Journal of Musculoskeletal Trauma

Original Articles

Treatment of Supracondylar or Intercondylar Fracture of Humerus in Adult: Byung Ho Lee, Sang Ho Ha, Sun Jin Choi; J Korean Soc Fract 1998;11(3):665-671. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.665

Abstract PDF: Distal humerus fracture, particularty those that involve the articular surface, in adult has remained one of the most difficult of all fractures to manage. The goal of this study is to analyze clinical result according to fracture pattern and method of treatments and to recognize complicating factor affecting prognosis. Nonoperatively managed intraarticular fractures are likely to have compromised functional outcome. Open anatomic reduction and stable fixation secure enough to permit early functional, pain-free motion of the elbow showed best result. Stable fixation of fracutre is achieved with use of single or dual plates with additional lag screws depending on the fracture pattern. When there is segmental articular fragments, interfragmentary bipolar threaded screw(Herbert screw) may be useful. autogenous cancellous bone grafting is sometimes advisable when the diaphyseal portion of the fracture is comminuted. Transolecranon approach affords excellent surgical exposure of the joint surface for fracture with comminuted intra-articular component and there was no postoperative complication.

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Treatment of Monteggia fracture in Adults: Dong Min Shin, Byung Ho Lee, Hyun Jung Yoon; J Korean Soc Fract 1994;7(1):79-86. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.79

Abstract PDF: In 1814 Monteggia described two cases of fracture of the proximal part of the ulna with anterior dislocation of the radial head. Since then, there have been many reports of this type of fracture dislocation. Bado named Monteggia lesion as a fracture of ulna at any level and a dislocation of radial head. Thrity-five patient with Monteggia fracture were treated at department of Orthopaedic Surgery, Ehosun University Hospital from 1985. January to 1991 December. Twenty-seven patient, who were followed for a minimum of one year, subject of this review. The results were as follows: 1. Among the 27 patients, male is about 3 times more than female. 2. The cause of injuries were traffic accident in 15, fall down in 10, belt injury in 1 and direct blowing in 1 3. Classification into 4 type by Bados method disclosed that type I accounts for 51.9% of cases, type II for 14.8%, type III for 22.8% and type IV for 11.1% 4. Sites of ulna fractures were upper one thlrd in 8, junction of upper and middle 1/3 in 11, middle 1/3 in 5, distal 1/3 in 1 and segmental 2. 5. Closed reduction of radial head dislocation was done in 13 cases open reduction in 6 cases, and excision in 8 cases. 6. All of the fractures of ulna were treated with open reduction and internal fixation with plate in 16, Rush pin in 6 and wiring in 5. 7. The partial posterior interosseous nerve injury was noticed in 3 cases and recovered completely within 8 weeks. 8. With the criteria of Bruce et al(1974), the result were excellent in 11, good in 7, fair in 5 and poor in 4.

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