Journal of Musculoskeletal Trauma

Treatment in Supracondylar Fracture of thr Femur: Myung Chul Yoo, Yong Girl Rhee, Moon Hwan Lee, Young Ho Cho; J Korean Soc Fract 1990;3(2):163-169. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.163

Abstract PDF: Authors experienced fifty-three patients who had had supraconlylar fracture of the femur since December, 1982. According to Schatzkers classification, Type I fracture were seventeen patients (thirty-two%) and Type II were ten patients(nineteen%) and Type III were twenty-six patients(forty-nine%). Eight patients were treated conservatively and forty-five treaed operatively. According to Schatzkers criterin, satisfactory results were obtained iin seventy-five% of patients with conservative treatment and in sixty-two% of patents with operative treatment. Satisfactory results were obtained in eighty-eight% of Type I and in seventy% of Type II and in forty-six% of Type III. Satisfactory results were obtained in seventy-three% of closed fractures and in forty-four% of open fractures. Satisfactory results were obtained in cases with early exercise of knee motion.

90 View
0 Download

A Clinical Study on the Supracondylar and Intercondylar Fractures of the Femur: Koon Soon Kang, Jun Seop Jahng, Hui Wan Park, Kyu Hyun Yang, Seok Joo Moon; J Korean Soc Fract 1990;3(2):170-179. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.170

Abstract PDF: The fractures of the supracondylar and intercondylar region of the femur are difficult to manage because of the wide range of potential complications. Most studied over the past twenty years have attempted to compare the results of nonsurgical with those of surgical methods. The new fixation divices and techniques were developed. The accurate anatomical reduction, rigid internal fixation, and early motion of joint have more improved results of the treatments than past. The following clinical results were shown by analsis of 18 cases of supracondylar and intercondylar fractures of the femur treated in the Department of Orthopedic Surgery, Yonsei University, College of Medicine during the past 6 years from Jan. 1983 to Dec. 1988. 1. The prevalent age distribution was between 41 and 50 years of age(33.3%) and the ratio between male and female was 1.3:1. The most common cause of injury was traffic accidents(66.7%). 2. A classification of supracondylar and intercondylar fractures was divided according to ASIF classification, and the most common type was C2(55.5%). 3. Thirteen patients(72.2%) were associated with injuries of other parts and the most frequent associated fracture was tibial fracture and the most common associated other injury was cerbral consussion or contusion. 4. The satisfactory(excellent or goo) result of surgical treatment(14 cases) and conservative treatment(4 cases) was equal(50.0%). But severity of injury of conservative treatment group was milder than surgical treatment group. 5. Complications were deep infection of 2 cases(11%), delayed and nonunion of 4 cases (22%), Knee joint siffness below 90 rnage of motion of 8 cses(44.4%). 6. Finally, good results of treatment depend largely on early accurate anatomical reduction, rigid internal fixation, early joint motion.

97 View
0 Download

Supracondylar-Intercondylar Fracture of the Femur Treatment by Internal Fixation Using May Anatomical Contouring Plate: Sung Joon Kim, Jae Lim Cho, Hyun Kee Chung, Sung Ju Lee; J Korean Soc Fract 1990;3(2):180-188. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.180

Abstract PDF: Between Jan. 1988 and Dec. 1989, 15 supracondylar-intercondylar fractures of the femur were treated in the department of orthopaedic surgery, Hanyang University, College of medicine. The advantages of the May Anatomical contouring plate are: 1. The device is self-reducting, so the reduction of the fracture was easy. 2. The device facilitates good condylar fixation even in the osteoportic bone of the elderly patients without destruction of the fragment. 3. Distal end of the jplate is not heavy, so any problem of the soft tissue was not encountered. 4. A small amount of equipment and procedure was required, so the time of operation could be shortened. The results were as follows: 1. Seven patients were male and four patients were femal. 2. The fracture was caused by a motor-vehicle accident in eight cases, a fall in two cases, and slip down in two cases. 3. There were one I, two II, two II, eight III fractures according to Neer classification. 4. The method of treatment was open reduction and figid iinternal fixation using May anatomical contouring plate. 5. 50% fo good to excellent results were obtained according to Neer rating system. 6. Complications included delayed union(1 case) and metal failure(1 case).

91 View
0 Download

Clinical Analsis of the Salter-Harris Type II Epiphyseal Injury of the Distal Femur: Ik Dong Kim, Poong Taek Kim, Byung Chul Park, Young Goo Lyu, Soo Ill Han; J Korean Soc Fract 1990;3(2):189-196. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.189

Abstract PDF: Although most of distal femoral epiphyseal fracture is Salter-Harris type II, its prognosis is not uniformly good and poses several problems such as limb length discrepancy, varus or valgus angulation and limitation of knee motion. Authors experienced 9 cases of Salter-Harris type II distal femoral epiphyseal injuries who were treated at Kyoungpook National University Hospital from January, 1982 to June, 1987, All were foloowed for an average of two years and ten months (range, one to seven years) and analysed clinically. The results abtained were as follows. 1. 5 out of 9 cases between 16 and 18 years of age. 2. Significant limb length discrepancy beyond 2cm occurred in only 1 case, lengthening of 0.6cm in 2 cases and less than 1.0cm shortening in 6 cases. 3. Valgus angulation of 10 degress or less occurred in 5 cases and 20 degrees of valgus defromity in 1 case. Varus angulation of 5 degrees or less occurred in 2 cases and of 6 degrees in 1 case. 4. Limitation of knee motion was not observed in all cases. 5. Salter-Harris type II epiphyseal plate injuries does not always carry a good prognosis especially when involving the distal femoral epiphsis. It can bring about growth acceleration or deceleration and angular deformity. Early and anual follow-up until cessation of growth is mandatory.

50 View
0 Download

A Case Report of Stress Fracture of the Suparcondyle of the Femur: Kwon Ick Ha, Sung Ho Hahn, Minyoung Chung, Bo Kyu Yang, Seung Rim Yi; J Korean Soc Fract 1990;3(2):197-201. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.197

Abstract PDF

The stress fracture is a disease which results from the application of an abnormal stress to the normal bone by the action of the constant and repeated muscular pull. prior to the early 1960s, most reports of stress fractures were from military installation, however, with the recent increase in participation in leisure and professional athetic activities such fractures have vecome more common among civilians. We treated two cases of stress fractures of the supracondylar region of the femur in runners. One patient was treated conservatively, but the other with displacement was treated operatively. To our knowledge, no previous cases of this nature have been reported.

Citations

Citations to this article as recorded by

Trochanteric Stress Fracture in a Female Window Cleaner
Bong-Jin Lee, Jyewon Song
Hip & Pelvis.2016; 28(1): 60. CrossRef

117 View
0 Download
1 Crossref

A Clinical Experience of 5-part fracture of the Distal Femur: Report of 2 cases: Se Il Suk, Sang Chul Sung, Young Moon; J Korean Soc Fract 1990;3(2):202-208. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.202

Abstract PDF: Many different systems of classification have been used for fractures of the distal part of the femur, but no one system was so perfect as to describe all the types and to ease the fracture treatment. Supracondylar-intercondylar fractures of the femurs should be treated separately from other fractures of the distal part of the femurs becasue of their intricate fracture shape involiving the joint surface and associated injuries about the knees. Authors have experienced two cases of unusual supracondylar-intercondylar fracture. It put another complexion on the classification and treatment. Therefore it was tentatively named as 5-part fracture of the distal femur, which is not described in any other classification ever proposed.

109 View
0 Download

Clinical Investigation of the Comminuted Patellar Fracture: Chang Ju Lee, Won Ho Cho, Ho Guen Chang, Yoo Geun Ju; J Korean Soc Fract 1990;3(2):209-215. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.209

Abstract PDF: The authors report a clinical experience of 12 cases having comminuted patellar fracture who were treated with modified tension band wiring or partial patellectomy from January 1985 to Oecember 1989 at the department of Orthopedic Surgery, Hallym University Hangang Sacred Heart Hospital. The results were as follows 1. All cases caused by direct blow. 2. Mean immobilization period was 5 weeks in modified tension band wiring, mean immobilixation was 3.3 weeks in partial patellectomy. 3. Range of motion of knee joint was 3-123 in modified tension band wiring, range of motion of knee joint was 5" -110" in partial patellectomy. 4. Quadriceps muscle weakness was developed in all of 2 cases of partial fatellectomy. 5. Extension lag of knee joint was developed in 1 case of partial patellectomy. 6. The result of modified tension band wiring was much better than partial patellectomy in comminuted patellar fracture.

49 View
0 Download

A Clinical Study of the Surgical Treatment of Patellar Fracture: Sung Jun Kim, Il Yong Choi, Choong Hyeok Choi, Kuhn Sung Whang; J Korean Soc Fract 1990;3(2):216-222. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.216

Abstract PDF: No abstract available.

59 View
0 Download

Treatment of Extra-articular Proximal Tibial Fracture: Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Sang Kyum Lee; J Korean Soc Fract 1990;3(2):223-231. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.223

Abstract PDF: The management of extra-articular proximal tibial fracture remains controversy. Many reporters recognized that the proximal tibial facture are best treated by closed reduction and long leg cast, however delayed union with this method have frequently been documented in spite of anatomical characteristics of proximal tibia. Thirty patients of the fracture of extra-articular Froximal tibia were treated and managed at the Department of Orthopaedic Surgery, Ewha University Hospital from January, 1583 to December 1989. The following results were obtained: 1. According to Gerard classification, anterior long oblique & posterior long oblique fracture were 18 cases(60%) and 8 cases(27%) respectively. Delayed union developed in 9 cases(50%) of 18 cases anterior long oblique fracture and 2 cases(25%) of 8 cases posterior long oblique fracture. 2. All cases of deleyed union of tibia developed through or below the tuberosity. 3. Among 30 cases, the fractures were managed with closed method at 23 cases, open method at 7 cases, internal fixation at 12 cases without delayed union and external fixator at 10 cases. The all cases using external fixator resulted in delayed union. 4. Among 30 cases, 16 cases(53%) were open fracture, and the most common type was type IIIb. Delayed union developed in 8 cases(50%) of 9 cases(56%) type IIIb. 5. The 24 cases (80%) of fibular fracture were concurred with proximal tibial fracture, and delayed union developed in 10 cases (42% ) of 24 cases fibular fracture and one case of 6. cases without fibular fracture. In conclusion, many delayed unions were frequent. In our experience, in case of GradeIII open comminuted fractures, we used external fixation methods mostly, so delayed unions were developed. But after management of soft tissue injury, healing time were short with bone graft as soon as possible, We consider that in cases in which internal fixation was possible according to soft tissue injury, delated unions are prevented by internal fixation using plate and screws or retrograde flexible nails.

98 View
1 Download

Extra-articulaf Fracture of Proximal Tibia: Heui Jeon Park, Jae In Ahn; J Korean Soc Fract 1990;3(2):232-237. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.232

Abstract PDF

Twenty-nine cases of the proximal tibial metaphyseal fractures(extra-articular) treated at the Department of Orthopaedics, Wonju Christian Hospital from January 1982 to December 1989 were studied in clinical and radiological aspects. The results were as follows: 1. The main cause of the fractures was the traffic accident, 19 cases (65.6%). 2. The most common type of the fractures was transverse fracture, 18 cases (62%). 3. The average time required for fracture union was 18 weeks in the conservative treatment group, 16 weeks in the surgical treatment group. 4. In the union time of the fracture, operative treatment was shorter than closed treatment. 5. The incidence of complication was relatively high in conservative treated group, 7 cases (21%).

Citations

Citations to this article as recorded by

The microstructure analysis of cerium-modified barium titanate having core-shell structured grains
Y. Park, H.G. Kim
Ceramics International.1997; 23(4): 329. CrossRef
The effect of grain size on dielectric behavior of BaTiO3 based X7R materials
Y. Park, Y.H. Kim, H.G. Kim
Materials Letters.1996; 28(1-3): 101. CrossRef
Effect of external pressure on the dielectric temperature characteristics of cerium-modified barium titanate based ceramic
Yung Park, Yoonho Kim
Materials Research Bulletin.1996; 31(12): 1479. CrossRef

110 View
0 Download
3 Crossref

Management of the Ankle Fracture: Myung Sik Park, Jun Mo Lee, Su Sung Chae; J Korean Soc Fract 1990;3(2):238-246. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.238

Abstract PDF

The ankle is a complex, weight bearing joint and its injury results in a severe functional disturbance of complex anatomical characteristics. It is very important to understand the mechanism of trauma in order to make definite diagnosis and proper treatment. The author analysed 54 cases (54 patients) of the ankle fractures which were admitted and treated in orthopaedic department, Chonbuk National University Hospital from Jan. 1986 to Feb. 1990. The following results were obtained. 1. Of the 54 cases, male was 40 cases (74%), female was 14 cases(26%) and average age of the patients was 35.7 years. 2. Most common cause of fracture was traffic accident(61.6%). 3. The musculoskeletal system injury was most frequently associated with. 4. Open Fractures were 6 cases(11%), and closed fractures 48 cases(89%). 5. According to the classification of Lauge-Hansen, the most common type of the ankle fracture was pronation-external rotation type(33.3%) and type C was most common in Weber classification(51.9%). 6. 47 cases(87%) were treated by open reduction and 7 cases(12.9%) by closed reduction and average duration of immobilization 2as 7.5 weeks in open reduction and 9.1 weeks in closed reduction. 7. Accurate reduction and rigid internal fixation of the fractured lateral malleolus, involving the distal tibiofibular syndesmosis was very important in treatment of the ankle fracture. 8. In clinical and radiological analysis, the better results were obtained from open reduction.

Citations

Citations to this article as recorded by

Surgical Fixation with Biodegradable Plate for the Treatment of Ankle Fractures
Jae-Young Cho, Jin-Whan Kim, Sang-Eun Kim, Kyung-Chil Jung, Seung-Hyun Choi
Journal of the Korean Fracture Society.2008; 21(1): 31. CrossRef

101 View
0 Download
1 Crossref

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

Abstract 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.

89 View
0 Download

The Inyo Nail for the Lateral Malleolus Fracture of the Ankle: Joon Young Kim, Young An Choi, Chang Goo Shim, Bo Seok Kong; J Korean Soc Fract 1990;3(2):252-258. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.252

Abstract PDF: The incidence of ankle fracture has been steadily increasing due to a number of traffic accident and was partly related to improved leisurely life style and outdoor activities. So, many methods for treatment of ankle fracture was introduced and some of them attract our attention. By accurate anatomical reduction and rigid fixation, maintenance of the stability of talus in ankle mortise is a goal of ankle fracture treatment. The Inyo nail is a new intramedullary device that was specially designed for the provention of shortening and ratational deformity which may occur in other conventional treatment method. The authors analysed 33 cases of lateral malleolus fracture treated conservatively(13 cases), operatively using Inyo nail(6 cases), other conventional fixational device(14 cases) from March 1987 to March 1989 and reports the indications and problems in operating technique using Inyo nail.

111 View
0 Download

Total Dislocation of talus: A Case Report: Chang Uk Choi, Soo Kyun Rah, Byung Il Iee, Yoo Seong Seo, Jong Seok Park; J Korean Soc Fract 1990;3(2):259-261. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.259

Abstract PDF: Total dislocation of talus is a rare injury which induce high complication rate. The mechanism of this dislocation results from excessive inversion and eversion. The authors experienced one case of open total dislocation of talus and treated by open reduction and followed by subsequent total talectomy due to infection. So We report this case with review of literature.

99 View
0 Download

Clinical study for use of monofixateur of open tibia fracutres: Seung Gyun Cha, Dong Chul Oh, Won Suk Lee, Ouc Jung Kim, Jin Yong Jung; J Korean Soc Fract 1990;3(2):262-267. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.262

Abstract PDF: Open fracture is common in the tibia than any other long bones. Because of its precarious blood supply, delayed union, nonunion and infection are frequent complications. Many external fixation device has been useful for the management of unstable, comminuted open tibia fracture for its several advantages. Among the 20 cases of open tibia fracture treated with monofixateur device from May 1987 to April 1989, the following results were obtained. 1. By Gustilo et al. Type I, II and III fractures were seen in 2 patients (10%), 16 pateints (80%) and 2 patients (10%) respectively. 2. The average fixation time was 18 weeks and full weight bearing was performed at 31 weeks.

92 View
0 Download

Result of the Transpedicular Zielk Instumentation for the Fractures and Dislocation of the Thoracic and Lumbar Spine: Jae Yoon Chung, Hyung Soon Kim, Go Hun Chung; J Korean Soc Fract 1990;3(2):268-274. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.268

Abstract PDF: For the evaluation of the clinical and radiological results of transpedicular Zielke instrumentation for the fractures and dislocations in the thoracic and lumbar spine, the authors analysed the 13 patients who were operated by that method and were followed up more than one year after operation (Av 33 months). 1. Operative indications were seat belt type, flexion-distraction injury of fracture-dislocation type and burst type that needed additional stabilization after anterior fusion. 2. Extent of fixation and fusion were 1 motion segment in 6, 2 motion segment in 7. 3. Bony union could be observed within 6 months in all, without any possible complications of metal failure, non-union, loss of correction or neural damage. 4. Kyphotic angular deformity were changed from 25 preoperatively, to 3 post-operatively and 5 at the end of follow up. 5. anterior vertebral height in 6 burst type were 46% preoperatively, 77% post-operatively and 74% at the and of follow up. From above results, the authors concluded that the transpedicular Zielke instrumentation enabled the fixation of shortest segments and provided enough stability when the method was applied in the types of injury that demand posterior compression for the reduction and stabilization of the deformity and instability.

106 View
0 Download

Dislocation of Fifth Carpornetacarpal Joint: Two Cases Report: Jun Seop Jahng, Hui Wan Park, Kyu Hyun Yang, Chang Hoon Jeon; J Korean Soc Fract 1990;3(2):275-279. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.275

Abstract PDF

Dislocation of fifth carpometacarpal joint is an unusual injury. In First case, traumatic dislocation of fifth carpometacarpal joint, fracture of the shaft of fourth metacarpal bone and hamate were present. The diagnosis of dislocation of fifth carpometacarpal joint was missed initially. In second case, there was only dislocation of 5th CMC joint. In these cases, we treated the dislocation of fifth carpometacarpal joint with percutaneous K-wire fixation and short arm splint immobilization.

Citations

Citations to this article as recorded by

Fracture-Dislocation of the Carpometacarpal Joint with the Fracture of Hamate
Jin Woong Yi, Whan Young Chung, Woo Suk Lee, Cheol Yong Park, Youn Moo Heo
Journal of the Korean Fracture Society.2008; 21(4): 297. CrossRef

118 View
0 Download
1 Crossref

Idiopathic Fever following Childrens femur Fractures: Hong Jun Han, Hyun Lee, Sang Soo Kim; J Korean Soc Fract 1990;3(2):280-283. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.280

Abstract PDF: Not infrequently, Orthopaedic surgeons notice that fever following childrens femur fractures does not coincide with the laboratory findings. The authors agree that knowledge of the frequency, time of onset, duration, and magnitude would be helpful in accessing the significance of fever in the postinjury period. The authors reviewed 65 childrens femur fractures without infection under the 15 years old from March 1984 to December 1989 and following observations were made. 1. Fever developed in 32 patients(49%), but only in 7 patients(11%) significant fever elevation was found. 2. The mean onset of fever was 4 days after trauma, and the mean duration was 3 days. 3. The rate of fever occurrence increased In accordance with age. 4. Fever was least common in patients having oblique fracture. 5. Associated injuries were found more commonly in the febrile group.

101 View
2 Download

Previous issues