Journal of Musculoskeletal Trauma

Original Articles

Treatments of the delayed Union or Nonunion of Tibial Shaft Fracture Fixed with Interlocking IM nail: Yong Bum Park, chung Soo Hwang, Phil Hyun Chung, Suk Kang, Dong Joo Chae, Han Chul Kim, Sang Ho Moon, Jong Phil Kim, Dae Jin Kim; J Korean Soc Fract 1998;11(3):552-559. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.552

Abstract PDF: Interlocking intramedullary nailing has been the first choice treatment of most tibial shaft fractures because its rigidity of fixation allows early ROM and weight bearing. Although most interlocking nailing procedures are performed with closed reduction that preserve periosteal blood supply, delayed union or nonunion is often occurs. so secondary procedures, such as bone graft, dynamization, nail exchange, are necessary to achieve fracture healing. We analyzed 25 cases of delayed union or nonunion from 432 tibial shaft fractures fixed initially with static interlocking intramedullary nailing since January 1990 till January 1996. Overall incidence of delayed union or nonunion is 5.8%(25/432). Secondary procedures included mainly iliac bone graft or dynamization. Average time to achieve bone union after secondary procedure is 6.1 months. The more distracted or displaced fracture ends after interlocking nailing or the more comminuted fracture fragments led to the more delayed bone union. Careful attention to minimize distraction or displacement during interlocking nailing is necesary to decrease the incidence of delayed union or nonunion. And appropriate procedures should be performed when delayed union or nonunion is predicted, which result in success in most cases.

Flexion type, Supracondylar Fractures of the Humerus in Children: Phil Hyun Chung, Suk Kang, Hyung Ho Oh, Dong Ju Chae, Dae Jin Kim; J Korean Soc Fract 1996;9(4):1104-1110. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.1104

Abstract PDF: The flexion type, supracondylar fracture of the humerus is a rare injury of the elbow in children. It is known as difficult fracture to achieve and maintain reduction and is associated with relative high incidence of complications such as ulnar nerve injury, varus deformity and limited range of motion of the elbow. We have experienced 6 cases of flexion type sapracondylar fracture of the humerus in children. We performed closed reduction and percutaneous piniiing in type II fracture and in type III fracture, open reduction and internal fixation was performed because closed reduction was failed. The resuli were generally excellent. Full range of motion of the elbow and under 5 degree varus or valgus deformity resulted in. We become to believe that the aggressive approaches-even open reduction in type III fracture-provide good results and decrease the complications mentioned previously.

Search