Journal of Musculoskeletal Trauma

Treatment Options of Osteoporotic Vertebral Compression Fractures: Yu Mi Kim, Tae Kyun Kim, Dae Moo Shim, Kyeong Hoon Lim; J Korean Fract Soc 2018;31(3):114-121. Published online July 31, 2018; DOI: https://doi.org/10.12671/jkfs.2018.31.3.114

This paper reviews previous studies on the treatment of osteoporotic vertebral compression fractures in elderly patients to determine what factors should be considered for successful treatment. In osteoporotic vertebral compression fractures, the primary treatment is conservative treatments. Other treatments include osteoporosis treatment, pain control, orthosis, and physical therapy. Recently, percutaneous catheterization or balloon plasty is performed for rapid pain recovery and early ambulation. Percutaneous catheterization or balloon posterior plasty is effective in reducing pain and improving the activity ability. Surgical treatment should be considered in cases of nonunion or osteonecrosis, dent, deformation, and spinal cord compression after conservative treatment has failed. In surgical treatment, posterior spinal fixation and vertebroplasty are more advantageous in terms of the amount of bleeding, operation time compared to the anterior approach, but the most appropriate method should be selected through the patient's condition and understanding of each surgical method.

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Maigne Syndrome and Thoracolumbar Compression Fracture – An Overlooked Combination in Low Back Pain: A Case Report
Jae-Yong Shim, Myung-Hoon Shin
The Nerve.2025; 11(1): 21. CrossRef
Effects of Herbal Medicines on Bone Mineral Density Score in Osteoporosis or Osteopenia: Study Protocol for a Systematic Review and Meta-Analysis
Su Min Hong, Eun Jung Lee
Journal of Korean Medicine Rehabilitation.2021; 31(2): 49. CrossRef
Spinal Stability Evaluation According to the Change in the Spinal Fixation Segment Based on Finite Element Analysis
Cheol-Jeong Kim, Seung Min Son, Jin-Young Heo, Chi-Seung Lee
Journal of the Computational Structural Engineering Institute of Korea.2020; 33(3): 145. CrossRef

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The Daily Life Functions of Elderly Peritrochanteric Fracture Patients after Surgical Treatment: Dae Moo Shim, Tae Kyun Kim, Jong Yun Kim, Duk Hwa Choi, Joung Suk Lee, Seong In Lee; J Korean Fract Soc 2012;25(1):8-12. Published online January 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.1.8

Abstract PDF: PURPOSE
Although most peritrochanteric fractures in old age necessitates surgical treatment, daily life functions are still impaired after discharge. We assessed the types of peritrochanteric fracture, risk factors, and functional recovery in elderly patients who were over 65 years old. We also tried to determine factors for recovery to daily life.
MATERIALS AND METHODS
From January 2006 to December 2007, among 61 patients who were over 65 years old with the possibility of 1 year follow-up, 50 patients were selected through interviews. After verifying age, sex, mode, types of fracture, and method, we analyzed daily living activities with a functional recovery index and estimated recovery of daily life functions after surgery, assuming a score increase if functional recovery was good.
RESULTS
The mean age was 75.8 years, and females (31 patients, 62%) exceeded males. Slipping (27 patients, 54%) was the most common cause of fracture, and the intertrochanteric femur fracture was the most common fracture type (34, 68%). The average functional recovery index decreased 16.24% compared with the pre-operation value, having a tendency to decrease more in old age and female patients. Subtrochanteric femur fracture showed a 17.6% decrease in functional recovery index among the fracture types.
CONCLUSION
In elderly patients over 65 years, the functional recovery index after peritrochanteric fracture decreased 16.24% on average compared with the preoperation state. The largest decrease was in basic life ability. The functional recovery index decreased more in old age, females, and subtrochanteric femur fracture, which indicates these factors influence functional recovery.

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Surgical Treatment of Scapular Fracture using by Plate Fixation: 4 Cases Report: Dae Moo Shim, Jeong Woo Kim, Seok Hyun Kweon, Ul Oh Jeung, Jong Myung Lee; J Korean Fract Soc 2006;19(3):381-387. Published online July 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.3.381

Abstract

Fractures of the scapula are relatively uncommon injuries and most can be treated satisfactorily with non-operative methods. But scapular fractures are being seen with increasing frequency in our mechanized society, specially in patients who have multiple injuries. So most injuries were related high energy, that residual deformities were high and related to the residual symptoms. Authors had done open reduction and internal fixation with plate in the four cases of the scapular fracture and analyzed that results.

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Clinical Results of Lateral-Posterior Internal Fixation for the Treatment of Scapular Body Fractures
Yoon-Min Lee, Joo-Dong Yeo, Seok-Whan Song
Journal of the Korean Orthopaedic Association.2020; 55(1): 46. CrossRef

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Treatment of the Unstable Distal Radius Fracture with External Fixation and Bone Cement in Elderly Patients: Dong Chul Kim, Suc Hyun Kweon, Dae Moo Shim, Churl Hong Chun, Ha Heon Song, Jeung Woo Kim; J Korean Fract Soc 2006;19(3):352-356. Published online July 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.3.352

Abstract: PURPOSE
To evaluate the functional and radiologic results in the using of external fixation with bone cement (polymethylmethacrylate, PMMA) for unstable, osteoporotic distal radius fractures in elderly patients that have high morbidity and chronic medical problems.
MATERIALS AND METHODS
We retrospectively analyzed 12 cases of 12 patients who were treated by external fixation and bone cement for unstable distal radius fractures in the aged persons with poor general condition from January 2003 to July 2004 and followed over one year. We analyzed the radiologic results, and measured the ranges of motion and grip strengths. Functional results were evaluated using the Modified Mayo Wrist Scoring System.
RESULTS
Radiographically, mean volar tilt, mean radial inclination and mean radial length were 8.33o, 24.66 mm and 11.31o respectively on the last follow-up. The mean arc of range of motion was 74.4% of that the uninjured side, and the mean grip strength was 78.0% of that the contralateral side. The average Modified Mayo Wrist Score was 78.3. There were reflex sympathetic dystrophy in a case and pin tract infection in 3 cases as complications associated with external fixator.
CONCLUSION
External fixation and bone cement is useful method for radial length maintenance, preventing reduction loss, restoring the articular surface, early exercise of the wrist joint without morbidity of donor site for unstable distal radius fractures requiring autogenous bone graft in the elderly patients.

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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 with bone block transfer of coracoacromial ligment in acromioclayicular injury: Byung Chang Lee, Sang Soo Kim, Dae Moo Shim, Sang Do Cha; J Korean Soc Fract 1996;9(1):146-153. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.146

Abstract PDF: Several studies have shown the effectiveness of reconstruction of acromioclavicular ligament with coracoacromial ligament in treating the Grade III acromioclavicular joint injury. One of these is a bone block transfer of coracoacromial ligament into the medullary canal of the clavicle to prevent occasional pullout of the transfered ligament. Eleven cases with complete acromioclavicular dislocation(acute 3, chronic 8) were treated by this method. We modified slightly the original method described by Shoji et at. to increase the success rate. Failure of coracoclavicular reconstruction occurred in two cases. All except one patient regained nearly painlefs range of shoulder motion. One patient showed severe restriction of shoulder abduction and definite deformity. In functional evaluation by the Weitzman criteria, five were excellent, four good, one fair, and one poor. Radiologic results for restoration of coracoclavicular interval showed marked improvement but were not consistent with clinical results. Main technical problems were harvesting bone block and fixation of ligament. To obtain good osseus healing without pull out of transferred ligament, we found that preservation of bone ligament junction and careful harvest of full thickness acromiai bone block was important.

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Treatment with Unlearned Locked Intramedullary Nail for Open Tibial Fractures: Sang Soo Kim, Byung Chang Lee, Dae Moo Shim, Jae Hoon Shin; J Korean Soc Fract 1995;8(1):284-291. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.284

Abstract PDF: Open fractures of the tibia remain a formidable injury. Which the need for stabillization of open tibial fractures is accepted, the method of fracture stabilization is still controversial because of unacceptable infection rate. External fixation has been the routine and safe procedure for open tibial fractrues. However, this is not without significant complications such as pin tract infection and delayed or nonunion due to insufccient stability. We reviewed the records of 29 patients who underwent immediate unlearned locked intramedullary nailing for open tibial fractures. The average time between injury and operation was 2.4days. The classification of the open fractures was; fifteen Grade I, nine Grade II , and five Grade II a. There was no superficial infections, but one of type III a patient developed deep infection. Skin graft or rotational flap to cover the soft tissue defect were performed. All cases were treated by primary intramedullary nailing without a change of the fixator. So, we think unlearned locked intramedullary nailing is a good alternative method for the management of Grade I, II, III a open tibial fractures.

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The IliBarov Technique in the Treatment of Nonunions of Long Bone: Hong Jun Han, Dae Moo Shim, Sang Hoon Cha; J Korean Soc Fract 1995;8(1):254-261. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.254

Abstract PDF: Orthopaedic surgeons have employed many different techniques for the management of nonunion of long bone. But, nonunion of long bone continued to challenge ouhopaedic surgeons. We used llizarov apparatus for the chronic infected nonunions or nonunions with large bone defect to achieve union, to correct deformity, to eradicate infection and to eliminate bone defect. Twenty-eight patients were treated for nonunions of long bone with llizarov apparatus by the same surgeon between 1990 March and 1992 August. Followings are the summary of the results. 1. 21 patients achieved solid bony union. The average duration of application of apparatus was 10.12 months. 2. 8 patients with less than 2cm shortening were treated by monofocal compression osteosynthesis, with an average healing time of 6.3 months. None of these 8 cases had infection. 3. 14 patients with infection and less than 2cm bone defect were also treated by monofocal compression osteosynthesis, with an average healing time of 8.7 months. 4. 6 patients with more than 2cm shortening or bone defect were treated by bone lengthening or bone transport. The average length gain was 5.6cm. 5. We have not any significant complications with llizarov method. The most common complication was a superficial pin tract infection in 12 patients(43%). 6. If the bony defect was not large, it was thought to be better to change B, or B, type nonunion to B, type to improve bony contact and healing. We find ourselves capable of solving increasingly more difficult problems with a level of sucess rarely, if ever, achieved with other conventional method.

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The clavicular nonunion treated by internal fixation and bone graft: Churl Hong Chun, Sang Soo Kim, Dae Moo Shim, Byung Chang Lee, In Yong Choi; J Korean Soc Fract 1993;6(2):312-317. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.312

Abstract PDF

No abstract available.

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Intercalary Tricortical Iliac Bone Graft in the Surgical Treatment of Nonunion of Midshaft Clavicular Fractures
Chul Hyun Cho, Hyung Gyu Jang
Clinics in Shoulder and Elbow.2012; 15(1): 32. CrossRef

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Analysis of Results of External Fixation in the Tibial Shaft Fracture: Sang Soo Kim, Dae Moo Shim, Min Jong Lee, Yong Suk Shim; J Korean Soc Fract 1989;2(1):60-70. Published online June 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.1.60

Abstract PDF: The fracture of the tibia shaft is difficult to treat because of high tendency of open fracture and complications such as osteomyelitis, soft tissue defect, delayed union and non-union. To evaluate that external fixation alone can be a final solution on treatment of the tibial fractures of the change of treament mode after external fixation, We studied 50 cases of fractures of the tibia shaft which were treated with external fixation between January 198 4 and June 1988. The results were as follows. 1. Among causes of injury, the traffic accidents were the most common. 2. Among the type of fractures, comminuted fractures were 26 cases(41%) and open fractures 47 cases(92%). By classification of Gustilo and Anderson most cases were open type III(60%). 3. The 4 cases(8%) were treated with external fixation alone and the time to union ave-raged 5.2 months. 4. For the 15 cases(30%), external fixators were removed, then applied cast and the time to union averaged 5.3 months. The 12 cases(24%) were treated with bone grafting and cast after removal of external fixator and the time to union averaged 6.8 months. 5. Among the secondary additional operatioin required after external fixation, bone operations were 34 cases, soft tissue operations 13 cases and comosite operations 3 cases. The bone 5 cases(39%) out of 13 cases of soft tissue operation. 6. The duration of external fixation was 22 days to 248 days, mean 101.6 days. 7. A retrospective evaluation of 50 cases treated external fixation revealed that external fixation was simple, safe and dffective method in the initial stage of fracture treatment but could not be a final Solution.

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Treatment of difficult Nonunion by Modified Dual Onlay graft: Sang Soo Kim, Ju O Kim, Dae Moo Shim, Bong Joo Park, Young Jin Choe; J Korean Soc Fract 1988;1(1):86-90. Published online November 30, 1988; DOI: https://doi.org/10.12671/jksf.1988.1.1.86

Abstract PDF: For the difficult nonunion, such as large bone defect, severe osteoporosis, nonunion with repeated operations, or nonunion at the metaphyses, authors performed modified dual onlay bone graft. One side was appied wiht plate for the stabilization of the nonunion site and the other side with cortical bone from tibia for the osteogenecity. We performed this operation in five cases and all of them had good results. This method is believed to be superior in its stronger stabilization and less donor site problem, however, with sufficient osteogenecity, to the original dual onlay graft. Moreover, even to the metaphyseal area, plate can be contoured to the bone shape, which makes this operation applicable to all areas of bone.

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