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Volume 20(1); January 2007
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Original Articles
Treatment of Displaced Intra-articular Calcaneal Fractures Using a F-plate
Kyu Hyun Yang, Jae Bong Chung, Han Kook Yoon, Si Young Park, Hang Seob Yoon
J Korean Fract Soc 2007;20(1):1-5.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.1
AbstractAbstract PDF
PURPOSE
To evaluate the clinical efficacy of F-plate in displaced intra-articular fractures of calcaneus.
MATERIALS AND METHODS
Total 43 cases treated with F-plate and followed up at least six months postoperatively were reviewed. Radiographically, Böhler angle was measured and all cases were subdivided by Sanders classification. Each case was reviewed for the presence of local infection, traumatic arthritis, nonunion, and any breakage of plate or screw. Maryland foot score was used for clinical assessment and factors influencing on clinical results were determined.
RESULTS
The mean Böhler angle was improved from 0.5° (range: -24.7~35.5°) preoperatively to 25.8° (range: 14.2~38.6°) postoperatively and the angle at last follow-up was 23.5° (range: 10.2~37.5°), showing about 2.3 degree decline compared to postoperative Böhler angle. There were two cases of F-plate breakage and two cases of screw breakage but the metal breakage did not affect any change in Böhler angle. Other complications were; five cases of traumatic arthritis, one case of varus malunion and one case of deep wound infection. According to Maryland foot score, there were 10 excellent, 22 good, 10 fair and 1 poor result. Furthermore, Age, pre-operative Böhler angle and the patient's expectation on financial compensation had significant influences upon the clinical result.
CONCLUSION
F-plate fixation seems to yield firm fixation and satisfactory clinical results in the treatment of displaced intra-articular fractures of calcaneus.

Citations

Citations to this article as recorded by  
  • Clinical and Radiological Outcomes of ‘Blocking Kirschner Wire Technique’ in Displaced Intra-Articular Calcaneal Fractures via the Extended Sinus Tarsi Approach
    Jeong-Kil Lee, Chan Kang, Sang-Bum Kim, Gi-Soo Lee, Jung-Mo Hwang, Byung-Kuk An
    Journal of the Korean Orthopaedic Association.2021; 56(3): 224.     CrossRef
  • Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture
    Myung Jin Lee, Sung Keun Sohn, Kyu Yeol Lee, Sung Soo Kim, Min Soo Kang, Hyeon Jun Kim, Sang Kyu Sun
    Journal of the Korean Fracture Society.2010; 23(3): 303.     CrossRef
  • Intra-articular Calcaneal Fractures Treated with Open Reduction and Internal Fixation -A Comparative Study between Groups with and without Bone Graft-
    Hong Moon Sohn, Sang Ho Ha, Jun Young Lee, Sung Hwan Jo, Hoon Yang
    Journal of the Korean Fracture Society.2010; 23(2): 180.     CrossRef
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Comminuted Pilon Fractures: Comparative Outcome Analysis according to Surgical Techniques
You Jin Kim, Hong Geun Jung, Joo Hong Lee, Woo Sup Byun, Sung Tae Lee
J Korean Fract Soc 2007;20(1):6-12.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.6
AbstractAbstract PDF
PURPOSE
To evaluate the overall surgical outcome of the tibial pilon comminuted fractures and perform the comparative analysis between the limited internal fixation-external fixation group and the delayed open reduction-internal fixation (ORIF) group.
MATERIALS AND METHODS
From June 1997 to June 2004, 17 tibial pilon comminuted fractures were treated with the limited internal fixation-external fixation (6 cases) or the delayed open reduction-internal fixation (11 cases). The average age of the patients was 47.7 years (range: 41~63 years), male was fourteen patients, female was three. Follow-up period was average 33.6 months (range: 12~84 months). The clinical outcomes were evaluated by using AOFAS ankle-hindfoot score and patient satisfaction was also evaluated.
RESULTS
AOFAS score at final follow-up was 80.4 points, and 88% of the patients were satisfied with the results. AOFAS scores of the external fixation group and the delayed ORIF group were average 77.0 points and 82.2 points respectively, which did not show the statistical difference (p>0.05). Bony union was achieved at average 16.0 weeks. There were 18 complications such as skin necrosis.
CONCLUSION
We have achieved relatively encouraging functional results and high patient satisfaction for pilon comminuted fractures, without significant result difference between the two surgical techniques.

Citations

Citations to this article as recorded by  
  • The Result of Using an Additional Mini-Locking Plate for Tibial Pilon Fractures
    Suenghwan Jo, Jun Young Lee, Boseon Kim, Kang Hyeon Ryu
    Journal of the Korean Fracture Society.2017; 30(2): 75.     CrossRef
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Interlocking Intramedullary Nail in Distal Tibia Fracture
Oog Jin Shon, Sung Min Chung
J Korean Fract Soc 2007;20(1):13-18.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.13
AbstractAbstract PDF
PURPOSE
To evaluate the effectivity of interlocking intramedullary nailing for distal tibia fracture and prognostic factor to bone healing.
MATERIALS AND METHODS
From April 2000 to June 2005, 21 cases who had distal tibia fracture were treated by interlocking intramedullary nail were analyzed. The duration of follow-up was more than 1 year. We evaluated clinical results by IOWA ANKLE rating system and union time by simple X-ray. Furthermore, we estimated prognostic factor to union time.
RESULTS
The bone union was achieved at average 18.5 weeks. At the last follow-up, there was no non-union and infection. Average IOWA ANKLE rating score was 91.3 point. The union time was delayed in open and segmental fracture at initial fracture. And severe soft tissue injury in open fracture revealed bad result.
CONCLUSION
We concluded that interlocking intramedullary nail is effective method for treatment of the distal tibial fractures. And, adequate soft tissue management is important to bone healing and clinical outcome.

Citations

Citations to this article as recorded by  
  • Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures
    Jung-Han Kim, Heui-Chul Gwak, Chang-Rack Lee, Yang-Hwan Jung
    Journal of Korean Foot and Ankle Society.2015; 19(3): 86.     CrossRef
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Treatment of High-energy Distal Tibia Intraarticular Fractures with Two-staged Delayed Minimal Invasive Plate Osteosynthesis
Hong Moon Sohn, Jun Young Lee, Sang Ho Ha, Jae Won You, Sang Hong Lee, Kwang Chul Lee
J Korean Fract Soc 2007;20(1):19-25.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.19
AbstractAbstract PDF
PURPOSE
To evaluate the short-term results of two-staged delayed minimal invasive plate osteosynthesis in high-energy intraarticular fractures of the distal tibia.
MATERIALS AND METHODS
Thirteen patients, who underwent two-staged delayed minimal invasive plate osteosynthesis for intraarticular fractures of the distal tibia between January 2002 and July 2004, were followed for more than one year. The mean interval time between first stage and second stage of the procedures was 28.6 days (range, 14~34 days). By Ruedi-Allgower classification, there were two cases in type I, three cases in type II, and eight cases in type III. There were six cases in type B and seven cases in type C patients according to AO/OTA classification. Radiographs were graded by the criteria of Burwell and Charnley and ankle functions were graded by the criteria of Mast and Teipner. Union time and postoperative complications were also analysed.
RESULTS
Average union time was 16.9 weeks (range, 14~20 weeks) in twelve of the thirteen fractures, but there was one fracture resulting in soft tissue complication and infected nonunion. At the latest follow-up, review of the radiographic results showed that ten cases of fractures (77%) achieved an anatomic reduction, two cases (15%) achieved fair reduction and one case (8%) achieved a poor reduction. And clinical functional assessment showed that nine cases (69%) were good results, three cases were (23%) fair results and one case (8%) was poor result.
CONCLUSION
Two-staged delayed minimal invasive plate osteosynthesis is an excellent option for the treatment of high-energy intraarticular fractures of the distal tibia.

Citations

Citations to this article as recorded by  
  • Staged Minimally Invasive Plate Osteosynthesis of Distal Tibial Fractures
    Sung-Ki Park, Chang-Wug Oh, Jong-Keon Oh, Kyung-Hoon Kim, Woo-Kie Min, Byung-Chul Park, Won-Ju Jeong, Joo-Chul Ihn
    Journal of the Korean Fracture Society.2010; 23(3): 289.     CrossRef
  • The Comparison of Minimally Invasive Plate Osteosynthesis and Intramedullary Nailing in the Treatment of the Proximal and Distal Tibia Fracture
    Joon Soon Kang, Seung Rim Park, Sang Rim Kim, Yong Geun Park, Jae Ho Jung, Sung Wook Choi
    Journal of the Korean Fracture Society.2010; 23(2): 172.     CrossRef
  • Two-staged Delayed Minimally Invasive Percutaneous Plate Osteosynthesis for Distal Tibial Open Fractures
    Jung Hwan Yang, Seok Hyun Kweon, Jeung Woo Kim, Jin Young Park, Hyun Jun Kim, Chul Min Lim
    Journal of the Korean Fracture Society.2008; 21(1): 24.     CrossRef
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Treatment of Acetabular Column Fractures with Limited Open Reduction and Screw Fixation
Jung Jae Kim, Hyoung Keun Oh, Sung Yoon Kim
J Korean Fract Soc 2007;20(1):26-32.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.26
AbstractAbstract PDF
PURPOSE
To evaluate the results of limited open reduction and screw fixation of acetabular fractures.
MATERIALS AND METHODS
Six acetabular fractures were treated with fluoroscopic guided screw fixation. The mean age was 46 years old and mean follow-up period was 18 months. There were 3 anterior column fractures, 2 transverse fractures and 1 both column fracture. Anterior column screw fixation was used in 5 cases and posterior column fixation in 1 case. Limited ilioinguinal approach was used in 4 cases and percutaneous screw fixation in 2 cases.
RESULTS
The mean union time was 16.6 weeks. The postoperative radiographic results revealed 2 cases with an anatomic reduction and 4 cases with an imperfect reduction. The clinical results showed 1 case with excellent, 4 cases with good and 1 case with fair. Regarding complication, there was 1 case of SI joint penestration without clinical symptoms.
CONCLUSION
Limited open reduction and screw fixation can be a useful alternative treatment for acetabular fractures in patients with minimally displaced fracture, severe multisystem trauma and soft tissue injury not suitable to traditional treatment.
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Complications of Femoral Pertrochanteric Fractures Treated with Proximal Femoral Nail (PFN)
Kee Byoung Lee, Byung Taek Lee
J Korean Fract Soc 2007;20(1):33-39.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.33
AbstractAbstract PDF
PURPOSE
We analyzed the complications of femoral pertrochanteric fractures treated with proximal femoral nail (PFN®) to reduce the its complications.
MATERIALS AND METHODS
We evaluated the complications among 198 patients who were treated with PFN® from June 2001 to August 2005 in our hospital.
RESULTS
The complications were presented in 28 cases (14.1%). Cut-out of lag screw was in 1 case, cut-out of lag screw and antirotation screw were in 3 cases, cut-out of antirotation screw in 3 cases, of these femoral head fracture was in 1 case. Femoral neck fracture in 1 case, Osteonecrosis of femoral head in 1 case, cortical fracture during the insertion of distal interlocking screw in 1 case, breakage of drill bit intraoperatively in 1 case, fibrous union in 2 case, thigh skin irritation due to screw back-out in 3 cases, periprosthetic fractures in 2 cases, varus collapse more than 10 degrees in 4 cases, superficial and deep infections in 3 cases, breakage of nail in 1 case, varus collapse after PFN removal in 1 case, persistent thigh pain in 1 case. Of all these cases, 9 cases (4.5%) were required reoperation with general or spinal anesthesia. Complications related with screws or fracture reduction were 19 cases (9.6%) and, of these, 17 cases (89.5%) showed increased TAD (tip apex distance) or nonanatomical reduction.
CONCLUSION
To reduce the complications of PFN®, we need to exact surgical technique and anatomical reduction and consider the modification of implant design to prevent of cut-out of screws.

Citations

Citations to this article as recorded by  
  • Proximal Femoral Nail Mechanical Failure: A Case Report and Biomechanical Study
    Dimitrios Papanikolopoulos, Christos Kalligeros, Apostolos Polyzos, Vasileios Spitas, Vasileios Soranoglou
    Cureus.2022;[Epub]     CrossRef
  • Clinical and radiological outcomes of patients treated with the talon distalfix proximal femoral nail for intertrochanteric femur fractures
    Furkan Yapici, Hanifi Ucpunar, Yalkin Camurcu, Necati Emirhan, Oguzhan Tanoglu, Ismail Tardus
    Injury.2020; 51(4): 1045.     CrossRef
  • Implant Fracture Analysis of the TFNA Proximal Femoral Nail
    Anton Lambers, Bertram Rieger, Alan Kop, Peter D’Alessandro, Piers Yates
    Journal of Bone and Joint Surgery.2019; 101(9): 804.     CrossRef
  • Radiographic Outcomes of Osteosynthesis Using Proximal Femoral Nail Antirotation (PFNA) System in Intertrochanteric Femoral Fracture: Has PFNA II Solved All the Problems?
    Won Chul Shin, Jung Dong Seo, Sang Min Lee, Nam Hoon Moon, Jung Sub Lee, Kuen Tak Suh
    Hip & Pelvis.2017; 29(2): 104.     CrossRef
  • Avascular necrosis of the femoral head following trochanteric fractures in adults: A systematic review
    Antonio Barquet, Gabriel Mayora, Joao Matheus Guimaraes, Roberto Suárez, Peter V. Giannoudis
    Injury.2014; 45(12): 1848.     CrossRef
  • Anatomical Measurement of Normal Korean Proximal Femur Using Plain Radiography: A Problem when using Proximal Femoral Nail Anti-rotation
    Jong-Seok Park, Woo-Jong Kim, Jae-Wan Soh, Byung-Woong Jang, Tae-Heon Kim, You-Sung Suh
    Hip & Pelvis.2011; 23(4): 303.     CrossRef
  • PFNA and PFN in Intertrochanteric Fractures - Comparison Study of Sliding -
    Suk Kyu Choo, Hyoung Keun Oh, Jun Young Choi
    Hip & Pelvis.2010; 22(1): 79.     CrossRef
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Treatment of Intertrochanteric Fracture with Proximal Femoral Nail
Dae Joong Kim, Sung Chan Ki, Young Yool Chung
J Korean Fract Soc 2007;20(1):40-44.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.40
AbstractAbstract PDF
PURPOSE
To evaluate the efficacy of proximal femoral nail for intertrochanteric fracture.
MATERIALS AND METHODS
From June 2001 to March 2005, 45 intertrochanteric fractures were treated with a proximal femoral nail for intertrochanteric fracture and followed-up at least one year. The average age was 71.3 years (34~91 years). The causes of fracture were slip down in 38 cases and fall down in 7 cases. Fractures were classified with AO classification; 20 cases in type A1, 22 cases in type A2 and 3 cases in type A3. Antirotational pin was used in 25 of 45 fractures according to fracture stability. Radiological result was determined with a union. Walking ability was evaluated in the last follow-up.
RESULTS
The fractures were fixed in anatomical position in 36 cases, in valgus position in 3 cases and varus position in 6 cases. Union was occurred in 43 of 45 cases. The sliding distance of lag screw was an average of 5.63 mm and it had no association with fracture type, TAD, usage of antirational screw, usage of distal screw and BMD. Twenty-six of 45 patients (57.7%) were recovered to pre-injury state of walking ability. Complications were occurred in 3 patients (6%).
CONCLUSION
Proximal femoral nail was a useful instrument for all type intertrochanteric fractures, but antirotational pin was not necessary in the stable type A1 intertrochnatirc fractures.

Citations

Citations to this article as recorded by  
  • Cementless Bipolar Hemiarthroplasty for Unstable Intertrochanteic Fractures in the Elderly
    Byung-Hak Kim, Young-Yool Chung, Sung-Chang Ki, Dae-Hyun Yoon, Ji-Hoon Ryu
    Journal of the Korean Orthopaedic Association.2011; 46(5): 399.     CrossRef
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Open Intramedullary Nail with Tension Band Sutures & Lock Sutures on Proximal Humeral Three-part Fracture
Jin Oh Park, Jin Young Park, Sung Tae Lee, Hong Keun Park
J Korean Fract Soc 2007;20(1):45-52.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.45
AbstractAbstract PDF
PURPOSE
To evaluate the results according to the difference of age and bone mineral density (BMD) of the surgical treatments using open intramedullary nail with tension sutures and lock suture on proximal humeral three part fracture.
MATERIALS AND METHODS
30 patients treated by open intramedullary nail with tension band and lock suture technique on proximal humeral fractures were reviewed. After treatment, average follow up periods was 50 months (range; 17~143 month). Postoperative clinical outcome was evaluated using ASES functional score, Neer score and constant score.
RESULTS
Bony union were obtained all except one case. Range of motion, mean forward elevation was 142°, mean external rotation was 56°, mean external rotation at 90° abduction was 68°. Average pain score of visual analog scale was 1.5. Average functional score of American Shoulder and Elbow Society was 86. Average Neer score was 89. Constant score was 85. Pain and functional score of group I were better than those of group, however, there was no statistically significant difference (p>0.05). In the comparison between group III and group IV, the results were same (p>0.05).
CONCLUSION
The patients treated using open intramedullary nailing, tension band and lock suture could enable early ROM exercise and show good clinical results. This treatment method will be useful in old age osteoprorotic patients.

Citations

Citations to this article as recorded by  
  • Hemiarthoplasty with Bone Block Graft and Low Profile Prosthesis for the Comminuted Proximal Humerus Fractures
    Chung Hee Oh, Joo Han Oh, Sae Hoon Kim, Ki Hyun Jo, Sung Woo Bin, Hyun Sik Gong
    Journal of the Korean Fracture Society.2008; 21(3): 213.     CrossRef
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Result of Early Active Range of Motion Exercise after Bankart Repair of Traumatic Anterior Instability
Haeng Kee Noh, Jong Woong Park, Jung Il Lee, Jung Ho Park
J Korean Fract Soc 2007;20(1):53-57.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.53
AbstractAbstract PDF
PURPOSE
To evaluate prospectively the results of early active exercise after open Bankart repair of traumatic anterior shoulder instability.
MATERIALS AND METHODS
From January, 2001 to June, 2003, 26 patients who were followed up at least 1 year after open Bankart repair for traumatic anterior shoulder instability were evaluated. Average age was 23.9 years old (range, 19~43) with 24 males and 2 females. We evaluated them using the functional shoulder scores (modified Rowe score, ASES score), range of motion, VAS pain scale, patient's subjective satisfaction and return to unlimited daily living activity.
RESULTS
The shoulder functional scores increased significantly. At last follow up, the final range of motion were flexion in average 5° deficit in comparison to normal side, external rotation in average 10o deficit, and internal rotation in T9. The patient's subjective satisfaction was good in 2l patients (81%). Return to unlimited daily activity was possible in 23 patients (88.5%), and 19 patients (73%) rejoined to sports activity before injury. There were complications including anterior recurrent subluxation in 1 case, weakness of subscapularis muscle in 1 case.
CONCLUSION
In traumatic anterior shoulder instability, early active range of motion exercise after open Bankart repair does not decrease shoulder stability. Early exercise can be useful for returning to previous level of sports activity in young active patients.
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Treatment for the Supracondylar Fractures of the Distal Humerus with Cannulated Screw
Jin Soo Park, Young Khee Chung, Jung Han Yoo, Kyu Cheol Noh, Kook Jin Chung, Dong Nyoung Lee
J Korean Fract Soc 2007;20(1):58-63.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.58
AbstractAbstract PDF
PURPOSE
To evaluate the results of the treatment of the supracondylar fractures of the humerus according to the fixation methods with cannulated screw.
MATERIALS AND METHODS
Eight patients, aged 49 to 82 years (average, 65 years), were reviewed after a mean follow-up of 16 months (range, 12~24 months). According to AO classification all fractures were classified as type A2 (simple transverse supracondylar fracture). All patients underwent closed reduction. Percutaneous fixation with cannulated screws was performed in 8 patients. Three of 8 patients had associated medical problems and one patient had distal radius fracture. The functional results were assessed by the Mayo Elbow Performance Score.
RESULTS
Mean operation time was 59 minutes (45~75) and all the patients with cannulated screw fixation had bony union and were able to early ROM exercise. Mean ranges of motion was 5~120 degrees with excellent functional results. Functional evaluation of elbow joint by Mayo method showed mean value of 88 (75~95).
CONCLUSION
The cannulated screw fixation of supracondylar fracture of humerus, especially in the elderly aged group with medical disease had excellent functional results (rigid fixation & early ROM exercise) due to shortening of surgery time and anesthesic time, combined with decreased technical difficulties of the surgical procedure
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Bouquet Pin Intramedullary Nail Technique of the 5th Metacarpal Neck Fractures
Myung Ho Kim, Moon Jib Yoo, Jong Pil Kim, Ju Hong Lee, Jin Won Lee
J Korean Fract Soc 2007;20(1):64-69.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.64
AbstractAbstract PDF
PURPOSE
To evaluate radiologic and clinical results of bouquet pin intramedullary nail technique for the 5th metacarpal neck fracture.
MATERIALS AND METHODS
Between April, 2005 and February, 2006, 17 patients treated by bouquet pin intramedullary nail technique for the 5th metacarpal neck fracture were evaluated. All patients were reviewed clinically and radiologically after operation.
RESULTS
All of 17 cases of fractures were completely united. In the anteroposterior radiographs, the average of preoperative angulation was corrected from 34.4° to 5.2°. Also, in the oblique radiographs, radiographic results of angulation correction were satisfactory which was corrected from 44.2° to 11.7°. Although, the averages of difference between postoperative and final follow-up angulations were 1.5° in the anteroposterior radiographs and 0.9° in the oblique radiographs, they were not statistically different. All patients were excellent clinically except 1 patient who has moderate joint stiffness after operation.
CONCLUSION
Selecting of appropriate patients who is indicated, bouquet pin intramedullary nail technique for the 5th metacarpal neck fracture could be a good treatment method without complications.

Citations

Citations to this article as recorded by  
  • Percutaneous retrograde intramedullary single wire fixation for metacarpal shaft fracture of the little finger
    Soo-Hong Han, Seung-Yong Rhee, Soon-Chul Lee, Seung-Chul Han, Yoon-Sik Cha
    European Journal of Orthopaedic Surgery & Traumatology.2013; 23(8): 883.     CrossRef
  • Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
    Jae-Hak Jung, Kwan-Hee Lee, Yong-Ju Kim, Woo-Jin Lee, Sung-Hyun Choi
    Journal of the Korean Fracture Society.2012; 25(4): 317.     CrossRef
  • Antegrade Intramedullary Prebent K-wire Fixation for the 5th Metacarpal Neck Fracture
    Tae-Hyung Kim, Bo Hyeon Kim, In-Ho Jung, Dong-Hyun Kim
    Journal of the Korean Fracture Society.2011; 24(1): 67.     CrossRef
  • Percutaneous Retrograde Intramedullary Pin Fixation for Isolated Metacarpal Shaft Fracture of the Little Finger
    Soo Hong Han, Hyung Ku Yoon, Dong Eun Shin, Seung Chul Han, Young Woong Kim
    Journal of the Korean Fracture Society.2010; 23(4): 367.     CrossRef
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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
J Korean Fract Soc 2007;20(1):70-75.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.70
AbstractAbstract PDF
PURPOSE
To evaluate the biomechanical results according to various anterior spinal fixation methodology in the treatment of thoracolumbar spine fracture.
MATERIALS AND METHODS
The comparative analysis of fixation method was evaluated by three dimensional finite element model using the 1 mm reconstruction image of CT. Authors evaluated the flexion, extension, lateral bending, torsional stresses with 12 fixation methods for the compression and burst fracture.
RESULTS
In biomechanical analysis, stiffness of body-fixation device was more stable in two-rod system in compression fracture and was stable in one-rod, two-rod system in burst fracture, but two-rod system was showed over-increase of stiffness.
CONCLUSION
Authors recommend the usage of two-rod system in anterior fixation only and anterior one-rod system in anterior-posterior fixation.

Citations

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  • Lumbar Spine Fracture
    Seung-Wook Back, Hyun-Joong Cho, Ye-Soo Park
    Journal of the Korean Fracture Society.2011; 24(3): 277.     CrossRef
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Factors Confluencing the Result of Percutaneous Balloon Kyphoplasty in Osteoporotic Thoracolumbar Compression Fracture
Jung Hee Lee, Dae Woo Hwang, Jae Heung Shin, Woo Sung Hong, Ju Wan Kim
J Korean Fract Soc 2007;20(1):76-82.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.76
AbstractAbstract PDF
PURPOSE
We are to find the method to objectify postoperative prognosis, analyzing the factors confluencing the result of kyphoplasty in osteoporotic vertebral compression fracture (OVCF).
MATERIALS AND METHODS
Our study included 50 patients (55 vertebral bodies) who have undergone kyphoplasty from Sep. 2004 until Oct. 2005. We divided in the group according to bone mineral density (BMD), compression rate, recovery rate and cement leakage. We verified the significance of each group, using independent t-test, and ANOVA test among observers.
RESULTS
We performed kyphoplasty on 55 vertebral bodies, 12 cases with more than 0.4 g/cm2 in BMD (mean: 0.53 g/cm2) and their mean preoperative compression rate (CR), immediate postoperative recovery rate (RR-IPO), and recovery rate after 6 months (RR-6M) was each 30.58%, 12.35%P, 9.93%P. 15 cases under 0.4 g/cm2 (mean 0.31 g/cm2), and their CR, RR-IPO and RR-6M was 26.73%, 11.77%P, 5.26%P respectively. The p-value was 0.004. Another studies according to CR, RR-IPO and leakage of cement revealed the better results in the cases of the lower CR, the smaller reduction and abscecnce of cement leakage, but statistically insignificant (p=0.309, 0.069, 0.356).
CONCLUSION
Preoperative BMD was most important factor that confluencing postoperative radiological result in OVCF. Other factors were also thought to be confluencing factors, but statistically insignificant..

Citations

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  • Cement Leakage into Disc after Kyphoplasty: Does It Increases the Risk of New Adjacent Vertebral Fractures?
    Hoon-Sang Sohn, Seong-Kee Shin, Eun-Seok Seo, Kang-Seob Chang
    Journal of the Korean Fracture Society.2011; 24(4): 361.     CrossRef
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Case Reports
Traumatic Pseudoaneurysm of Posterior Tibial Artery in a Child: A Case Report
Tai Seung Kim, Kuhn Sung Whang, Woo Young Seo
J Korean Fract Soc 2007;20(1):83-85.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.83
AbstractAbstract PDF
Pseudoaneurysm is one of the complications of arterial injuries by trauma. The case report in children is rare, although not in adult. A 7-year and 10-month girl was visited with the complaints of pain and a mass in her right leg. At first, the radiograph of right tibia showed a remarkable cortical erosion from without, suggesting mass effect by a soft tissue tumor. She had a history of fracture of right tibia, and then manipulative reduction and K-wire fixation at 11 months ago. Arteriography showed a formation of the pseudoaneurysm originated from the posterior tibial artery. The operation was done through the ligation of artery at proximal and distal to pseudoaneurysm, and then excision of mass. At 5 year follow-up, the configuration and function of right foot was normal. Eventually, the cause of the mass formation is thought by the trauma of fracture fragment at the time of accidents, but the possibility of penetrated injuries by K-wire should be ruled out, which is used frequently in children's fracture. We experienced a case of traumatic pseudoaneurysm of posterior tibal artery with tibial fracture, especially occurred in pediatric patient, and presented the result of long-term follow-up.

Citations

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  • Coil Embolization of a Pseudoaneurysm of the Anterior Tibial Artery: A Case Report
    Tae-Hyun Wang, Hyung-Lae Cho, Ki-Bong Park, Duc-Hee Kim
    Journal of Korean Foot and Ankle Society.2016; 20(1): 43.     CrossRef
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Costoclavicular Syndrome: A Case Report
Sung Keun Sohn, Sung Soo Kim, Chang Geun Song, Jong Ill Kwak
J Korean Fract Soc 2007;20(1):86-89.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.86
AbstractAbstract PDF
Costoclavicular syndrome is one of the four syndromes of thoracic outlet syndrome in which have similiar symptoms, and may result from cervical and thoracic scoliosis, formation of excessive callus or nonunion after fractures of clavicle or first rib. Conservative treatment may be offered. Surgical treatment includes scalenectomy with supraclavicular approach, transaxillary first rib resection with scalenectomy and correction of clavicular abnormality. The purpose of this paper is to evaluate the result of surgical intervention in costoclavicular syndrome of a 38-year old man with clavicular nonunion after an operation.

Citations

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  • The Need to Expand the Concept of Thoracic Outlet Syndrome: A Proposal
    Jaeseok Kim
    Journal of Korean Medical Society of Acupotomology.2022; 6(1): 1.     CrossRef
  • Costoclavicular Syndrome Secondary to Nonunion of a Displaced Fracture of the Clavicle, Misdiagnosed as a Simple Muscle Strain - A Case Report -
    Ho-Seung Jeon, Haeng-Kee Noh, Seo-Goo Kang, Jong-Min Kim, Seung-Ju Jeon
    Journal of the Korean Fracture Society.2013; 26(1): 60.     CrossRef
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Old Atlantoaxial Rotary Subluxation Associated with High-riding Vertebral Arteries: Arthrodesis Using C1 Lateral Mass Screws and C2 Laminar Screws: A Case Report
Kyeong Hwan Kim, Jin Sup Yeom, Kun Woo Park, Soon Woo Hong, Bong Soon Chang, Choon Ki Lee
J Korean Fract Soc 2007;20(1):90-93.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.90
AbstractAbstract PDF
To the best of our knowledge, there has been no domestic report on posterior atlantoaxial fusion with segmental screw fixation using C2 laminar screws and C1 lateral mass screws for atlantoaxial subluxation. We report the result of this operation performed in a patient with old atlantoaxial rotary subluxation who required posterior fusion. We chose this technique in this patient because wire fixation was not suitable due to osteoporosis, and transarticular screw fixation and use of C2 pedicle screws were not feasible due to the peculiar bony anatomy of the axis.

Citations

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  • Indirect Decompression using Segmental Screw Fixation for Cervical Myelopathy Caused by C1-2 Subluxation - Technical Note -
    Yoon Jong Kim, Kyeong Hwan Kim, Jong Hwa Won, Hak Jin Min, Ui Seong Yoon, Jin Sup Yeom
    The Journal of the Korean Orthopaedic Association.2007; 42(6): 815.     CrossRef
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Hip Fracture-dislocation with Sciatic Nerve Palsy and Ipsilateral Femoral Shaft Open Fracture: A Case Report
Kap Jung Kim, Ha Yong Kim, Sung Il Kang, Won Sik Choy
J Korean Fract Soc 2007;20(1):94-98.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.94
AbstractAbstract PDF
The posterior dislocation of the hip accounts for about 85~90% of traumatic hip dislocations and high energy mechanisms such as traffic accidents may cause them. The traumatic dislocation and fracture-dislocation of the hip are true orthopedic emergencies and it should be considered that a femoral head has poor vascularity and the sciatic nerve is closely located to it. We report on one patient who went through the surgical treatment of the concomitant ipsilateral open fracture of the femoral shaft and hip fracture-dislocation accompanying sciatic nerve injury with the review of the literatures.
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Review Article
Minimally Invasive Plate Osteosynthesis, MIPO
Young Soo Byun
J Korean Fract Soc 2007;20(1):99-114.   Published online January 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.1.99
AbstractAbstract PDF
No abstract available.

Citations

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  • Minimally Invasive Plate Osteosynthesis Using a Screw Compression Method for Treatment of Humeral Shaft Fractures
    Sang-Hun Ko, Jae-Ryong Cha, Chae Chil Lee, Yong Tae Joo, Kyeong Su Eom
    Clinics in Orthopedic Surgery.2017; 9(4): 506.     CrossRef
  • Comparative Analysis of the Result of Minimally Invasive Anterior Plating and Open Reduction and Internal Fixation in Humerus Shaft Simple Fracture
    Sang-Hun Ko, Chang-Gyu Choe, Ju-Hyung Lee
    Clinics in Shoulder and Elbow.2015; 18(2): 75.     CrossRef
  • The Treatment of Humerus Shaft Simple Fracture by MIPO Technique
    Sang-Hun Ko, Sun-Ho Lee, Bum-Keun Cho
    The Journal of the Korean Shoulder and Elbow Society.2013; 16(1): 27.     CrossRef
  • The Treatment of Subtrochanteric Fractures with Proximal Femoral Nail Antirotation
    Chi Hyoung Pak, Sang Hong Lee, Sang Ho Ha, Gwang Chul Lee, Kyoung Chul Song
    Journal of the Korean Fracture Society.2013; 26(4): 284.     CrossRef
  • Anatomical Study of the Pronator Quadratus Muscle and Comparison to Fracture Sites of the Distal Radius
    Gu-Hee Jung, Chyul-Hyun Cho, Jae-Do Kim
    Journal of the Korean Orthopaedic Association.2012; 47(1): 48.     CrossRef
  • Surgical Techniques for Percutaneous Reduction by Towel Clips and Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures
    Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Tae-Ho Kim, Jong-Hyun Kim, Jong-Seong Lee
    Journal of the Korean Fracture Society.2012; 25(1): 31.     CrossRef
  • Minimally Invasive Plate Osteosynthesis for the Upper Extremity Fracture Using a Lumbar Spreader - Surgical Technique -
    Gu-Hee Jung, Chyul-Hyun Cho, Jae-Do Kim
    Journal of the Korean Fracture Society.2011; 24(1): 83.     CrossRef
  • Axial Malalignment after Minimally Invasive Plate Osteosynthesis in Distal Femur Fractures with Metaphyseal Comminution
    Jae-Ho Jang, Gu-Hee Jung, Jae-Do Kim, Cheung-Kue Kim
    Journal of the Korean Orthopaedic Association.2011; 46(4): 326.     CrossRef
  • Management of Open Tibial Fractures: Role of Internal Fixation
    Yerl-Bo Sung
    Journal of the Korean Fracture Society.2007; 20(4): 349.     CrossRef
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