Journal of Musculoskeletal Trauma

Results of Treatment for Acetabular Fracture involving Posterior Wall: Choong Hee Won, Yong Min Kim, Kyoung Jin Park, Kyoung Il Jeong, Sin No Lee; J Korean Soc Fract 1999;12(4):754-760. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.754

The purpose of this study is to analyze the results of treatment of posterior wall fracture of acetabulum, which were treated at our hospital from September 1994 to December 1996. Among 24 posterior wall fractures, 15 cases were confirmed as isolated posterior wall fractures and nine fractures were associated with other acetabular fracture(4 transverse fracture, 3 both column fracture, and 2 posterior column fracture). Clinical follow-up was performed for a minimum of 2 years. The posterior wall fracture was classified according to fracture size(type 1<25%, type 2: 25-50%, type 3: 50-75%, type 4: >75%) and comminution (A: without comminution, B: with comminution, C: impacted) on standard roentgenogram and CT scan. Fourteen among 24 posterior wall fractures were followed for a minimum of 2 years, and the mean Harrif hip score was 91.2. Dislocation of hip occurred in 12 hips(50%). There was no definite difference of Harris hip score in regard to fracture size and comminution of posterior wall. Fractures with posterior hip dislocation had poor result compared with fractures without posterior hip dislocation. Anatomical reduction showed better clinical result than imperfect and poor reductions.

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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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Results of cross pinning fixation for supracondylar fracture of the humerus in children: considering adequate reduction and instability: Jong Hun Jee, Bong Soon Chang, Seung Baik Kang, Choong Hee Won, Eui Seong Choi; J Korean Soc Fract 1998;11(4):985-993. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.985

Abstract PDF: The supracondylar fracture of the humerus is the most common fracture of the elbow in children. New trends of treatment is that if satisfactory reduction is achieved by manual reduction, medial and lateral cross percutaneous pin fixation is better than others for stable fixation. Among many complications, cubitus varus deformity most commonly results from inaccurate reduction and failure in maintenance of fixation. The obliquity of the fracture, together with internal rotation, causes angular deformity. The angulation and coronal rotation, or tilting of distal fragment, often cause the deformity and limitation of motion of elbow. The porty-two Gartland type II, III supracondylar fractures of the humerus were treated by losed reduction or open reduction with percutaneous pinning or internal fixation from May 1993 to December 1995. The results were as follows; 1. the frequency of difference above 5degree in Baumann's angle was relatively high if fracture line is oblique on lateral roentgenogram or medial column comminution is present, that means unstable reduction. 2. In average, 2.7 pins were needed for reduction and maintenance of stability at this time. 3. Even though a few degree of rotation(5mm), translation(2-4mm) and angulation(5-10degree) were present at immediate reduction, carrying angle and Baumann's angle of follow-up period were often remained about the similar values compared with healthy side. If acceptable intraoperative carrying angle was achieved and a few degree of rotation, translation and angulation were permitted after reduction, varus deformity and limitation of motion of elbow were rerely caused. so repeating forceful manual reduction for anatomical reduction must be avoided because the final results may become progressively remodelled to normal.

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Treatment of femoral Shaft Fractures with Static Interlocking Intramedullary Nailing: Choong Hee Won, Seung Baik Kang, Kun Shin, Kyung Chul Jeon, Jin Sun Yoe, Kwan Hwan Jang; J Korean Soc Fract 1995;8(3):533-537. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.533

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We managed thirty-five patients who had a fracture of the femoral shaft with interlocking fixation and twenty-five of thirty-five patients healed without conversion to dynamic intramedullary fixation and followed more than a year. The results of treatment of fractures of the femoral shaft with static interlocking nailing were reviewed. The average duration of follow-up was sixteen months(range, twelve to twenty-four months). Radiographic consolidation was seen in all fractures at a median of sixteen weeks(range, eight to twenty weeks). There were no non-unions. We concluded that routine conversion of static interlocking to dynamic interlocking is not necessary in the intramedullary nailing of the femur shaft fractures.

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Analysis of Risk Factors for Nonunion after Intramedullary Nailing of Femoral Shaft Fracture in Adult
Yong-Woon Shin, Yerl-Bo Sung, Jeong Yoon Choi, Minkyu Kim
Journal of the Korean Fracture Society.2011; 24(4): 313. CrossRef

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