Journal of Musculoskeletal Trauma

The Cause of Primary Reduction Failure in Hip Dislocation with or without Hip Fracture: Hee Gon Park, Yong Eun Shin, Sung Hyun Kim; J Korean Fract Soc 2017;30(1):9-15. Published online January 31, 2017; DOI: https://doi.org/10.12671/jkfs.2017.30.1.9

PURPOSE
A rapid and accurate reduction is important for hip dislocated patients to avoid various potential complications, including avascular necrosis of the femoral head. We analyzed hip dislocation cases, ones that particularly failed during the primary reduction trial.
MATERIALS AND METHODS
Eighty-seven patients with hip dislocation, who visited the emergency department between January 2007 and September 2015, were retrospectively analyzed. Of them, 68 patients were successfully treated in the first closed reduction trial, and the remaining 19 patients were unsuccessful. Of the 19 unsuccessful first trial, 12 patients were successfully treated in the second closed reduction; however, in the remaining 7 patients, open reduction was performed in the operation room with general anesthesia. Every closed reduction was practiced by at least 2 orthopedic doctors, and open reduction was performed by a single senior author.
RESULTS
The rate of first reduction failure was higher, with statistical significance, in patients aged under 50 years, male gender, and those with combined around hip fractures, including femoral head and acetabular fracture (p<0.05). In particular, the presence of impacted fracture fragment in the hip joint and large size of the impacted fracture fragment was highly related to the failure of second closed reduction trial requiring open reduction. Conversely, the method of reduction, Thompson-Epstein classification, Pipkin classification were not related to the failure of closed reduction statistically (p>0.05).
CONCLUSION
To evaluate the patients with hip dislocation, realizing the type of dislocation, presence of accompanied fracture, location and size of fracture fragment, age, as well as gender of patients is important. If the fracture fragment is impacted in the hip joint and the size of the fragment is large, then the operative treatment is considered, rather than the repetitive trial of closed reduction by constraint.

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Traumatic obturator dislocation of the hip joint: About 2 cases and review of the literature
Z.F. Zengui, O. El Adaoui, M. Fargouch, O. Adnane, Y. El Andaloussi, M. Fadili
International Journal of Surgery Case Reports.2022; 93: 106983. CrossRef

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Traumatic Bilateral Anterior Hip Dislocation: A Case Report: Sung Taek Jung, Hyun Jong Kim, Myung Sun Kim, Young Jin Kim, Sang Kwan Cho; J Korean Fract Soc 2008;21(1):62-65. Published online January 31, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.1.62

Abstract PDF: Traumatic anterior dislocation of the hip is an uncommon injury, accounting for less than 10% of all reported cases of traumatic hip dislocation. Especially, there are no known report in our country so far. We are reporting a case of a 81 year old man who sustained bilateral anterior hip dislocation after pedestrian traffic accident, and treated by closed reduction and skeletal traction at our institute.

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Treatment of Bony Mallet Finger: Closed Reduction Using Extension Block K-wire: Jae Yeol Choi, Hwa Jae Jung, Ho Jin Lee, Kyung Mo Son, Young Hun Kim; J Korean Fract Soc 2004;17(4):362-367. Published online October 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.4.362

Abstract PDF

PURPOSE
To review the result of bony mallet finger treated with a closed reduction using extension block K-wire MATERIALS AND METHODS: Between January 2001 and November 2002, among the patients with bony mallet finger underwent closed reduction using extension block K-wire, we retrospectively reviewed 14 patients with 14 fractures who had a minimum follow-up of 12 months.
RESULTS
There were 10 men and 4 women, with an average follow-up for all cases 15.7 months (range, 12 months~18 months). According to Crawford's evaluation criteria, we obtained 7 excellent, 5 good, 2 fair. We obtained bony union in all patients, with no remained pain. The average ROM was 67 degrees at postoperative 12 months. Postoperative complications occurred in two cases, which were nail deformity and mild osteoarthritis at the distal interphalangeal joint. There was no pin site infection.
CONCLUSION
This technique is not only easier but also less invasive than other techniques for reduction of mallet finger. Also, it shows excellent result with lower complication rate. So, it seems a reliable treatment for bony mallet finger.

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Osteoarthritis after Extension Block Technique for the Bony Mallet Finger
Sung Hoon Koh, Jung Hyun Park, Jin Soo Kim, Si Young Roh, Kyung Jin Lee, Dong Chul Lee
Archives of Hand and Microsurgery.2021; 26(4): 238. CrossRef
Comparison of Surgical Outcomes of Percutaneous K-Wire Fixation in Bony Mallet Fingers with Use of Towel Clip versus 18-Gauge Needle
Ho-Seung Jeon, Chan-Sam Moon, Seo-Goo Kang, Kyeong-Seop Song, Uk-Hyun Choi
Journal of the Korean Society for Surgery of the Hand.2013; 18(1): 1. CrossRef
Percutaneous Kirschner Wire Fixation of Acute Mallet Fractures Percutaneousely Reduced by Towel Clip
Chung Soo Han, Duke Whan Chung, Bi O Jeong, Hyun Chul Park, Jin Young Kim, Cheol Hee Park, Jin Sung Park
Journal of the Korean Fracture Society.2009; 22(4): 283. CrossRef

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The Treatment of Mason Type II Radial Head Fractures using Closed Reduction and K-wire Fixation: Byung Ki Kwon, Song Lee, Dong Ki Ahn, Joon Seong Park, Sang Kyu Cha; J Korean Fract Soc 2004;17(3):277-282. Published online July 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.3.277

Abstract PDF: PURPOSE
To analyze the clinical results of the treatment of Mason type II radial head fractures using closed reduction and K-wire internal fixation under C-arm guide by radiologically and functionally.
MATERIALS AND METHODS
Between March 2001 and October 2003, 7 patients with Mason type II radial head fracture were treated by closed reduction and internal fixation using K-wires under C-arm guide. The average age of the patients was 38 (5 to 57) years old, and average duration of follow up was 20 (5 to 36) months. At last follow up, we evaluated the radiological results and functional results by classifying excellent, good, fair and poor according to functional rating system of Broberg and Morrey.
RESULTS
The range of motion of the elbow at last follow up, average flexion contracture was 1.4 (0 to 10) degrees, further average flexion was 146.4 (140 to 150) degrees, average supination was 74.2 (70 to 80) degrees and average pronation was 75 (70 to 80) degrees. In the functional results, 6 cases were excellent and 1 case was good. In the radiological evaluations, the average time of union was 5 (4 to 6) weeks after the operation and no serious complication was occurred in any cases.
CONCLUSION
In the treatment of Mason type II radial head fracures, closed reduction and K-wire internal fixation under C-arm guide was an effective method of treatment with satisfactory results and no complications.

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The Percutaneous Pinning of the Displaced Supracondylar Fracture of the Humerus using Skin Traction: In Heon Park, Kyung Won Song, Sung Il Shin, Jin Young Lee, Seung Yong Lee, Won Seok Oh; J Korean Fract Soc 2004;17(2):65-69. Published online April 30, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.2.65

Abstract PDF

PURPOSE
The purpose of this study was to evaluate a new treatment method, which was using intraoperative skin traction and Steinmann(S)-pin for anatomically reduction by gentle manipulation to treat the displaced supracondylar fracture of the humerus with percutaneous pinning.
MATERIALS AND METHODS
Clinical analysis was performed on thirty displaced supracondylar fractures (Gartland type III) of the humerus patients with a minimal three month follow up, who were treated percutaneous pinning after reduction with by intraoperative skin traction and S-pin. Clinical results were analyzed according to the Flynn grading system.
RESULTS
According to the Flynn grading system, excellent results were obtained in 12 cases (43%), good in 14 case (47%), fair in 4 cases (10%), poor in 0 cases (0%) and we obtained all satisfactory results. There was one case which was reoperated for closed reduction and percutaneous pinning repeatedly due to reduction loss and no case with conversion to open reduction.
CONCLUSION
To avoid the forceful manipulation, gentle closed reduction and percutaneous pinning using intraoperative skin traction and S-pin especially for rotational correction in the displaced supracondylar fracture of the humerus is considered to be useful method because showed satisfactory results.

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Treatment of displaced supracondylar fractures of the humerus in children by a pin leverage technique
H.-Y. Lee, S.-J. Kim
The Journal of Bone and Joint Surgery. British volume.2007; 89-B(5): 646. CrossRef

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Operative Treatment of Intraarticular Calcaneal Fractures Combined with Multiple Injuries using Closed Reduction and Cannulated Screw Fixation: Dae Moo Shim, Tae Kyun Kim, Soo Uk Chae, Seok Hyun Kweon; J Korean Soc Fract 2002;15(4):439-445. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.439

Abstract PDF: PURPOSE
To evaluate the radiological and clinical results of closed reduction and cannulated screw percutaneous fixation of intraarticular calcaneal fractures combined with multiple injuries.
MATERIALS AND METHODS
We reviewed 15 cases of 13 patients intraarticular calcaneal fractures combined with multiple injuries which were treated with closed reduction and cannulated screw percutaneous fixation between June 1998 to June 2001 and minimum follow up period of 12 months(12-27 months). The results were based on the assessment criteria of Salama and the analysis of Bohler 's angle, states of subtalar joint and deformities of calcaneus. Based on the Sanders classification, there were 2 cases(13%) of type I, 9 cases(60%) of type II and 4 cases(27%) of type III.
RESULTS
The preoperative Bohler 's angles were between 5 degrees to 35 degrees, postoperative Bohler 's angles were between 15 degrees to 45 degrees and the last follow up Bohler 's angles were between 15 degrees to 40 degrees . The postoperative complication of subtalar arthritis were developed in 5 cases and deformities of calcaneus were developed in 4 cases. Based on the assessment criteria of Salama, the functional results were excellent in 2 cases, good in 8 cases, fair in 3 cases, and poor in 2 cases.
CONCLUSION
The closed reduction and cannulated screw percutaneous fixation of intraarticular calcaneal fractures combined with multiple injuries was thought to be a useful method of treatment at the state of not delayed operating time and not position changing.

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Treatment of the Distal Metaphyseal Fractures of Tibia - Comparison between Internal Fixation with a Plate and screws and External Fixation with Ilizarov Device: Sung Churl Lee, Moon Jib Yoo, Hyun Seok Seo; J Korean Soc Fract 2002;15(3):371-378. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.371

Abstract PDF

PURPOSE
The purpose of this study was to compare the results between open reduction and internal fixation with plate and screws and closed reduction and external fixation with Ilizarov device for the fracture of disatal metaphyseal fracture of tibia.
MATERIALS AND METHODS
In this study, the results in treatment of the 19 distal metaphyseal fractures of tibia with closed reduction and external fixation with Ilizarov device were compared with those in treatment of the 23 fractures with open reduction and internal fixation with a plate and screws. The cases were the patients who had been treated for the fractures at the Department of Orthopaedic Surgery, Dankook University Hospital from May 1997 to December 2000. The results of treatment were analysed using functional evaluation by Mast and Teipner and radiological evaluation by Ovadia and Beals.
RESULTS
The results were as follows: 1. The major causes of injury were motor vehecle accidents, fall-downs, and falls from a height in order. 2. Treatment of the fractures with closed reduction and external fixation with Ilizarov device showed comparable results to that with open reduction and internal fixation with a plate and screws. 3. Complications in treatment were a little more frequent in open reduction and internal fixation with a plate and screws than in closed reduction and external fixation with Ilizarov device.
CONCLUSION
Considering the results, closed reduction and external fixation with Ilizarov device is thought to be one of recommendable options in treatment of the distal metaphyseal fractures of tibia with the advantages in wound management, prevention of stiffness of ankle joint, and convenience in removal of the device.

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Mid-term Results of Distal Tibial Fractures Treated with Ilizarov External Fixator
Suk Kyu Choo, Kyung Wook Nha, Hyoung Keun Oh, Dong Bong Lee
Journal of the Korean Fracture Society.2007; 20(4): 323. CrossRef

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Treatment of the Two part or Three part Fracture of Proximal Humerus: Jin Rok Oh, Doo Hee Lee, In Gu Kim; J Korean Soc Fract 2000;13(4):960-969. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.960

Abstract PDF: PURPOSE
The current study is performed to evaluate the clinical outcomes of treatment for two part or three part fractures of proximal humerus. MATERIAL AND METHODS: Forty-five cases that followed up over 6 months were divided into three groups : conservative treatment(Group I, 16 cases), closed reduction with internal fixation(Group II, K-wire 10, schanz pin 4, cancellous screw 3, 17 cases) and plate and screw fixation(Group III, 12 cases). The range of motion, pain index with self assessed functional score, anatomical reduction and bone union period and complications were examined.
RESULTS
The range of motion was worst in group I, and anatomical reduction was best in group III. The functional score of group II(average 80), group III(average 73) were higher than group I, but there were no significant differences between group II and group III. Complications were noted in 17 cases, which occured mostly in group I and III. Avascular necrosis of humerus head was noted in one case of group II. Bone union period was average 10.4 weeks.
CONCLUSION
If anatomical reduction could be obtained by closed reduction and internal fixation with K-wire, schanz pin and cancellous screw in 2 part or 3 part proximal humerus fracture, it would provide a sufficient fixation for early rehabilitation and bone union, while minimizing complications.

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Varus Stress Test and Percutaneous Fixation of the Lateral Condyle Fracture of the Humerus in Children: Sung Soo Kim, Sang Ki Lee; J Korean Soc Fract 2000;13(4):1053-1060. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.1053

Abstract PDF: PURPOSE
The current study is planned to evaluate varus stress test and a result of percutaneous K-wire fixation in the minimally displaced lateral condyle fracture of humerus in children.
MATERIALS AND METHODS
We have analyzed seven patients of Jakob stage I or II lateral condylar fracture of the humerus clinically and radiologically who were managed with closed reduction and percutaneous K-wire fixation from July 1996 to June 1999. Their ages at the time of injury ranged 2.5 to 11.7 years (average 6.3 years). We checked varus stress view for evaluating fracture stability and treatment plan.
RESULTS
The patients were followed up for average 13 months postoperatively and showed no differences in carrying angle, range of motion and physical activity compared with contralateral elbow. K-wires were removed average 6 weeks postoperatively. The fractures were united at average 5.9 weeks (5-9 weeks). There were minor complications ; one case of bony overgrowth, three cases of bony spur and one case of pin site infection. The treatment results according to Hardacre's assessment were excellent in all cases.
CONCLUSION
Varus stress view is necessary to evaluate the fracture stability and to make treatment plan in minimally displaced lateral condyle fracture, and closed reduction followed by percutaneous K-wire fixation can be used successfully in the cases of unstable Jakob stage I and reducible Jakob stage II.

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Closed Reduction and Percutaneous Pinning in Displaced Surgical Neck Fracture of the Proximal Humerus: Ju Hong Lee, Gyu Hyung Kim; J Korean Soc Fract 2000;13(2):406-413. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.406

Abstract PDF: PURPOSE
: to appreciate the effectiveness of th closed reduction and percutaneous pinning(CRPP) in reducible but unstable displaced surgical neck fracture of the humerus.
MATERIALS AND METHODS
: reviewed 30 patients(19 cases in CRPP and 11 cases in ORIF) with at least 1 year follow-up, comparing clinical union time, elapse time for surgery and clinical results using UCLA end-result scoring system in two froups and determining prognostic factors in CRPP.
RESULTS
: Clinical union was seen 8.4 weeks in CRPP and 11.2 weeks in ORIF. The difference between two groups in the clinical results was not significant. Lower UCLA score in CRPP correlated with the increment in age(p<0.05), but not with sex and metaphyseal comminution. Elapse time for surgery was taken average 38minutes in CRPP and average 95 minutes in ORIF. The postoperative complications in CRPP were 1 in nonunion, 4 in stiffness and 4 in pin loosening, most of them were occurred in female over sixty. SUMMARY : CRPP is a useful alternative and may be primarily applicable method in respect of comparable results to ORIF, minimal soft tissue damage and shorter surgical time. However, in cases of female with sixty or more, ORIF would be preferred because of poor bone quality, less compliant, and frequent joint stiffness.

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Simultaneous Fracture-Dislocation of the Carpometacarpal and Metacarpophalangeal joint of the Thumb: Ho Rim Choi, Sung Jun Han, Sang Seon Lee, Chi won Lee, Byeong Lok Jin; J Korean Soc Fract 1999;12(4):1031-1033. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.1031

Abstract PDF: Simultaneous multiple dislocation of the thumb is a very rare injury. We experienced a case of simultaneous fracture-dislocation of the carponletacarpal and metacarpophalangeal joint of the thumb which was treated by closed reduction and percutaneous K-wire fixation. The clinical retult was satisfactory.

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Radiological and Clinical Results After Closed Reduction in Colles'Fracture: Song Kon Kim, Koung Wook Rha, Jong Ho Park; J Korean Soc Fract 1999;12(2):471-478. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.471

Abstract PDF: Colles'fracture is a common injury encountered in emergency room. It is generally agreed that closed reduction of the fracture may not be difficult, but it is difficult to maintain the closed reduction. Twenty eight patients with Colles'fracture were treated with closed reduction and splinting method, followed up more than 1 year from January 1996 to August 1997 at the Korea university Ansan Hospital. The purpose of this study is to evaluate the radiological and functional results after closed reduction with splinting of Colles'fracture. The results of this study were as follows: 1) Of the 28 cases, type I were 3 cases, type II 16 cases, type III 9 cases by the universal classification. 2) Reduction loss was radial angle 2.25, volar angle 327, radial shortening 2.6mm. 3) The overall assessment were excellent in 8 (28.5%), good in 13 cases (46.5%), poor in 7 cases (25.0%) under the functional assessment of Garland and Werley and simple radiographic assessment of Scheck. 4) Complications were median nerve palsy 5 cases, osteoarthritis of wrist in 2 cases and hand stiffness in 2 cases. In conclusion, if there occured loss of reduction after closed reduction with splinting in elderly patients, closed reduction and internal fixation should be considered.

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Treatment of Supracondylar Fracture of the Humerus in Children: by Early Closed reduction & K-Wire Fixation: Jong Sup Shim, Won Hwan Oh; J Korean Soc Fract 1998;11(3):634-643. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.634

Abstract PDF: We treated supracondylar fracture of the humerus in children by early closed reduction and K-wires fixation using two lateral parallel K-wires for partially displaced fractures(Gartland Ib, II) and three K-wires,two lateral and one additional medial crossed K-wire for type III fractures. This study is to analyze our method for the treatment of supracondylar fracture of the humerus in children. Sixty-two fractures(4 type Ib, 20 type II and 38 type III) underwent K-wires fixation after closed reduction of the fracture from October 1994 to April 1997 were included in this study. The patients age ranged from 2 years and 2 months to 12 years and 7 months, averaging 6 years and 2 months. All the fractures were treated within 24 hours after arrival in the hospital. After general anesthesia, each fracture was reduced manually and fixed by K-wires under fluoroscopic control. Two lateral parallel K-wire were used for fixation of all type Ib and II fractures. We tried to keep the gap between two K-wires be 1 cm or more. In type III fractures, fractures were fixed by two parallel lateral K-wires and followed by one medial crossed K-wire. The K-wires were removed after averaging 3.2 weeks after operation in out patient clinic. The follow-up period ranged from 6 months to 34 months. averaging 14 months. By Flynn's functional and cosmetic criteria, 37 fractures (97.4%) among 38 type III fractures resulted in satisfactory criteria. All of the type I and II fractures (100%) resulted in satisfactory criteria. In conclusion, our decision is considered as safe and reliable option for the treatment of supracondylar fractures of the humrus in children.

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Treatment of Lateral Humeral Condyle Fractures in Children Using Closed Reduction and Percutaneous Pinning: Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Do Koh, Sang Hoon Ko, Seung Hyun Hwang; J Korean Soc Fract 1997;10(1):218-225. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.218

Abstract PDF: Treatment of lateral condyle fracture has been traditionally divided to closed and open treatment. Minimal displaced fracture of lateral humeral condyle can be appropriately treated with closed reduction and percutaneous K-wire fixation. Adherence to these guidelines is likely to prevent malunion, nonunion, premature epiphyseal closure, ulnar neue palsy, and cubitus valgus deformity, all possible complications of this fracture. Since September 1993, we managed 20 children with lateral condyle fracture of elbow using closed reduction and percutaneous pinning. And intraoperative arthrogram was done to confirm the reduction status. Pins were removed 6 weeks postoperatively. The average period of follow-up was 24 months. There was no significant difference in carrying angle, range of motion and physical activity compared to contralateral elbow. Valgus - varus stress view is a useful method in evaluating fracture stability and rupture of cartilage hinges and valgus - supination stress view is very useful for confirming the reduction. Arthrogram was considered to be useful in evaluating the reduction state and deciding the treatment plan.

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Treatment of Supracondylar Fracture of Humerus in Children: Conservative vs Operative Treatment: Jong Min Sohn, Ju Hai Chang, Dong Heon An, Seung Pyo Eun, Han Seok Son; J Korean Soc Fract 1996;9(3):695-705. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.695

Abstract PDF: Supracondylar fracture of the humerus is the most common fracture around the elbow joint in children, especially in the age from 4 to 9. 97% of the fractures are extension type and there are many problems in management such as the method of reduction and maintenance of reduction, Volkmanns ischemia, neurovascular injuries, cubitus varus or valgus deformity, and myositis ossificans etc. Currently the methods of treatment of supracondylar fracture include open reduction and pin fixation, closed reduction and percutaneous pin fixation, and closed reduction and immobilization by splint. 134 children with supracondylar fracture of humerus, conservatively 49 cases and operative 85 cases, were treated from January 1991 to October 1995 and were followed up for at least 6 months. We analyBed the type of fracture, method of treatment and results and concluded that accurate reduction, minimizing soft tissue injury and maintenance of reduction are important factors for gaining good results.

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Treatment of Radial Head and Neck Fracture in Children: Hyung Ku Yoon, Kuk Hwan Oh, Kyung Hoon Kang, J I Kim, Jong Hwa Yi; J Korean Soc Fract 1996;9(3):688-694. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.688

Abstract PDF: Fracture of radial head and neck in children is a relatively rare injury and comprises 5 to 10 percent of fractures of the elbow in children. Its prognosis has been considered relatively good, but prognosis is poor in severely displaced fractures of the radial head and neck, especially types II and III by OBriens classification and have a high risk of complication. We retrospectively reviewed 8 cases of radial head and neck fractures in 1 patients, who were treated from Jan.1992 to June 1994 at Kwang Myung Sung Ae Hospital. They were followed up for more than 1 year. The results were as follows; 1. There were 4 male and 3 female patients. One patient had bilateral involvement 2. The most common cause was fall down injury (6 cases). 3. According to O'Briens classification, 3 cases were type I and 5 cases were type II Treatments included simple immobilization(3 cases), closed reduction and plaster cast (4 cases), percutaneous K-wire leverage method(1 case). 4. According to the criteria of Tibone, the clinical result was excellent in 7 cases and good in 1 case. Primary angulation was the most important factor affecting the result and early closed reduction was important to obtain the satisfactory clinical result.

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Fracture-SeFaration Involving the Entire Distal Humeral Epiphysis in a Young Child(Salter-Harris type I injury): A Case Report: Jong Ho Jang, Seung Gyun Cha, Kyoung Hoon Kim, Jeon Oh Kang; J Korean Soc Fract 1996;9(3):674-677. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.674

Abstract PDF: Fracture-separation of the distal humeral epiphysis is a rare injury, frequently misdiagnosed as a fracture of the lateral humeral condyle, a supracondylar fracture of the humerus or a dislocation of the elbow. Roentgenographic evaluation reveals posteromedial displacement of the distal epiphysis. Single contrast arthrography is performed in order to confirm diagnosis. Treatment is first directed toward prompt recognition of the injury. A manipulative closed reduction is usually recommended. We experienced a case of fracture-separation involving the entire distal humeral physis treated by closed reduction and percutaneous pinning. The result was excellent.

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The 5th Metacarpal Neck Fracture Treated by Closed Reduction and Percutaneous Intramedullary K-wire Fixation: Soo Joong Choi, Young Ho Lee, Ho Guen Chang, Chang Ju Lee, Won Ho Cho; J Korean Soc Fract 1995;8(3):696-704. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.696

Abstract PDF

The fifth metacarpal neck fractures are unstable and often heals with angulation and deformity. So, after closed reduction and immobilization with splint or cast, they have often been lost reduction and healed with posterior angulation and cosmetic deformity. We conducted a prospective study of 11 patients who underwent percutaneous retrograde intramedullay K-wire fixation for a fracture of the neck of the fifth metacarpal during four years period. We used a closed reduction technique derived from Jahss maneuver or three point fixation maneuver. And, the fracture was maintained with two cross or parallel smooth intramedullary K-wire. The proximal side of K-wire was placed back wound side near the wrist joint. The last follow up (postoperative 14Â±2 weeks) radiographic results were dorsal angualtion 7Â±4 , corresponded to preoperative 48Â±7 , and immediately postoperative 6Â±4 The complications such as limitation of movement, increase of dorsal angulation, rotational malalignment, shortening, and depression of the head of metacarpal were not occurred. Rotational deformity was always well controlled. Correction of angulation was good and K-wire insertion and fixation technique were easy. We recommend this technique in case of over 40 dorsal angulation of fracture site due to absence of contact between the palmar fractured ends, and patients who dont accept the cosmetic deformity or want early exercise.

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Comparative Evaluation of the Efficacy of Combined Intramedullary Pinning with K-Wires Pinning in the Treatment of Fifth Metacarpal Neck Fractures versus Conventional Techniques—K-Wires Pinning and Intramedullary Pinning
Dong-Eun Kim, Tong-Joo Lee, Yeop Na, Ye-Geon Noh
Medicina.2023; 59(11): 1944. CrossRef
Modified Bouquet Technique for Treatment of Metacarpal Neck Fractures
Yong-Gyu Sung, Seok-Whan Song, Yoon-Min Lee
Journal of the Korean Society for Surgery of the Hand.2016; 21(3): 137. CrossRef
Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
Jae-Hak Jung, Kwan-Hee Lee, Yong-Ju Kim, Woo-Jin Lee, Sung-Hyun Choi
Journal of the Korean Fracture Society.2012; 25(4): 317. CrossRef
Treatment of Metacarpal Fractures using Transverse Kirschner-wire Fixation
Nam Yong Choi, Hyun Seok Song
The Journal of the Korean Orthopaedic Association.2007; 42(5): 608. CrossRef
Bouquet Pin Intramedullary Nail Technique of the 5th Metacarpal Neck Fractures
Myung-Ho Kim, Moon-Jib Yoo, Jong-Pil Kim, Ju-Hong Lee, Jin-Won Lee
Journal of the Korean Fracture Society.2007; 20(1): 64. CrossRef

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The Fractures of the Femoral Neck in Children: Ki Soo Kim, Seung Hee Ko, Chang Mun Seo, Yong Su Choi, Kyung Ho Kim, Dong Myung Lee; J Korean Soc Fract 1994;7(2):562-570. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.562

Abstract PDF: The femoral neck fracture in childhood is rare and occurred by severe trauma. Its treatment method and prognosis are different from adult, and(it was) difficult to treat due to frequent complication. So the femoral neck fractures in children are called as unsolved fracture. Eleven cases of childrens femoral neck fracture were treated by closed reduction and internal fixation using cancellous screws or Knowles pins at Kwang lu Christian Hospital from January 1986 to January 1992, and were analysed clinically and radiologically. According to classification of Delbet and Colona, the transcervical fracture were 6 cases and the cervicotrochanteric fracture f cases. 10 of the eleven cases were displaced fractures. Avascular necrosis was evident in 6 cases(54.5%) and all of them were displaced fracture initially. 2 cases of avascular necrosis were treated with Intertrochanteric varus osteotomy with angle blade plate.

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Reduction and Percutaneous Pinning of Displaced Supracondylar Fracture of the Humerus in Children: Won Yoo Kim, Jin Young Kim, Kun Young Park, Chong Hoon Park, Hwa Sung Lee; J Korean Soc Fract 1994;7(2):471-479. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.471

Abstract PDF: Closed reduction and percutaneous pinning of displaced supracondylar fractures of the humerus in children yielded simple fracture management, less neurological and vascular complications, reduced hospitalization day and increased satisfactory out-comes. We treated twenty-seven cases of these fractures(extension type : twenty-five cases) by such a method. The accurate closed reduction of a supracondylar fracture could be obtained and confirmed by image intensifier. The maintanence of a reduction was stabilized by application of K-wires. Our study showed that the limitation of range of motion of the elbow joint was not signifiint(three cases, below ten degrees extension block and changes of carrying angle was also minimal three cases, below ten degrees). In twenty-seven cases, excellent results were recorded in 93% on at least on year follow-up.

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A Clinical Study of Traumatic Posterior Fracture-Dislocation of the Hip: 13 cases with operative treatment: Won Yoo Kim, Jin Young Kim, Kun Young Park, Chang Boon Jeong; J Korean Soc Fract 1994;7(2):457-464. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.457

Abstract PDF: Traumatic Posterior hip fracture-dislocation is uncommon injury, which induces the traumatic arthritis, joint contracture and avascular necrosis of the femoral head as a late complication. Among 23 patients with traumatic fracture-dislocation of the hips, 13 patients who underwent operative intervention were reviewed retrospectively: all patients were men ranging from 24 to 59 years old. A dash-board injury of car accident was leading cause of the traumatic dislocation in this series(9 cases, 64%). Associated injuries were found in 11 cases(84%). In follow-up ranging from 12 months to 36 months(averge, 18 months). Ten were treated by closed reduction; 6, by closed reduction followed by subsequent open reduction and internal fixation for unstable fracture of the acetabulum; 3, by primary open reduction; and 4, delayed open reduction. The results according to the Epstein and Thompson clinical criteria for evaluating results were good at 5 of 6 patients treated by closed reduction followed by open reduction for acetabular fracture. It was concluded that early closed reduction followed by open anatomic reduction with removal of all loose fragments of bone and cartilage and restoration of stability by internal fixation of the fracture of the acetaulum offers the best prognosis.

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