Journal of Musculoskeletal Trauma

The Complications during Treatment of Femoral Neck Fracture in Children - Coxa Vara, SCFE and Avascular Necrosis: Myung Rae Cho, Won Jae Song, Jeong Hwan Son, Jeong Ho Park; J Korean Soc Fract 2002;15(1):1-6. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.1

Abstract PDF: Femur neck fractures in children are relatively rare by comparison with the incidence in adults and can occur by high-energy trauma. The common complications of femoral neck fracture are avascuar necrosis, coxa vara, premature physeal closure and nonunion. The femoral neck fracture by traffic accident in 7-years-old girl was reduced closely and fixed internally. After 1 year later, varus deformity, slipped capital femoral epiphysis and avascular necrosis occurred. Valgus osteotomy and epiphysiodesis were done. There are many series of complications after femoral neck fractures in children, but the case followed by varus deformity, slipped capital femoral epiphysis and avascular necrosis as complications is rare. We report the clinical and radiologic finding of this case with pertinent literature.

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Case-control study of risk factors of fracture due to osteoporosis: JiJae Do Kang, Hyung Chun Kim, Chi Wook Kyoung, Hyun Chul Seo; J Korean Soc Fract 2002;15(1):7-14. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.7

OBJECTIVES
In the recent years, osteoporosis and fracture with osteoporosis is growing due to increasing of old people. In case of fracture with osteoporosis, there is much socio-economic loss adding to the disability of patients. Prevention of osteoporosis and Fracture is more economic and more effective than treatment after occuring fracture. Study of risk factor of increasing fracture is meaningful. And the investigation of these factors, contributed to fracture can be used as milestone for prevention of fracture.
METHOD
Case-control study was done with the patients(191 case) who examined BMD (DEXA). Cases were divided into two group; one was fracture group(39 cases) and the other was non-fracture group(152 cases). Then weight, height, age, and BMD known asthe risk factors of the osteoporotic fractures were investigated and analyzed.
RESULT
1. Non-fracture group showed high score than fracture group in weight, height and BMI, but there were no statistical differences. 2. Age of fracture group was higher 10 years more than that of non-fracture group and there were significant statistical differences. 3. The extent of osteoporosis was inversly proportional to age, but proportional to weight and height. 4. There were significant differences between fracture and non-fracture group in BMD, and after correction of age & BMI, significantly different in L1 and L3 vertebrae.
CONCLUSION
We suggest that BMD, age, weight, height and BMI have many influences on the fracture prevalence, the study for the effect of the various risk factorswill contribute to the prevention of the fracture.

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Treatment with Modified Steinmann Pins and Tension Band Wiring Technique in Proximal Humeral Comminuted Fractures with Osteoporosis
Soo-Tai Chung, Joo-Hak Kim, Hyung-Soo Kim, Sang-Joon Park
Journal of the Korean Fracture Society.2007; 20(2): 184. CrossRef
Decreased Bone Mineral Density and Fractures in Low-Income Korean Women
Kyunghee Yang, Beverly J. McElmurry, Chang G. Park
Health Care for Women International.2006; 27(3): 254. CrossRef

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The Angulation as to the Location of the Lag Screw of Compression Hip Screw in the Intertrochanteric Fracture of the Hip: Sang Won Park, Kwang Jun Oh, Seung Yong Wang; J Korean Soc Fract 2002;15(1):15-20. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.15

Abstract PDF: PURPOSE
The purpose of this study was to evaluate the change of the angulation deformity according to apposition of medial cortex and sliding mechanism as to the location of the lag screw in the intertrochanteric fracture of the Korean femur which neck-shaft angle is relatively small .
MATERIALS AND METHODS
We selected the patients those angulation of femur neck-shaft was within 5 degree in comparison with normal side, and displacement of fracture fragment was within 4mm on the immediate post-operative radiograph. According to Evans classification, all patients were type I fracture. We classified the patients in two groups -stable medial cortex apposition(Group I) was 13 cases, and unstable no apposition(Group II) was 16 cases.
RESULTS
In the Group I, the varus-valgus angulation was average 3.3 degrees when lag screw was positioned at the middle of the femur neck, average 3.6 degrees when lag screw was positioned at the inferior to the femur neck. In the Group II, the varus-valgus angulation was average 6.1 degrees when lag screw was middle of the femur neck, average 1.5 degrees when lag screw was inferior to the femur neck.
CONCLUSION
There is no difference in angulation deformity when the lag screw is inferior or middle of femur neck if medial cortex is contacted, but the angulation deformity is less when the lag screw is inferior to femur neck if medial cortex is not contacted, in intertrochanteric fracture.

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Treatment of Distal Clavicle Fractures with Coracoclavicular ligament Injury: Nam Yong Choi, Suk Ku Han, Seong Jin Park, Ki Ho Na, Young Hun Kim, Hyun Seok Somg, Yong Jin Kwon; J Korean Soc Fract 2002;15(1):21-27. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.21

Abstract PDF: PURPOSE
To evaluate the radiological and clinical results of the treatment of distal clavicular fractures with coracoclavicular ligament injury by coracoclavicular fixation with plating or repair of coracoclavicular ligament.
MATERIALS AND METHODS
Sixteen cases with minimum six months of follow-up were included in our study. Male was twelve and average age was 43(28-80). Ten cases of Craig type 2 were treated with coracoclavicular screw fixation with plating. Six cases of Craig type 5 were treated with coracoclavicular screw fixation with repair of coracoclavicular ligament. The radiologic assessment including coracoclavicular distance and union time and the clinical assessment including range of motion and degree of pain were evaluated.
RESULTS
Fifteen cases were united, but one case developed osteomyelitis and nonunion. Full range of motion was achieved in fifteen cases at last follow-up. Average coraco- clavicular distance compared to contralateral site in AP view was 2.1 mm increase in patients with plate fixation and 1.3 mm increase in patients with ligament repair. Average union time was 14.3 weeks and little differenece was noted between two groups(P>0.05).
CONCLUSION
Coracoclavicular screw fixation with plating or repair of coracoclavicular ligament were a useful method to treat distal clavicular fractures combined with coracoclavicular ligament injury.

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Limb Salvage versus Early Amputation according to Mangled Extremity Severity Score in Treatment of the Lower Extremity Open Fractures associated with Severe Soft Tissue Injury: Kyung Jin Song, Yong Min Kim, Kyung Rae Lee; J Korean Soc Fract 2002;15(1):28-35. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.28

Abstract PDF: PURPOSE
To evaluate the availability of the mangled extremity severity score(MESS) in deciding the early treatment modality for the patients with open lower extremity fractures and severe soft tissue injury.
MATERIALS AND METHODS
Analyzed 27 patients for the lower extremity open fractures with extensive soft tissue injury. A comparative study using a MESS, a cause of injury, vascular injury and a fracture pattern, average hospital stay and average hospital charges were analyzed, and daily living ability and subjective self-evaluation were assessed.
RESULTS
There was statistically significant correlation applying MESS to patient group that had been operated by early amputation because of severe soft tissue and vascular injury. But there was no significant difference in the subjective self-assessment score, admission period and total cost during admission between each treatment method.
CONCLUSION
MESS can be used as an objective assessment criteria in deciding the proper treatment modality for the cases of lower limbs fracture with extensive soft tissues and vascular injury.

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Treatment of Femoral Shaft Fractures with External Fixators in Children: Ha Yong Kim, Jong Hyun Park, Seung Hun Lee, Kap Jung Kim, Kwang Won Lee, Byung Sung Kim, Won Sik Choy; J Korean Soc Fract 2002;15(1):36-44. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.36

Abstract PDF

PURPOSE
This study was to assess the amount of overgrowth and convenience after external fixation of pediatric femoral fracture.
MATERIALS AND METHODS
Followed-up more than 18 months were 20 childrens treated with external fixator for femoral fracture(mean follow-up periods: 25.5 months). Mean age was 7.15 years(range: 4-11 years). End to end apposition was done on the closed reduction. Evaluation of the result was done with five parameters; clinical results, radiological results, parents`satisfaction with questionnaire, hospital fee and complications.
RESULTS
Clincal results were not any disability in all cases. No angulation deformity was estimated in all cases, and overgrowth was estimated average 4.8mm (range: -1 ~ 13mm). Answer for questionnaire was revealed satisfactory result. Total hospital fee was average 831 thousand won in external fixator group, and average 289 thousand won in treated group with cast.
CONCLUSION
We propose that external fixation in closed femoral shaft fractures of children could be a rational alternative mode of therapy, because it has excellent clinical & radiological results and parents were satisfied with its convenience & final results. Total hospital fee was statistically higher in external fixator group.

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Comparison of Flexible Intramedullary Nailing with External Fixation in Pediatric Femoral Shaft Fractures
Do-Young Kim, Sung-Ryong Shin, Un-Seob Jeong, Yong-Wook Park, Sang-Soo Lee, Keun-Min Park
The Journal of the Korean Orthopaedic Association.2008; 43(1): 30. CrossRef
WDM-PON upstream transmission using Fabry–Perot laser diodes externally injected by polarization-insensitive spectrum-sliced supercontinuum pulses
Yang Jing Wen, Chang-Joon Chae
Optics Communications.2006; 260(2): 691. CrossRef

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Operative Treatment of Open Tibial Fracture: Kyung Jin Song, Sun Woong Jang; J Korean Soc Fract 2002;15(1):45-51. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.45

Abstract PDF: PURPOSE
The purpose of the present study was to clarify the contributing factors, such as the method of fracture stabilization, type of internal fixation and the deep infection rate(DIR) in the treatment of open tibial fractures. MATERIAL AND METHODS: We made a retrospective study of these 87 open tibial fractures treated with various fixation method. Patients were divided into immediate internal fixation(IIF) group, delayed internal fixation(DIF) group and external fixation(EF) groups. Fixation methods, deep infection rate related with fixation devices and time to bone union were compared and anaylzed according to the Gustilo`s classification.
RESULTS
The mean time to union in open type I, II, IIIa, IIIb, and IIIc was 5.7 months, 8.6 months, 7.1 months, 9.7 months, and 18.0 month respectively. The mean time to union in group IIF, DIF1, DIF2 and EF was 7.2 months, 8.1 months 5.5 months, and 10.7 months and 13.1 months. The mean time to union of group using a interlocking IM nailing, plate and screws, and external fixator was 6.3 month, 6.9 months, and 10.6 months. SUMMARY: We concluded that there is an advantage of immediate internal fixation over external fixation in the prevention of infection and promotion of fracture healing in the treatment of open tibia fractures. Immediate internal fixation could be recommended for type I, II, IIIa and some cases of IIIb open tibia fracture.

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A Comparision of Treatment of Broad DCP and Narrow DCP Fixation of the Humerus Shaft Fractures: S W Suh, I J Chae, W N Moon, J H Park, J S Hong, I C Choi; J Korean Soc Fract 2002;15(1):52-58. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.52

Abstract PDF

We compared the clinical and radiologic outcomes between broad DCP and narrow DCP for humeral shaft fractures requiring operative intervention. Authors analyzed 21 cases of the humeral shaft fracture in adults treated between May 1993 to August 1998. 12 patients were treated with broad DCP fixation, and 9 another patients were treated with narrow DCP fixation. Average follow-up time was two year and seven months( at least 2years). There was no difference in terms of average time to nuion in both groups(p>0.05). In the broad DCP group, clinical union was accomplished at 8.5weeks and the mean radiological union at 14.6weeks, while in narrow DCP group, the clinical union at 8.7weeks and the radiological union at 15.3weeks. In our study, narrow DCP fixation is preferred for the humeral shaft fracture requiring internal fixation, without wide soft tissue dissection.

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New mini-invasive posterior approach for humerus plating
Mohamed Ali
European Orthopaedics and Traumatology.2015; 6(3): 189. CrossRef

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Comparison of Surgical Treatment for Acromioclavicular Joint Dislocation: Tae Woo Park, Sung Do Cho, Yong Sun Cho, Bum Soo Kim, Sogu Lew, Jong Ken Woo; J Korean Soc Fract 2002;15(1):59-64. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.59

Abstract PDF: PURPOSE
To evaluate the result of modified Bosworth method augmented with Mersilene tape(MBM) compared with modified Bosworth method(MB).
MATERIALS AND METHODS
Thirty two acromiclavicular dislocation wrer treated with MB(15cares) or MBM(17 cases) and the mean follow up period was 26 months(12-43 months). We assessed the radiological and clinical evaluation(X-Ray & Weitzman Criteria) and complications.
RESULTS
Twenty nine cases(91%)(MB 13, MBM 16) were "excellent" or "good" according to the Weitzman criteria. At last follow-up, mean difference of the coracocalvialar distance between the normal and the injured site were 1.9mm(MB) and 1.6mm(MBM) and two ceses were developed the arthritis, and then performed the distal clavicle resection.
CONCLUSION
Modified Bosworth method augmented with Mersilene tape is a good option for acromioclavicular dislocation in stabilizing the joint, even if the screw loosening occurs with early postoperative ROM.

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Impacted Cancellous Allograft and Valgus Fixation of Intertrochanteric Fracture Nonunion: Soon Yong Kwon, Young Kyun Woo, Jong Min Sohn, Jin Hwa Chung, Jung Ho Lee, Yong Sik Kim; J Korean Soc Fract 2002;15(1):65-71. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.65

Abstract PDF: PURPOSE
The aim of this study was attempted to evaluate the effects of impacted cancellous allograft and valgus fixation in the management of nonunion of intertrochanteric fracture of the femur.
MATERIALS AND METHODS
Between June 1995 and October 1999, 5 patients, ranging from 38 to 75 years of age, with nonunion of femoral intertrochanteric fracture, whose primary treatment had been done with compression hip screws, were treated with impacted cancellous allograft and valgus fixation RESULTS: After follow-up from 13 months to 24 months, among the 5 cases, 4 cases resulted in the union in a mean time of 16 weeks, improvement of LLD in a mean length of 0.8cm and good function of abduction, but 1 case resulted in nonunion, followed by total hip arthroplasty.
CONCLUSION
For patients with nonunion of femoral intertrochanteric fracture, impacted cancellous allograft and valgus fixation provide a good result of union.

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Intertrochanteric fracture associated with posterior hip dislocation: Do Hyun Moon, Jang Seok Choi, Ki Tae Kim; J Korean Soc Fract 2002;15(1):72-76. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.72

Abstract PDF: Femoral head fracture associated with posterior dislocation of the hip had been considered a rare industrial injury. However, with advances in high-speed travel its incidence increased. Previously, intertrochanteric fractures associated with posterior dislocation of hip had not been reported. Here, we report on cases of intertrochanteric fracture associated with posterior dislocation of the hip.

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Traumatic Bladder Rupture in Pelvic Fracture - Case Report: Soon yong Kwon, Woung Kyun Woo, Hwa Sung Lee, Jong Chul Kim, Yong Sik Kim; J Korean Soc Fract 2002;15(1):77-81. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.77

Abstract PDF: Pelvic fracture and bladder rupture resulted in bladder wall entrapment in the fracture site of a patient involved in a fall down accident. Although hematuria and bladder rupture are known to occur after fracture of the pelvis, our literature review showed no reports of this type injury or management. Abscess was drainaged and sepsis was managed with fluid and antibiotics treatment. Bladder extravasation was managed with primary repair and surgical extraction of catheter drainage. We report a case of a patient who presented with traumatic bladder rupture in pelvic fracture.

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Supracondylar Fracture of the Humerus in a Hemophiliac with Antibodies to Factor VIII - A Case Report: Duk Hwan Kho, Dong Heon Kim, Kyou Hyeun Kim, Sin Woo Lim; J Korean Soc Fract 2002;15(1):82-86. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.82

Abstract PDF: Fractures in hemophiliacs with antibodies to factor VIII are very rare, and the presence of antibodies to factor VIII in the patient`s blood makes antihemophilic replacement therapy and operative treatment extremely difficult. We treated one case of supracondylar fracture of the humerus in hemophiliac with antibodies to factor VIII surgically and present that case with a review of the literature.

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Operative Treatment of Tibial Plateau Fractures - Analysis of the factors affecting to the clincal results: Byeong Yeon Seong, Wan Soo Park, Sang Yul Shin, Yuen Ki Woo, Taek Geon Lee, Man Jae Park, Seung Ki Lee; J Korean Soc Fract 2002;15(1):87-96. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.87

Abstract PDF: PURPOSE
The purpose of this study was to evaluate the relationship between variable factors and clinical results following the operative treatment of the tibial plateau fractures.
MATERIALS AND METHODS
The clinical and radiological analysis was performed on 29 cases of the tibial plateau fractures who had been treated with operative treatment and followed up for more than 1 year from January 1991 to December 1997. The analysis of clinical results was performed dividing into age, cause of injury, fracture type of Schatzker classification, associated soft tissue injury and method of operative treatment.
RESULTS
18 of 19 cases that were ranged of ages between 30 years and 59 years showed good clinical results as criteria of Blokker. Schatzker type II was noted 11 cases(37.9%) as most common. 13 of 14 cases of the type I,II and III, were showed good clinical results, compare to 10 of 15 cases of the type IV,Vand VI. 12 of 18 cases which were related with associated soft tissue injuries, were showed good clinical results.
CONCLUSION
We could expect good clinical results if early knee joint mobilization following open reduction and rigid internal fixation could be obtained. Factors affecting clinical results are age, type of fracture, associated soft tissue injuries. Bad clinical results were related with young age group under 30 and over 60, more than Schatzker classification type IV of high energy trauma and associated injury of anterior cruciated ligment or meniscus.

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