Journal of Musculoskeletal Trauma

Treatment of Acetabular Fracture with Wire: Chang Soo Kang, Dong Hwa Woo, Doo Hwan Oh; J Korean Soc Fract 2000;13(3):432-439. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.432

Abstract PDF: PURPOSE
To evaluate the clinical and radiological results of wire fixation for acetabular fracture and its merits.
MATERIALS AND METHODS
From 1996 Jan. to 1998 Dec., 18 cases of being fixed by wire among 42 cases who being treated by surgical method were analyzed. We evaluated these cases after a mean follow up of 2.1 years. The fixation was done by wires in 11 cases, wires with plate in 3 cases and wires with screw in 4 cases.
RESULTS
According to Epstein's criteria, favorable results were achieved in 15 cases(83.3%) on clinical grade and 14 cases(77.7%) on radiographic grade.
CONCLUSION
The results of this study suggest that open reduction and internal fixation with wire is preferable method that can permit early ambulation, decrease postoperative complication and achieve firm fixation, comparing with open reduction and internal fixation with plate and screws, in treatment of displaced acetabular fractures.

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A Traumatic Anterior Hip Dislocation Associated Ipsilateral Femoral Shaft Segmental Fracture : Case Report: Chang Soo Kang, Young Rae Cho; J Korean Soc Fract 1997;10(3):516-521. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.516

Abstract PDF: Traumatic hip dislocation associated with ipsilateral femur shaft fracture is a very rare injury and often results from high velocity injury such as traffic accidents or fall from a height. This combined injury was first documented by Sir Ashley Cooper in 1823. Wiltberger, Mitchell and Hedrick estimated its incidence at one out of 100,000 cases of fractured femoral shaft. Until 1978 there have been only 3 cases were reported of anterior hip dislocation with ipsilateral femoral shaft fracture in the literature. We have recently had the opportunity to manage the patient with anterior hip dislocation with ipsilateral femoral shaft segmental fracture and contralateral acetabular fracture.

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Cable Fixation Method for Displaced Acetabular Fracture: Chang Soo Kang, Byung Woo Min, Kwang Soon Song, Chul Hyung Kang, Jong Wan Park; J Korean Soc Fract 1996;9(3):574-582. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.574

The operative treatment of displaced acetabular fracture has become the preferred method than conservative treatment. Displaced acetabular fracture occurs primarily in young adult involved in high energy trauma and it can lead to some degree of permanent disability. The aim of treatment must be the restoration of hip function which require accurate anatomical reduction and firm fixation followed by early exercise. The complicated anatomy of the region, and unsatisfactory fixation to cancellous bone, and unnecessary wide dissection of the soft tissue for plate and screw fixation contribute to clinical end results of varying success. The wire loop which was previously reported by our department as a successful method of fixation has now been developed to cable fixation that can be easily adjusted to the irregular surface of acetabulum and get more firm fixation. A clinical analysis was performed on 14 patients with displaced unstable acetabular fracture who had been fixed by cable and followed for minimum 1 year period at our department from June 1993 to June 1994. The results were follows; 1. According to Letournels classification, there were most common(9 cases:64.4%) in both column fracture, 3 cases(21.4%) in T shaped fracture, 1 case(7.1%) in transverse fracture, and 1 case(7.1%) in transverse and posterior wall fracture. 2. The satisfactory result was achieved in 12 cases(85.7%) on clinical grade and 12 cases(85.7%) on radiographic grade according to Epstein criteria. 3. The complication were developed in 3 cases(21.4%) out of 14 cases, such as posttraumatic arthritis in 2 cases and transient sciatic nerve palsy in 1 case. 4. Cable fixation provides a more secure and easy fixation and require a narrower exposure than a plate fixation.

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Cerclage Clamping Using Cerclage Passer for Reduction of Anterior and Posterior Column Fracture
Ki Chul Park, Hyun Joong Cho, Hun Chul Kim, Kyung-Sik Min, Hae Won Jeong
Journal of the Korean Orthopaedic Association.2016; 51(6): 486. CrossRef
Cerclage Wiring in Internal Fixation of Displaced Acetabular Fractures
Chong-Kwan Kim, Jin-Woo Jin, Jong-Ho Yoon, Sung-Won Jung, Jung-Wook Peang
Journal of the Korean Fracture Society.2008; 21(2): 95. CrossRef

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Operative Treatment for Comminuted Fractures of the Proximal Humerus Using T-plate: Young Sik Pyun, Chang Soo Kang, Kwang Soon Song, Chul Hyung Kang, Byung Woo Min, Jin Soo Hwang; J Korean Soc Fract 1995;8(4):878-884. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.878

Abstract PDF: The shoulder is especially susceptible to stiffness following injury because of the formation of adhesions. Early mobilization prior to maturation of adhesions around the joint gliding surface is, therefore, an essential step in the management of the proximal humerus comminuted fractures. Our aims were accurate reduction and stable fixation to allow early mobilization and to achieve full functional recovery. During the eight-year period from January 1986 to June 1994,51 cases patients were treated surgically for comminuted fractures of the proximal part of the humerus by T-plate at our hospital. The results were summarized as follows; 1. There were 17 cases of the two-part fractures, 31 cases of the three-part fractures and 3 cases of the four-part fractures following to Neers classification. 2. The most common cause of injury was road traffic accident(34 cases). 3. The excellent or satisfactory results were seen 82% of the two-part fractures and 81% of the three-part fractures, whereas 67% of the four-part fractures. 4. The most frequent complication of comminuted fractures were motion limitation and pain(5 cases), delayed union(2 cases), plate bending(1 case) and infection(1 case) but avascular necrosis of the humeral head, non-union, myositis ossificans and plate breakage had not been developed in these cases. 5. T-plate was one of the good internal fixation devices for surgical treatment of the comminuted fractures of the proximal humerus.

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Surgical Treatment of Non-Union of the Carpal Scaphoid by Modified Matti-Russe Technique: Chearl Hyoung Kang, Chang Soo Kang, Young Sik Pyun, Kwang Soon Song, Byung Woo Min, Yo Han Choi; J Korean Soc Fract 1994;7(2):538-544. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.538

Abstract PDF: Although 90% of fresh carpal scaphoid fracture heals with adequate treatment, the rate of non-union is higher in untreated or misdiagnosed at the time of injury leading to carpal collapse and degenerative arthritis. We have treated these non-unions by modified Matti-Russe technique and all cases showed uneventful healing, but range of motion of the wrist joint decreased in some cases. We studied 18 patients of non-union of the carpal scaphoid treated modified Matti-Russe technique from November,1988 to December, 1992 and the results were as follows: 1. Among the 18 patients, the ratio of male and female was 16:2, and mean age was 23.0 years old. 2. Dominant hand was involved in 14 cases. 3. The fracture was most commonly situated at the waist of the scaphoid. 4. Bony union was obtained in all cases and the average time to radiological union was 18.0 weeks. 5. According to Maudsleys assessment, the results revealed as 7 cases of excellent, 9 cases of good and 2 cases of fair.

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Surgical Treatment for Posterior Fracture-Dislocations of the Hip with Fracture of Acetabulum: Byung Woo Min, Chang Soo Kang, Young Sik Pyun, Kwang Soon Song, Chul Hyung Kang, Sang Hak Lee; J Korean Soc Fract 1994;7(2):530-537. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.530

Abstract PDF

Thirty-one posterior fracture-dislocations of hip with fracture of acetabulum were followed from 6 months to 84 months(average, 23.3 months). The patientsages ranged from 19 to 58 years(average, 35.4 years). All had primary attempt at closed reduction with subsequent open reduction. Satisfactory results were obtained in 87% of all patients. Complications included partial sciatic nerve palsy(1 case), myositis ossificans(2 cases), osteoarthritis(3 case), recurrent dislocation(1 case) and infections(2 cases). This survey was undertaken to assess the results of a certain method of treament, and in the hope of contributing further information on this subject.

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Complications in Patients with Acetabular Fractures Treated Surgically
Byung Woo Min, Kyung-Jae Lee
Journal of the Korean Fracture Society.2008; 21(4): 341. CrossRef
Surgical Treatment of Posterior Wall Fractures of the Acetabulum
Young-Soo Byun, Se-Ang Chang, Young-Ho Cho, Dae-Hee Hwang, Sung-Rak Lee, Sang-Hee Kim
Journal of the Korean Fracture Society.2007; 20(2): 123. CrossRef

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Silicone Rubber Replacement of the Severely Fractured Radial Head: Byung Woo Min, Chang Soo Kang, Young Sik Pyun, Kwang Soon Song, Young Wook Ha; J Korean Soc Fract 1994;7(1):43-48. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.43

Abstract PDF: The best method of treatment for displaced comminuted fractures of the radial head is still controversial. Early excision of the fractured radial head has been favored by a number of authors. but problems such as chronic pain in the elbow, forearm or wrist, restricted movement of the elbow, late subluxation of the distal radio-ulnar joint can ensue. So prosthetic replacement of the radial head had been advocated either for acute treatment of a fracture or for delayed treatment, when conservative treatment has failed. We analyzed 10 patients with comminuted radial head fracture treated by silastic prosthesls replacement shortly after injury from Jan. 1988 to Dec. 1992. The results were as follows. 1. Age distribution at operation was varied from 19 to 57 year with the average at 40.9 year. 2. The average time interval between initial radial head fracture and silastic prosthetic replacement was about 10 days(range 4 days to 18 days). 3. 6 patients(60%) were free of elbow, pain 2 patients(20%) had intermittent mild pain especially at night and 2 patients(20%) had mild pain only after heavy work. 4. All patients were free of wrist pain 5. There was no patient of breaking or tilting of prosthesis radiologically. 6. Overall assessment showed excellent in 4 patients(40%), good in 4 patients(40%) and poor in 2 patients(20%).

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