 45.     CrossRef
  • Cemented Bipolar Hemiarthroplasty for Intertrochanter Fracture in Elderly Patients - Minimum 2-Years Follow-up Results -
    Sung Kwan Hwang, Dong Hyun Kang, Tae Yeon Cho, Chang Ho Yi
    Hip & Pelvis.2010; 22(3): 209.     CrossRef
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Hemiarthroplasty for Treatment of Proximal Humerus Fracture
Chung Nam Kang, Jong Oh Kim, Sang Hun Ko, Young Do Koh
J Korean Soc Fract 1997;10(3):685-693.   Published online July 31, 1997
DOI: https://doi.org/10.12671/jksf.1997.10.3.685
AbstractAbstract PDF
From 1993 to 1996, we have used hemiarthroplasty on shoulder for comminuted fracture and fracture-dislocation of proximal humerus. The study reviewed 8 patients with on average age 62.1 years. The hemiarthroplasty was performed at average 5 days following injury. The purpose of this study was to evaluate pain, function, range of motion, strength, patients satisfaction. All cases was performed using cement and surgical approach was deltopectoral. Average follow up was 33 months after operation(range, 24 to 45 months). According to UCLA shoulder rating scale, 5 patients(63%) were satisfactory and 3 patients(37%) were unsatisfactory. Average active flexion was 110, and average abduction was 97 and average external rotation was 39, average internal rotation to the first lumbar vertabrae. Average humeral offset on fractured shoulder was 20.5 and average humeral offset on normal uninjured shoulder was 30.8. For functional improvement of shoulder hemiarthroplasty, We concluded humeral length restoration and humeral offset preservation is very crucial factors.
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Complications of Interlocking Intramedullary Nailing for the Humeral Shaft Fracture
Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Do Koh, Jong Keon Oh, Sang Hun Ko, Seung Wook Jeong
J Korean Soc Fract 1997;10(3):669-677.   Published online July 31, 1997
DOI: https://doi.org/10.12671/jksf.1997.10.3.669
AbstractAbstract PDF
Several advantages of intramedullary nails over plates and external fixators have led to an anpansion of the surgical indications for humeral shaft tractures. But, various morbidities due to proximity of several important structures, such as rotator cuff and radial nerve, follwed the operation. We reviewed our experience with 23 cases of humeral shaft fractures that were treated by interlocking intramedullary nailing to evaluate the pitfalls and the complications of this technique. Fifteen men and 8 women were followed for average 19.5 months. Twenty one (91.3%) of them had midshaft fractures. According to AO/ASIF classification, type A was most common(60.9%), and followed by type B(26.1%) and type C(13.O%). Eighteen of them had associated injuries - 5 radial nerve palsies, 1 Volkmans ischemic contracture, and 14 had fracture of other sites. Indications for interlocking intramedullary nailing were unsatisfactory reduction after closed reduction, fracture of the ipsilateral upper extremity, segmental fractures, and multiple injuries. The operation was performed average 6.7 days after injury. The final results were evaluated with radiographs for quality of union and with physical examination for functional status of the shoulder. There were four cases of complication associated with increase morbidity. A post operative radial verve palsy, associated with the distal interlocking screw fixation was developed due to inappropriately short nail insertion. And in one case, fracture healing was delayed due to distraction of the fracture gap after nailing. In another case subacromial impingement was developed secondary to protruded nail tip because the length was thought be the common underlying causative factor. Finally there was a case of iatrogenic fracture at the site of distal interlocking screw fixation and it was thought to be a technical problem. The results gave us the conclusion that inappropriate nail length was the common underlying causative factor of the complications. Therefore in the interlocking IM nailing for the humeral shaft fractures, accurate measurment of nail length is one of the most cirtical factor for the good final result.
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The Treatment of Supracondylar Fracture of The Humerus in Children
Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Do Koh, Cheol Min Kim, Sang Hoon Ko, Seung Wook Jeong
J Korean Soc Fract 1997;10(2):393-400.   Published online April 30, 1997
DOI: https://doi.org/10.12671/jksf.1997.10.2.393
AbstractAbstract PDF
Supracondylar fracture of distal humerus is up to 60% of all fractures around the elbow in children. Complications of this fracture include nerve injury, arterial injury, skin slough, Volkmanns ischemic contracuture, and changes in carrying angle. Many different treatment methods to minimize these complications have been devised. Recently, closed reduction and percutaneous pinning with K-wire is most widely used in treating supracondylar fractures in children exept in some rare cases such as unreducible fracture by closed reduction. However, troublesome changes in the carrying angle which do not interfere with function but the appearance of the arm is unsatisfactory, continue in approximately 30% of most series. We reviewed 59 cases which were treated by closed reduction and percutaneous pinning in supracondylar fracuture of the humerus. The purpose of our study is to evaluate the cosmetic and functional results and complications and to analysis the relationship between the stability of reduction and method of pinning. The results are as follows; 1) There were many cosmetic problems, actually. Change over 10 degrees in carrying angle compared to the normal site was as high as 10 cases(17%) of 59 cases. 2) There was no functional problem such as limitatioin of motion. 3) There was no significant complication. 4) The cross pinning fixation was more stable than lateral pinning fixation only. 5) Accurate anatomical reduction is required to prevent unsatisfactory result regardless the treatment method.
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Treatment of Lateral Humeral Condyle Fractures in Children Using Closed Reduction and Percutaneous Pinning
Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Do Koh, Sang Hoon Ko, Seung Hyun Hwang
J Korean Soc Fract 1997;10(1):218-225.   Published online January 31, 1997
DOI: https://doi.org/10.12671/jksf.1997.10.1.218
AbstractAbstract PDF
Treatment of lateral condyle fracture has been traditionally divided to closed and open treatment. Minimal displaced fracture of lateral humeral condyle can be appropriately treated with closed reduction and percutaneous K-wire fixation. Adherence to these guidelines is likely to prevent malunion, nonunion, premature epiphyseal closure, ulnar neue palsy, and cubitus valgus deformity, all possible complications of this fracture. Since September 1993, we managed 20 children with lateral condyle fracture of elbow using closed reduction and percutaneous pinning. And intraoperative arthrogram was done to confirm the reduction status. Pins were removed 6 weeks postoperatively. The average period of follow-up was 24 months. There was no significant difference in carrying angle, range of motion and physical activity compared to contralateral elbow. Valgus - varus stress view is a useful method in evaluating fracture stability and rupture of cartilage hinges and valgus - supination stress view is very useful for confirming the reduction. Arthrogram was considered to be useful in evaluating the reduction state and deciding the treatment plan.
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Femoral Fatigue Fracture in Soldier
Jae Hyung Lee, Sung Ku Kang, Chul Joen Kim, Nok Soo Kim, Byung Chul Moon, Jong Oh Kim
J Korean Soc Fract 1996;9(4):907-913.   Published online October 31, 1996
DOI: https://doi.org/10.12671/jksf.1996.9.4.907
AbstractAbstract PDF
Fatigue fracture are commonly seen in military personnel, especially at basic training c enter, and have been noted in athletes, ballet dancers, laborers, and even pregnant woman. This type of injury is usually encountered in the metatarsal shaft. however in rare cases. fatigue fracture in the femoral shaft was reporied. The purpose of this article is to call attention to the impouanre of early diagnosis of fatigue fracture of the shaft of the femur so that displacement, which may lead to the necessity for surgical intervention, may be prevented. The following clinical results were obtained by analysis of 6 cases of femoral fatigue fractures experienced in the departmert of orthopedic surgery, Capital Armed Forces General Hospital from January 1993 to April 1996. 1. A series off femoral fatigue fractures are reported in the miliiary recruits. 2. The average age was 21 years and all patients sex were male. 3. All the patients were peculiarly army recruits, whose average body heights were 170.3 centimeters and body weights were 61.6 Kilograms. 4. All the patients had previously led a sedentary life styie, with very little physical activity of any kind, including walking. 5. The site of predilection in the femoral shaft was distal one-third, occuring in 5(83.3%) of the cases. The site of other one case was middle one-third of the shaft. 6. The main cause of the fatigue fractures was marching on hard roads, and other cause was playing football. 7. Most of femoral fatigue fractures were classified as grade II, showing periosteal readion on both cortices. 8. All soldiers were treated by immediate stoppage of physical activity, with no plaster immobilization except a displaced fatigue fracture.
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Treatment of Fracture-Dislocation of Tarsometatarsal Joint
Chung Nam Kang, Jong Oh Kim, Sang Hun Ko
J Korean Soc Fract 1996;9(3):715-724.   Published online July 31, 1996
DOI: https://doi.org/10.12671/jksf.1996.9.3.715
AbstractAbstract PDF
The tarsometatarsal fracture-dislocation are unusual freguency. Lesion in this area are generally the result of a high energy traulna and difficult to recognize on standard radiographs. Twenty-one casei of fracture and dislocation of the tarsometatarsal joint were treated by open or closed reduction from January 1991 to April 1996. We assessed clnical result & treatment result and the following results were obtained. 1. Anatomical reduction is likely to lead nearly normal function & little complications. 2. Due to soft tissue interposition, espicially interposition of tibialis anterior, and marked articular comminution, early closed reduction was failed in 3 cases. If the closed reduction is tossed, then open reduction and internal fixation was performed. 3. In cases of nearly anatomical reduction, good prognosis was obtained. 4. Accurate accessment of AP & oblique & lateral projection of radiographs were very adventa geous & important. 5. Open anatomical reduction was superior to closed reduction & percataneous pining & cast immobilization alone.
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Nonoperative Management of Stable Thoracolumbar Fracture with Bracing in Old Age
Jong Oh Kim
J Korean Soc Fract 1996;9(3):750-758.   Published online July 31, 1996
DOI: https://doi.org/10.12671/jksf.1996.9.3.750
AbstractAbstract PDF
Fourteen neurologically intact patients with stable fractures at the thoracolumbar junction above 60yrs old age were treated with early ambulation in a total contact orthosis, Jewett Brace, Knight-Taylor Brace and had followed up greater than one year. Spinal orthosis have been traditionally used in the management of thoracolumbar junction treated with or without surgical stabilization However, the orthotic treatment modality in the management of spinal fractures remain subjective, especially old age. since few objective data are available on the effectiveness of orthosis in stabilizing injuried segments. At minimum follow up of one year, an overall outcome evaluation involved verbal numerical scale ( VNS ) and radilogical assessment. Approxiamately 80% of the patient had under 3 points in the verbal numerical scale, serial roentgenograms documented significant progressing in body collapse which averaged 9.6% compression,5.2 in Cobbs angle, not correlate with type of brace. Mainly body collapse and increasing Cobbs angle at the fracture site developed within posttraumatic 3 months. Degree of osteoporosis did not correlate with change in deformity. Initial radiographic severity of injury or residual deformity following closed management did not correlate with symptoms at follow-up. This pattern of results suggested comportable brace treatment such as Jewett and Knight-Taylor Brace, as the preferred treatment in stable thoracolumbar fracture in old age.
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Clinical Analysis of the Lateral Humeral Condyle Fracture in Children
Jong Oh Kim
J Korean Soc Fract 1996;9(3):678-687.   Published online July 31, 1996
DOI: https://doi.org/10.12671/jksf.1996.9.3.678
AbstractAbstract PDF
The author have analyzed clinical and radiological materials of foully-five patients of lateral condylar fracture of the humerus who have been treated with close reduction and percutaneous pinning after arthrogram, open reduction and internal fixation and followed up for more than 6 month since September, 1993. If the fracture is incomplete will not be displaced after varus and valgus stress. Also We have checking arthrogram of reduction state. we have treated with close reduction and percutaneous pinning. If the fracture is complete the fragment may be displaced and open reduction with internal fixation is mandatory, the following results were obtained: 1. Age at diagnosis was 5.7 years in average ranging from two years to twelves years. thirty-three out of fourty-five children(73.3%) were male to reveal definite male prepoderance. 2. As for Milch type classification, three cases(5%) were of type I and foully two cases(95%) were of type II. According to Jakobs staging of displacement, 7 cases were of stage I, 25 cases were of stage II , and 13 cases were of stage III. 3. The open reduction were indicated as follows: Jak obs stage II unreduced, postinjury 48 hours relapsed, Jakob stage III. The closed reduction were indicated as follows: Jakobs stage I, II Badelon type I, II and undisplaced and reduceable with supination-valgus stress view, arthrogram. 4. The average period of postoperative cast immobilization was 4 weeks, active and gentle passive motion exercises were instituted thereafter. 5. The range of change in carrying angle was not influenced by degree of fragment displacement and method of treatment. 6. The complications were lateral condylar overgrowth(6 cases) and avascular necrosis(1 case). 7. The result of the treatment classified according to Hardacre assessement, were excellent in thirty one cases(69%), good in thirteen cases(29%), poor in one case(2%). In conclusion, the closed reduction and internal fixation with arthrogram, is considered as the treatment of choice for the minimally displaced lateral condylar fractures of the humerus in children.
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The Comparision of Conservative Treatment with Operative Treatment in Bursting fracture
Chung Nam Kang, Jong Oh Kim, Oh Yong Kang, Seung Youn Ahn
J Korean Soc Fract 1995;8(4):807-814.   Published online October 31, 1995
DOI: https://doi.org/10.12671/jksf.1995.8.4.807
AbstractAbstract PDF
Internal fixation with dynamic compression plate is an accepted method of treating diaphyseal The treatment of stable bursting fracture of thoracolumbar spine has long been controversal and middle column theory has been known important factor to determine fracture stability, following to "Three column theroy" by Denis & McAfee in 1983. We have analyBed kyphotic angle and compression degree, each 7 cases of thoracolumbar stable bursting fracture, treated consertive or operative, from Oct. 1993 to Dec. 1994. We obtained following results; 1. The correction of kyphotic angle was more increased in the average 12 in conservative treatment and decreased in the average 8.3 in operative treatment than admission date. 2. The correction of compression degree was more increased in the average 30% in conservative treatment and decreased in the average 18% in operative treatment. 3. More severe deformity was noted in the active young adult rather than old age. 4. MRI study and bending stress view are needed in the detect of the posterior column injury. In summary, more severe deformity was noted not only in the adult, but in the conservative treatment. Thus, we must consider the operative treatment in active young adult in cases of stable bursting fracture.

Citations

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  • The Impact on Clinical Results by Sagittal Imbalance in Posterior Fixation for Thoraco-lumbar Burst Fractures
    Seung-Wook Baek, Kyu-Dong Shim, Ye-Soo Park
    Journal of the Korean Fracture Society.2011; 24(4): 354.     CrossRef
  • Biomechanical Efficacy of Various Anterior Spinal Fixation in Treatment of Thoraco-lumbar Spine Fracture
    Ye-Soo Park, Hyoung-Jin Kim, Choong-Hyeok Choi, Won-Man Park, Yoon-Hyuk Kim
    Journal of the Korean Fracture Society.2007; 20(1): 70.     CrossRef
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Treatment of the Posterior Lip Fracture of Distal Tibia Using Posteromedial Apprroach
Chung Nam Kang, Jong oh Kim, Seok Beom Lee, Oh Yong Kang, Min Soo Shin
J Korean Soc Fract 1995;8(3):594-599.   Published online July 31, 1995
DOI: https://doi.org/10.12671/jksf.1995.8.3.594
AbstractAbstract PDF
The primary goal of treatment of the posterior lip fracture is to effect the returning of normal function that is accomplished by the early institution of motion. A variety of both open and closed treatment have been recommended, but many authors have advocated internal fixation of large fragments that compromise 25 per cent or more of the articular surface on the lateral radiography Open reduction with internal fixation of the posterior lip fragment has been associated with technical problems. VisualiBation of the articular surface is obscure by overhanging of the posterior tibial margin and talus. And than efforts at open reduction of posterior lip fragments are frequently unsuccessful. We used the posteromedial approach to this lesion. The results obtained from this study were as follows; 1. Of the 17 cases, male was 9 cases(53%), female was 8 cases(47%) the most common victim was twentieth and thirtieth decades. 2. The mean afticular surface involvement of the posterior lip fragments in the sagittal plane were 28 percent. 3. The location of posterior lip fragment was central(2 cases), posteromedial(6 cases), posterolateral(9 cases). 4. The posteromedial approach affords the most predictable way to cary out an absolutely anatomic reduction of posterior lip fractures and a low complication rate.

Citations

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  • Treatment of the Posterior Malleolar Fracture Using Posterior Approach
    Hyun Wook Chung, Dong Hwan Kim, Si Hoon Yoo, Jin Soo Suh
    Journal of the Korean Fracture Society.2010; 23(1): 50.     CrossRef
  • Radiologic Analysis and Treatment of Posterior Malleolar Fractures of the Ankle
    Jae Sung Lee, Soo Yong Kang, Han Jun Lee, Young Bong Ko
    Journal of the Korean Fracture Society.2009; 22(2): 98.     CrossRef
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Measurement of Radiologic Criteria for Evaluation of the Syndesmosis in Korean Men
Jong Oh Kim, Hyeong Yeon Choi, Yong Whan Yoo
J Korean Soc Fract 1995;8(3):600-605.   Published online July 31, 1995
DOI: https://doi.org/10.12671/jksf.1995.8.3.600
AbstractAbstract PDF
The ankle joint is the hinge joint composed of distal tibiofibula, talus and ligaments. Fractures of ankle joint are frequenty associated with ligaments ruptures and especially, as diastasis of ankle joint was easy to be overlooked, patients suffered form the pain and disability of ankle joint. Therefore, diastasis of ankle joint should be accurately diagnosed and properly treated. To obtain this goal, thorough understanding of diastasis and clear-cut diagnostic guide are important. For evaluation of differences between foreigners and Korean, authors measured the radiologic criteria for evaluation of the 100 Korean men from February 1995 to July 1995. The results obtained for this study were as follows. 1. Syndesmosis A : This is a measurement of the tibiofibular clear space form the lateral border of the posterior tibial malleous on anteroposterior(A.P.) radiograph. In Korean men, average measure ment was 3.74mm ±0.66mm. 2. Syndesmosis B : This is a measurement of the overlap form the medial border of the fibula to the lateral border of the anterior tibial prominence on A.P. radiograph. In Korean men, average measurement was 8.82mm± 1.93mm. 3. Talocrural angle : This angle is formed by a line perpendicular to the distal tibial articular surface and a line joining the tips of both malleoli on the mortise view. In Korean men, average measurement was 77.51 ± 4.94. 4. Medial clear space This is the distance from the lateral border of the medial malleoulus to the medial border of the talus at the level of the talar dome on the mortise view In Korean men, average measurement was 3.37mm ±0.66mm. 5. Talar tiIt : This angle is formed by a line drawn parallel to articular surface of the distal tibia and second line drawn parallel to the tatar surface. In Korean men, average measurement was 0.37 ± 0.68. To analyze the these results, syndesmosis A, medial clear space, and talar tiIt were similar to foreigners and Korean men, but syndesmosis B and talocrural angle were lower value in Korean men than in froeigners.

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  • Radiographic Evaluation of the Normal Distal Tibiofibular Syndesmosis in Neutral to Dorsiflexion on Weight-Bearing
    Seong Kee Shin, Ki Chun Kim, Se Yong Song, Ki Won Young, Kyung Tai Lee
    The Korean Journal of Sports Medicine.2021; 39(1): 1.     CrossRef
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Treatment of Intertrochanteric Fractures of femur in Elderly Patient with Osteoporosis
Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Jong Oh Kim, Yeo Hon Yun, Seok Beom Lee, Dong Jun Kim, Chung Hyok Choi, Dong Wook Kim, Seok Woo Kim
J Korean Soc Fract 1994;7(2):404-411.   Published online November 30, 1994
DOI: https://doi.org/10.12671/jksf.1994.7.2.404
AbstractAbstract PDF
With the age of our population advancing, the number of elderly osteoporotic patients with comminuted intertrochanteric fractures of the femur has increased dramatically. Intertrochanteric fractures of the femur usually occur in a more elderly age group than femoral neck fractures of the femur usually occur in a more elderly age group than femoral neck fractures. Intertrochanteric fractures are best treated by intenal fixation, since this mehod provides satisfactory positioning of the fragments and obviates the hazards of recumbency. However, in some caces with severe osteoporosis, arthroplasty is an excellent altemative to the internal fixation. From 1987 to 1992, thirty-six intertrochanteric fractures of femur in the elderly patients(over 60 years of age) were treated by operation at the department of orthopaedic surgery in the Ewha Womans University Hospital. Thirty-three caces were internally fixated with the sliding-compression hip screws-plates(30), the Gamma interlocking intramedullary nails(2), the Rohs plate(1), and in three caces endoprosthetic or total hip replacement arthroplaties were performed.
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The Treatment in Infected Nonunion of Distal Femoral Fracture: Report of two cases
Jong Oh Kim, Yon Sik Yoo, Suk Ha Lee, Sung Jong Lee, Taek Sun Kim, Jae Ik Sim
J Korean Soc Fract 1994;7(1):161-166.   Published online May 31, 1994
DOI: https://doi.org/10.12671/jksf.1994.7.1.161
AbstractAbstract PDF
It is reported that infected pathological fracture of distal femur has a difficulty in treatment The difficulties lie in; choosing a internal fixator, adequate sequestrectomy of infected lesion, limb shortening, long duration of immobilizatlon. We uses the external fixator in treatment of distal femoral fracture because it needs less devices in fracture site than the internal fixator, and it could get a rigid fixation. we uses the Ilizarov apparatus. The merits of Ilizarov are, early weight bearing; limb lengthening and easy compression and distraction. The one case in which limb length discrepancy is occured, is peformed by limb lengthening. In this study, we are going to argue about the two cases, of infected non-unlon of distal femoral fixation comparing with one another.
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A clinical analysis on the treatment for nonunion of the femoral shaft fracture
Moo Kyu Kim, Taik Seon Kim, Suk Wha Lee, Jong Oh Kim, Jai Ik Shim
J Korean Soc Fract 1993;6(1):146-154.   Published online May 31, 1993
DOI: https://doi.org/10.12671/jksf.1993.6.1.146
AbstractAbstract PDF
No abstract available.

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  • Cause and Treatment of the Nonunion of Femoral Shaft Fracture after Interlocking Intramedullary Nailing
    Sung-Soo Kim, Sung-Keun Sohn, Chul-Hong Kim, Myung-Jin Lee, Lih Wang
    Journal of the Korean Fracture Society.2007; 20(2): 141.     CrossRef
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The treatment of non union of humeral shaft 9 cases report
Young Kee Koh, Taik Keun Ahn, Jong Oh Kim, Taik Seon Kim, Jai Ik Shim
J Korean Soc Fract 1992;5(1):90-97.   Published online May 31, 1992
DOI: https://doi.org/10.12671/jksf.1992.5.1.90
AbstractAbstract PDF
No abstract available.
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A clinical study of acromioclavicular separation treated withoperative method
Yong Chan Lim, Jong Oh Kim, Taek Keun Ahn, Taek Sun Kim, Jae Ik Shim
J Korean Soc Fract 1992;5(1):7-13.   Published online May 31, 1992
DOI: https://doi.org/10.12671/jksf.1992.5.1.7
AbstractAbstract PDF
No abstract available.
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Clinical study of femoral neck fracture treatment is delayed more than 7 days
Dong Ki Lee, Taik Keun Ahn, Jong Oh Kim, Taik Seon Kim, Jai Ik Shim
J Korean Soc Fract 1991;4(2):243-247.   Published online November 30, 1991
DOI: https://doi.org/10.12671/jksf.1991.4.2.243
AbstractAbstract PDF
No abstract available.
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A case study on primary total hip replacement for the subtrochanter ic fracture associated with flexon contracture and ankylosing hip
Jang Jung Kim, Taik Keun Ahn, Jong Oh Kim, Taik Seon Kim, Jae Ik Shim
J Korean Soc Fract 1991;4(2):293-297.   Published online November 30, 1991
DOI: https://doi.org/10.12671/jksf.1991.4.2.293
AbstractAbstract PDF
No abstract available.
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Tension Band Wiring with Anchoring Screw in Medial Malleolar Fracture
Young Won Rho, Taik Keun Ahn, Jong Oh Kim, Taik Seon Kim, Jai Ik Shim
J Korean Soc Fract 1990;3(2):247-251.   Published online November 30, 1990
DOI: https://doi.org/10.12671/jksf.1990.3.2.247
AbstractAbstract PDF
Since development of sports and leisure, ankle fracture occurs frequently. The goal of treatment of ankle fracture is anatomic restoration of ankle joint. With introduction of tension band wiring technique by A-O group, this technique was used popularly. The authors reported 15 cases of medial malleolar fracture in which patients were treated by tension band wiring with anchoring of screw instead of primary osseous tunnel, from September 1987 to August 1989. The advantage of modified tension band wiring technique is shortening of operative time and simplicity of technique.
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A Clinical Analysis of Supracondylar and Intercondylar Fracture of the Femur
Chang Mu Yu, Jong Oh Kim, Dong Woo Chang, Taik Seon Kim, Jai Ik Shim
J Korean Soc Fract 1989;2(2):246-254.   Published online November 30, 1989
DOI: https://doi.org/10.12671/jksf.1989.2.2.246
AbstractAbstract PDF
The treatment of supracondylar and intercondylar fracture of femur has been controversial due to its anatomical characteristics and potential complications. We analyzed 27 cases of supracondylar and intercondylar fracture of femur in the Department of Orthopaedic Surgery in Korea Veterans Hospital from Jan. 1983 to Sep. 1988. The results were as follows. 1. The prevalent age distribution were 3rd, 5th and 8th decades(63.2%). 2 The most common cause of injury was traffic accident(48.2%). 3. Fifteen out of nineteen cases treated by anatomical reduction with figid internal fixation achieved satisfactory results(78.9%). 4. Four out of eight cases treated by conservative method achieved satisfactory results(50.0%). 5. The main complications were infection(22.2%), posttraumatic arthritis(2.2%) and malunion(11.1%). 6. The result of treatment depend largely on anatomical reduction, rigid internal fixation and early joint motion.
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