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Volume 30(3); July 2017
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Original Articles
Sexual Activity at 1 Year after Acetabular Fracture
Chan Ho Park, Young Kyun Lee, Kyung Hoi Koo
J Korean Fract Soc 2017;30(3):111-116.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.111
AbstractAbstract PDF
PURPOSE
Change in sexual activity after acetabular fracture has not been elucidated to date. Hence, the purpose of this study was to reveal: (1) how acetabular fracture affects the status of sexual activity; (2) how acetabular fracture affects patient satisfaction about sexual activity; and (3) what are the concerns of patients regarding sexual activity.
MATERIALS AND METHODS
Between January 2014 and December 2014, a self-reported questionnaire was conducted with patients who had been sexually active before the treatment for acetabular fracture. Out of the nineteen patients who participated in the questionnaire, twelve men and three women were included for final analysis; patients who were treated conservatively were excluded.
RESULTS
All patients had hip pain (mean visual analogue scale score, 2.9; range, 1-7) at 1 year after the trauma. Fourteen patients (93.3%, 14/15) resumed sexual activity within 1 year (mean, 3.9 months; range, 2–6 months). After excluding one patient who did not recover to allow sexual activity, the frequency of sex was decreased in 11 patients (78.6%, 11/14). Sexual satisfaction was decreased in seven patients (46.7%, 7/15). Old age was associated with decreased sexual satisfaction.
CONCLUSION
Half of the patients showed a decreased satisfaction from sexual activity after acetabular fracture, with hip pain being the most common problem. Although our study was a small, single-center study, it provides information regarding sexual activity of patients after acetabular fracture.

Citations

Citations to this article as recorded by  
  • Sexual and Urinary Dysfunction Following Isolated Acetabulum Fractures: A Systematic Review of the Literature
    Sophia M. Wakefield, Nikolaos K. Kanakaris, Peter V. Giannoudis
    Journal of Clinical Medicine.2025; 14(1): 230.     CrossRef
  • The Impact of Surgical Approaches for Isolated Acetabulum Fracture on Sexual Functions: A Prospective Study
    Ibrahim Alper Yavuz, Can Aykanat, Cagdas Senel, Fatih Inci, Erman Ceyhan, Yılmaz Aslan, Altug Tuncel, Ahmet Ozgur Yildirim
    Journal of Orthopaedic Trauma.2022; 36(3): 124.     CrossRef
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Posterior Dual Plating for Distal Shaft Fractures of the Humerus
Chul Hyun Cho, Kwang Yeung Jeong, Beom Soo Kim
J Korean Fract Soc 2017;30(3):117-123.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.117
AbstractAbstract PDF
PURPOSE
To evaluate the results and efficacy of posterior dual plating for distal shaft fractures of the humerus.
MATERIALS AND METHODS
We retrospectively analyzed 12 patients, who underwent open reduction and internal fixation using posterior dual plating for distal shaft fractures of the humerus, between July 2007 and July 2015, with at least 6 months of follow-up. After locating the radial nerve without dissection via posterior triceps splitting, the fracture was stabilized using a short 3.5 mm locking compression plate. Then additional fixation, using a long 3.5 mm locking compression plate, was performed. The clinical outcomes were assessed in accordance with the Mayo Elbow Performance Index (MEPI) scoring system, and the radiological outcomes were assessed using serial plain radiographs.
RESULTS
Eleven patients (91.7%) had bony union, and the mean union period was 13.9 weeks. In one patient, delayed union was treated by autogenous iliac bone graft at 8 months after surgery, which resulted in bony union. The mean MEPI score was 95.8, and the clinical outcomes were excellent in 9 patients and good in 3 patients. Postoperative complications included 1 elbow stiffness by heterotopic ossification and 1 temporary radial nerve palsy. One patient with temporary radial nerve palsy was completely recovered within the first 4 days after surgery.
CONCLUSION
Posterior dual plating for distal shaft fractures of the humerus revealed satisfactory clinical and radiological outcomes. It can be a useful alternative to provide stable fixation without the need for a dissection of the radial nerve.
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Minimal Invasive Plate Osteosynthesis versus Conventional Open Plating in Simple Humeral Shaft Fracture (AO Type A, B1, B2)
Boseon Kim, GwangChul Lee, Hyunwoong Jang
J Korean Fract Soc 2017;30(3):124-130.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.124
AbstractAbstract PDF
PURPOSE
The purpose of this study is to evaluate the efficacy of minimally invasive plate osteosynthesis (MIPO) by comparing the results between open plating and MIPO conducted by simple humeral shaft fractures.
MATERIALS AND METHODS
From September 2010 to February 2015, we evaluated humeral shaft fractures that 26 cases underwent MIPO and 41 cases underwent open plate fixation (OPEN). Operation time, amount of blood loss, and radiative exposure time were examined. Radiographically, bone union time and angulation were compared. At last, UCLA shoulder score and MEPI were used to compare the clinical results of shoulder and elbow and complications were examined.
RESULTS
The average operation time 82±23 minutes in MIPO, 119±20 minutes in OPEN (p=0.007) and amount of bleeding 238±67 ml in MIPO, 303±48 ml in OPEN (p=0.003), radiation exposure time 201±85 seconds in MIPO, 20±5 seconds in OPEN (p=0.000) were statistically significant. Bone union time and angulations, clinical results were not statistically significant. In Complication, iatrogenic radial nerve paralysis occurred 2 cases, nonunion occurred 1 case in MIPO. Nonunion and soft tissue infection occurred 2 cases each in OPEN.
CONCLUSION
MIPO in simple humeral shaft fractures gave us radiologically and clinically satisfactory results, and may be useful by understanding the anatomical knowledge and using appropriate implants and skills.

Citations

Citations to this article as recorded by  
  • Outcomes of Arthroscopic Assisted Reduction and Percutaneous Fixation for Tongue-Type Sanders Type II Calcaneal Fractures
    Jae Woo Park, Chul Hyun Park
    Journal of Korean Foot and Ankle Society.2017; 21(4): 144.     CrossRef
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Case Reports
Reduction Technique of Dome Impaction Using the Modified Stoppa Approach: A Technical Note
Ji Wan Kim, Yong Min Seo, Hyo Seok Jang
J Korean Fract Soc 2017;30(3):131-136.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.131
AbstractAbstract PDF
In elderly acetabular fractures, central dislocation of the femoral head and impacted superior dome of the acetabulum is common. Unreduced dome impaction can lead to degenerative arthritis and results in poor results. Herein, we present a case of operative reduction and fixation performed via the modified Stoppa approach in acetabular fracture with superior dome impaction.

Citations

Citations to this article as recorded by  
  • Surgical outcomes of acetabular fracture of elderly patients with superomedial dome impaction
    Eic Ju Lim, Hyun-Chul Shon, Jae-Young Yang, Joosuk Ahn, Jung Jae Kim, Ji Wan Kim
    Scientific Reports.2023;[Epub]     CrossRef
  • Anterior Approach for the Acetabular Fractures
    Jae Youn Yoon, Jae-Woo Cho, Ji Wan Kim
    Journal of the Korean Fracture Society.2019; 32(3): 157.     CrossRef
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Atypical Fracture-Like Insufficiency Fracture of the Tibia with Prolonged Bisphosphonate Drug: A Case Report
Min Jung Park, Su Jin Lee, Jin Hwa Kam, Yun Tae Lee, Ju Hyung Yoo, Hyun Cheol Oh, Joong Won Ha, Yung Park, Sang Hoon Park, Seong Hoon Kim, Han Kook Yoon
J Korean Fract Soc 2017;30(3):137-141.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.137
AbstractAbstract PDF
Atypical femoral fracture related to a long-term bisphosphonate therapy has commonly been reported; however, a fracture at the site other than the femur has rarely been reported to date. Herein, we report a case of a patient on long-term bisphosphonate therapy who presented atypical tibial insufficiency fracture at the anterolateral aspect of diaphysis, without trauma. We, for the first time in Korea, present this case with a literature review.

Citations

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  • Atypical Femoral Fracture Occurring at a Proximal Screw Insertion Site after Plate Removal in a Distal Femoral Fracture
    Jin Woo Jin, Sung Jin Shin, Jong Min Jeon
    Journal of the Korean Orthopaedic Association.2024; 59(4): 314.     CrossRef
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Extensive Multiple Morel-Lavallée Lesions: A Case Report
Kyu Dong Shim, Won Rak Choi, Ye Soo Park
J Korean Fract Soc 2017;30(3):142-145.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.142
AbstractAbstract PDF
Morel-Lavallée is a rare lesion caused by post-traumatic soft tissue injury. It usually occurs around the greater trochanter, and it occurs very rarely in the lumbar region. It is often difficult to be diagnosed in the emergency room. Delayed diagnosis may result in the need for open surgery. The authors report a patient with extensive multiple Morel-Lavallée lesions in the thoracolumbar, buttock, and thigh after trauma and provide a literature review.
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Oncogenic Osteomalacia with Multiple Insufficiency Fractures: A Case Report
Young Chang Park, Joon Oh Seo, Kyu Hyun Yang
J Korean Fract Soc 2017;30(3):146-150.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.146
AbstractAbstract PDF
Oncogenic osteomalacia is a rare paraneoplastic syndrome, characterized by hypophosphatemia, renal phosphate wasting, osteomalacia, and multiple insufficiency fractures, as a result of the tumor. A wide excision of the causative tumor is considered as the treatment of choice, following which, a dramatic recovery is expected. Authors report a case in which the symptoms and bone mineral density were dramatically recovered after an excision of the causative tumor around the tibialis posterior muscle in oncogenic osteomalacia.
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The Different Treatment Methods for Segmental Fractures of the Clavicle: Cases Report
Sung Sik Ha, Ki Do Hong, Jae Cheon Sim, Yi Rak Seo, Tae Seok Nam
J Korean Fract Soc 2017;30(3):151-155.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.151
AbstractAbstract PDF
Segmental fractures of the clavicle are very rare. Therefore, to date, there has not been a clear, standardized method of management of segmental clavicle fractures. Herein, two patients with a segmental fracture are described: One patient was treated conservatively, while another patient was treated operatively. Both patients showed excellent results. We discuss the various management options with a literature review.

Citations

Citations to this article as recorded by  
  • Fratura segmentar da clavícula em paciente politraumatizado: Relato de caso
    Carlos A. Sánchez, Pablo J. Coronel, Luisa F. García, Juan S. Afanador, Raúl Gonzalez
    Revista Brasileira de Ortopedia.2024; 59(01): e139.     CrossRef
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Review Articles
Clinical and Radiological Analysis of Angular Deformity of Lower Extremities
Changhoon Jeong, Jong Ho Noh
J Korean Fract Soc 2017;30(3):156-166.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.156
AbstractAbstract PDF
The alignment of lower extremities is an important consideration in many clinical situations, including fracture reduction, high tibia osteotomy, total knee arthroplasty, and deformity correction. Mal-alignment of lower extremities is not only a simple cosmetic problem, but it can also produce pain, limp, and early degenerative arthritis. An assessment of lower extremity alignment, including its location and magnitude of deformity, can be achieved via mal-alignment test and mal-orientation test, using a lower extremity standing full-length radiography. Proper evaluation allows the surgeon to determine an effective treatment plan for deformity correction.

Citations

Citations to this article as recorded by  
  • A deep learning approach for fully automated measurements of lower extremity alignment in radiographic images
    Ki-Ryum Moon, Byoung-Dai Lee, Mu Sook Lee
    Scientific Reports.2023;[Epub]     CrossRef
  • Comparison of Lower-Limb Alignment in Patients with Advanced Knee Osteoarthritis: EOS Biplanar Stereoradiography versus Conventional Scanography
    Hyeong-Uk Choi, Du-Han Kim, Si-Wook Lee, Byung-Chan Choi, Ki-Cheor Bae
    Clinics in Orthopedic Surgery.2022; 14(3): 370.     CrossRef
  • Prevalence of proximal tibia vara in Indonesian population with knee osteoarthritis
    John Christian Parsaoran Butarbutar, Tommy Mandagi, Lasa Dhakka Siahaan, Earlene Tasya Suginawan, Elson, Irvan
    Journal of Clinical Orthopaedics and Trauma.2022; 29: 101871.     CrossRef
  • Morphometric parameters of the proximal femoral epiphysis and their effect on the hip joint
    Jovan Varda, Vanja Valčić, Valentina Blagojević
    Medicinski podmladak.2022; 73(2): 28.     CrossRef
  • Factors related to femoral bowing among Korean female farmers: a cross-sectional study
    Sangyoon Do, Chul Gab Lee, Dong Hwi Kim, GwangChul Lee, Kweon Young Kim, So Yeon Ryu, Hansoo Song
    Annals of Occupational and Environmental Medicine.2020;[Epub]     CrossRef
  • Effectiveness Evaluation of Scanogram Using Longbone Detector
    Su-han Jang, Ji-eun Heo
    Journal of Radiological Science and Technology.2020; 43(4): 235.     CrossRef
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Osteotomy Selection: Advantages, Disadvantages, and Indication
Ki Chul Park, Hyun Uk Kim, Young Sik Song
J Korean Fract Soc 2017;30(3):167-172.   Published online July 31, 2017
DOI: https://doi.org/10.12671/jkfs.2017.30.3.167
AbstractAbstract PDF
Malunion causes not only cosmetic problems, but also degenerative osteoarthritis due to changes in the anatomical and mechanical axes. Corrective osteotomy may be required in some cases to prevent these complications. The corrective osteotomy is divided into two types: Straight and dome. The straight type is divided into open and closed wedge, in accordance with the correction method. Surgeons should understand the indication, surgical procedure, as well as the advantages and disadvantages of each osteotomy method. Deciding on the method of corrective osteotomy depends on the degree of angulation, soft tissue condition, approximate with joint, implant type, and the experience of the surgeon.
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