Journal of Musculoskeletal Trauma

Treatment of Subtrochanteric Fractures with Compression Hip Screw: Kee Haeng Lee, Hyoung Min Kim, Youn Soo Kim, Chang Hoon Jeong, Il Jung Park, Ill Seok Park, Chan Woong Moon; J Korean Fract Soc 2006;19(1):1-5. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.1

PURPOSE
To evaluate the effectiveness of the compression hip screw, we reviewed the clinical results of cases of femoral subtrochanteric fracture which were treated with compression hip screw.
MATERIALS AND METHODS
From May 1997 to June 2004, 20 cases of femoral subtrochanteric fracture, which were treated with compression hip screw and followed up more than 12 months, were reviewed. By the Seinsheimer's classification, there were 1 case of type IIa, 4 cases of type IIb, 2 cases of type IIIa and IIIb, 4 cases of type IV and 7 cases of V. We analyzed the treatment results by bony union time, range of motion, ambulation status and complications.
RESULTS
All 20 cases were gained bony union without serious complications and secondary operation. The average bony union time was 19.8 weeks. 17 of 20 cases were recovered pre-injury ambulatory status level.
CONCLUSION
The compression hip screw may be effective in treatment of the femoral subtrochanteric fracture with very narrow intramedullary canal, proximal femoral deformity, comminuted fracture with large butterfly fragment, long spiral fracture with medial cortical comminution and combined intertrochanteric fracture.

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The stabilising effect by a novel cable cerclage configuration in long cephalomedullary nailing of subtrochanteric fractures with a posteromedial wedge
Pavel Mukherjee, Jan Egil Brattgjerd, Sanyalak Niratisairak, Jan Rune Nilssen, Knut Strømsøe, Harald Steen
Clinical Biomechanics.2019; 68: 1. CrossRef
Factors Affecting Time to Bony Union of Femoral Subtrochanteric Fractures Treated with Intramedullary Devices
Jung-Yoon Choi, Yerl-Bo Sung, Jin-Hee Yoo, Sung-Jae Chung
Hip & Pelvis.2014; 26(2): 107. CrossRef

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Bone scintigraphy after multiple pinning of femoral neck fractures: Kee Haeng Lee, Youn Soo Kim, Chang Hoon Jeong, Suk Ku Han, Hyoung Min Kim, Jun Seok Kim; J Korean Soc Fract 2001;14(4):567-574. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.567

Abstract PDF: PURPOSE
To determine the value of bone scintigraphy in predicting avascular necrosis following femoral neck fracture, and to analyze of relationship between pintract sign (increased radioactivity along the pins) and avascular necrosis after multiple pinning of femoral neck fracture.
MATERIALS AND METHODS
We analyzed 20 femoral neck fractures, which were fixed with cannulated screws(14 cases) or Knowles pins(6 cases). The follow-up period was longer than 18 months, and bone scintigraphy was carried out at postoperative 3 weeks, 3 months interval to 1 year, 6 months interval to 2 years, and then every 1 year.
RESULTS
There were 14 cases with positive pin-tract sign and increased uptake of femoral head on bone scintigraphy performed at the postoperative 3 weeks, and I case with positive pin-tract sign and partially decreased uptake of femoral head. None of them developed avascular necrosis. There was I case with negative pin-tract sign and partially decreased uptake of femoral head, which showed increased uptake later and didn't develop avascular necrosis. There were 4 cases with negative pin-tract sign and generally decreased uptake of the femoral head, and all of them developed avascular necrosis.
CONCLUSION
Bone scintigraphy is a useful method predicting the avascular necrosis following femoral neck fracture, and pin-tract sign may be an early postoperative sign indicating that there is little possibility of development of avascular necrosis.

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Analysis and Clinical Study on Fracture Dislocation of the Talus: Ye Yeon Won, Chang Hoon Jeon, Jae In Ahn, Seung Jun Choi, Jung Mo Lee; J Korean Soc Fract 2000;13(2):382-389. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.382

Abstract PDF: PURPOSE
: Talar fractures are uncommon and so surgeon's experience in the treatment of the talar fracture is limited. This study was undertaken to evaluate the incidence, associated injuries, complications of talar fracture and results of treatment.
MATERIALS AND METHODS
: Authors experienced 15 cases of the talar fractures treated at Ajou university Hospital from 1995 to 1998 with minimal 1 year follow-up period and obtained following result.
RESULTS
: Of 15 cases, fall down injury was the most common cause of injury(11/15). 4 ipsilateral medial malleolar fractures, 2 lateral malleolar fractures and other associated injury was occured. According to the Hawkins' classification 5 cases in type I , 1 cases in typeII, 2 cases in typeIII were observed. 2 posttraumatic arthritis, 1 skin necrosis, 1 avascular necrosis, were observed as complications but nonunion was not observed.
CONCLUSIONS
: We suggest that early and accurate anatomical reduction and rigid internal fixation of the fracture dislocation of the talus canprevent complications such as acascular necrosis, posttraumatic arthritis.

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Predictors for saving the limb after popliteal artery injury: Byoung Suck Kim, Woo Sig Kim, Byoung Hynn Min, Chang Hoon Jeon, Ye Yeon Won, Dae Woong Kim, Jae In Ahn; J Korean Soc Fract 1999;12(4):879-884. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.879

Abstract PDF: PURPOSE
: This study had been performed to evaluate the factors affecting either saving the limb or amputation after popliteal artery injury associated with fractures or dislocation around the knee.
MATERIALS and METHODS
: Twelve patients of popliteal artery injury were included. Authors had analysed nine probable factors as follows - age, sex, injury mechanisms, injury types, interval between injury and time to arrive at the hospital, interval between injury and time of operation, surgical methods for revascularization, severity of extremity injuries and fasciotomy, for discrimination between the limb-saving group and the amputation.
RESULTS
Ten patients were arrived at the hospital within 48 hours after the injury. Each patient was managed by end-to-end anastomosis in 6 cases and autogenous vein graft in 4 cases and among them, 2 cases needed additional amputation for vascular compromise. All limbs could be saved in which cases operate within 6 hours after the injury. However, the limb was lost in one of 6 cases(16.7%) between 6 and 20 hours, in one of two cases(50%) over 20 hours. One of 7 cases(14.3%) with the Mangled Extremity Severity Score(MESS) of 2 to 4 points, two of 4 cases(50%) with MESS of 5 to 6 points and one(100%) with MESS of 7 points were amputated. All 4 patients associated with fasciotomy could save their limbs, however, two of 6 patients not associated with fasciotomy lost. SUMMARY : Authors thought the most reliable predictors for saving the limbs after the popliteal artery injury might include the MESS and fasciotomy, however, ischemic time more than 6 hours might not be an absolute indication for amputation.

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Treatment of Type III Open Tibial Fractures with Repofix External Fixator: Chang Hoon Jeon, Ye Yeon Won; J Korean Soc Fract 1995;8(4):855-863. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.855

Abstract PDF: We reviewed 18 patients with type III open tibial fracture from February 1992 to June 1995 (mean follow-up period 56.7 weeks) treated with Repofix external fixator. There were 16 men and 2 women. According to the Gustilos classification, there were type IIIa in 11 cases and type IIIb in 7 cases. Mean period of removal of external fixator was 19.3 weeks and after removal of external fixator, cast immobillization was performed in 4 cases. Among them, bony unions were noted in 15 cases and there were nonunion in 2 cases and malunion in 1 case. The causes of nonunion were failure of accurate reduction in 1 cases and severe initial comminuted fracture in 1 case. Complications were nerve injury, pin site infection and ring-type osteomyelitis. After removal of external fixator, nerve injuries were recovered and pin site infections except 1 case were healed. Ring-type osteomylitis was occurred in 1 case after removal of external fixator and osteomyelitis was dured after curettage. When type III open tibial fractures were treated with Repofix external fixator, there were advantages of 1) early weight bearing, 2) sagittal and coronal reduction of fracture and 3) correction of rotation. With advantages, this external fixator was appropriate for the treatment of type III open tibial fractures.

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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.

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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

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