Journal of Musculoskeletal Trauma

A critical Analysis of Long-Term Result and Prognostic Factors of Fractures of the Calcaneus: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Kim, Jong Suck Kim; J Korean Soc Fract 1998;11(2):354-361. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.354

Forty-six patients who had had forty-nine calcaneal fractures were managed with closed reduction and a cast, closed reduction and axial pin fixation, and open reduction and internal fixation. The results were reviewed retrospectively, between twelve months and twenty-six months after the treatment, with criteria usued in assesssment of result by Salama30) and with plain radiographs. The purpose of this study were to analyze the relationship between the prognostic factors and post-treatment results. The results of treatment and prognostic factors obtained from this study were as follows. 1. The negative prognostic factors that were associated with an unsatisfactory out come were an age of more than fifty years, a greater body weight, work involving strenuous labor, subtalar incongruity, a decreased fibulocalcaneal space, and a decreased B hler-angle ratio of the fractured to the normal side. 2. Patients who had had a tongue-type fracture had a better result than those who had had a central depression fracture, while those who had had a central depression fracture had a better outcome than those who had had a comminuted fracture. 3. The length of the Achilles-tendon fulcrum, which is directly related to the calcaneal length, was not related to the outcome.

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Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture
Myung Jin Lee, Sung Keun Sohn, Kyu Yeol Lee, Sung Soo Kim, Min Soo Kang, Hyeon Jun Kim, Sang Kyu Sun
Journal of the Korean Fracture Society.2010; 23(3): 303. CrossRef

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Operative Treatment of the Displaced Clavicle Shaft Fracture in Adult: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Kim, Ryong Hwang; J Korean Soc Fract 1998;11(2):273-280. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.273

Abstract PDF: Clavicle fracture is one of the most common fracture, which had been managed via conservative methods with some exceptions such as nonunion. Operative treatment had been regarded as an important cause of nonunion and poor outcome. Nowadays, however, the goal of fracture treatment has become anatomical reduction, rigid fixation and early rehabilitation for better final results. We managed 43 clavicular shaft fracture which was displaced above 11mm, with conservative treatment (23 cases) and operative treatment (20 cases) since 1990 to 1995. All patients achieved good union in both group, except 5 nonunions of conservative treatment and no significant difference in union time. By functional evaluation of shoulder by Weitzman, final results were excellent in 17, good in 2 cases, fair in 1 case with operative treatment and excellent in 12, good in 4, fair in 3 and poor in 4 cases with conservative treatment. It was concluded that early operative treatment of clavicular shaft fracture showed better result than conservative treatment, especially in displaced and comminuted ones.

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Usefulness of Miniplate Fixation for the Fractures of Metacarpal and Phalangeal Bones of the Hand: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Kim, Chul Hong Park; J Korean Soc Fract 1997;10(1):156-163. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.156

Abstract PDF: Before the introduction of internal fixation, the healing of a fracture was an unpredictable event. Internal fixation provides stability, and fractures heal predictably. The miniplate is used for unstable metacarpal and phalangeal fractures of the hand to provide stability and to allow early motion. We analysed 32 patients, 41 cases of metacarpal and phalangeal fractures of the hand which were treated with miniplates from Jan. 1990 to June 1995. The following results were obtained. 1. Mean age was 35 years and the male was predominent(81.3%). The most common fracture site was the metacarpal(51.2%). 2. TAM(total active motion) was 2240 in average and the best result was obtained in the metacarpal fractures(TAM = 239). The roentgenographic union was 16.8 weeks in average. 3. There were 6 complications(complication rate 14.6%) which were 3 cases of joint stiffness, a case of wound infection, a case of loss of reduction, and a case of delayed union. 4. Miniplate fixation is considered to be an useful method to get fracture union and good range of motion with low complication rate in the treatment of metacarpal and phalangeal fractures of the hand.

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Comparison of Reamed and Unlearned type Intramedullary Interlocking Nail in Treatment of Tibia Shaft Fracture: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Kim, Soo Gon Kim; J Korean Soc Fract 1995;8(3):572-577. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.572

Abstract PDF: The authors analyzed 41 cases of fresh diaphyseal fracture of tibia who were treated with intramedullary interlocking nail between Oct. 1991 to Oct. 1993. in Hae-Dong hospital and followed up for 12 months or more. Among 41 cases, 18 cases were treated with reamed nailing method, and the others with unlearned method. The authors compared the results of 2 type of nailing method and obtained the following results. 1. Most of the cases(63%) had injury in their third and forth decade. Male was 31 cases. 2. The most common cause of injury was traffic accident(61%). 3. The mean bony union time was 16.5 weeks in reamed case, and 15.6 weeks in unlearned case. 4. The patients were judged to have good or excellent result in 89% of reamed cases and 87% of unlearned cases according to functional result by Klemm and Borner. The merits of unlearned intramedullary interlocking nail were relatively easier in procedure, short operation time, and less bleeding. So the authors concluded that unlearned intramedullary interlocking nail is useful method to treat the tibial diaphyseal fractures, especially in open fracture, elder patient and complicated patient.

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Comparison of carring angle and range of motion between closed reduction with percutaneous painning and open reduction in supracondylar fracture of hymerus in children: Hak Young Jeong, Seung Wook Yang, Young Cheol Shin, Chul Hyun Kim; J Korean Soc Fract 1993;6(2):338-344. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.338

Abstract PDF: No abstract available.

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