Journal of Musculoskeletal Trauma

Anatomical Results According to Fracture Pattern after Surgical Treatment of Acetabular Fractures: Kyu Hyun Yang, Dae Yong Han, Seong Jin Park, Jae Min Jung; J Korean Soc Fract 2000;13(4):754-760. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.754

PURPOSE
We analyzed the anatomical results of operative treatment in acetabular fractures according to fracture pattern and surgeon's experience. MATERIAL AND METHODS: From December, 1993 to December, 1999, 100 cases of acetabular fractures operated by single surgeon were analyzed. Fracture configuration was classified by Letournel's method. The anatomical results were classified by Matt' s criteria and Claude Martimeau score.
RESULTS
There were 36 elementary fractures(anterior column type: 4 cases, posterior wall type: 29 cases, transverse type: 3 cases) and 64 complex fractures(posterior wall and posterior column type: 4 cases, anterior and posterior hemitransverse type: 8 cases, transverse and posterior wall type: 16 cases, T type: 6 cases, both column type: 30 cases). According to Matta's criteria, all elementary fractures were seen anatomic or satisfactory results however, eleven cases of combined fracture were seen unsatisfactory results. Mean Claude Martimbeau's score was 6.1 point. Elementary fracture was 7.5 point and combined fracture was 5.4 point. Both column fracture was 4.4 point and it was the lowest point among the fractures. In both column fracture, the improvement of surgeon's skill made more good anatomical results. There were four cases of infection and 2 cases of nerve injury.
CONCLUSION
In operative treatment of acetabular fractures, complexity of fracture demands more appropriate surgical approach and skillful surgeon,

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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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Intramedullary Nailing in Distal Tibial Fracture: Kyu Hyun Yang, Dae Yong Han, Seong Jin Park, Hwan Wook Yoo, Ki Won Yang; J Korean Soc Fract 1999;12(4):901-908. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.901

Abstract PDF: PURPOSE
: We evaluated the efficacy of intramedullary nailing in distal tibial fractures. Material and Method : Twenty-six patients with distal tibial fracture were treated with intramedullary nailing between Jan. 1996 and May 1998. Operation was done on the fracture table under skeletal traction. We evaluated the causes of trauma, type of fracture, location of fracture, time to union, malunion, nonunion, range of motion of knee and ankle, and degree of pain.
RESULTS
: There were 4 cases of open fracture and 4 cases of closed soft tissue injury at fracture site. The time to fracture union was 19 weeks on average. One case(3.8%) did not heal by 10 months and was classified as nonunion. The union rate was 96.2 % and the complication rate was 7.7%(one case of nonunion and one case of malunion). There was no infection and soft tissue disruption. The range of motion of knee was reduced in 1 case(3.8%) and 2 patients(7.7%) complained of mild pain at the knee joint. The range of motion of the ankle joint was reduced in 4 cases(15.5%), averaging 15.5 degrees in dorsiflexion and 9 cases(34.6%), averaging 21 degress in plantarflexion. Two patients complained of mild pain at the ankle joint.
CONCLUSION
: We had relatively good clinical and radiological results and concluded that closed intramedullary nailing is a safe and effective method of managing distal tibial fracture.

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Interlocking Nailing for Tibial Fractures: Ick Hwan Yang, Kyu Hyun Yang, Dae Yong Han, Hui Wan Park, Hyun Cheol Oh; J Korean Soc Fract 1995;8(3):538-543. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.538

Abstract PDF: Nawadays, tibial fractures are not uncommon and those treatment methods are varied also. Recently interlocking nailing for tibial fracture is widely used. Between March 1992 and February 1994, 20 tibial fractures were treated with interlocking nail in 18 patients over 12 months follow up. The results were as follows: 1. Seventeen cases(85.0%) were able to perform active ROM exercise of knee and ankle within 1 week. Partial weight bearing for dynamic interlocking nailing, was allowed in 2.6 weeks(mean). For static interlocking nailing, weight bearing was allowed in 6.7 weeks. 2. The average operation time was 42 minutes, blood loss within 100ml. The fracture sites were not exposed. 3. Union without complications was achieved in 19 cases(95.0%) in average 12.8 weeks. One case needed a secondary operation later with Ilizarov external flxator due to reduction failure. 4. There was no nonunion or reduction loss after weitht bearing. 5. Complications were reduction failure, supeficial infections, and screw breakages. In conclusion, interlocking nailing for tibial fractures was gained good results with low complications and early weight bearing, leads to excellent results.

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Surgical Treatment of Complex Acetabular Fracture: Dae Yong Han, Chong Hyuk Choi, Yong Jin Yoon; J Korean Soc Fract 1994;7(2):337-344. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.337

Abstract PDF: The principle of operation for Acetabular fracture is, as for any other intraarticular fracture, required anatomical reduction followed by stable internal fixtion. But it is difficult to make good anatomical recuction with firm fixation, because of complicated anatomy and difficulty with surgical exposure. Traumatic arthitis and avascular necrosis of femoral head could be followed by operation. We reviewed 17 cases of complex acetabular fracture treated operatively from January 1984 to December 1991 The prevalent age group was the fourth decade. There were 7 cases of dislocation of the hip, 5 fracture of femur as associated injury. According to the Letournels classification, there were 2 cases of T-shaped fracture, 4 posterior column & posterior wall fracture, 2 anterior column & posterior hemitransverse fracture, 9 both column fracture. Surgical approach was extended iliofemoral method in all cases. The fractuer was fixed internally with only screws in 3 cases and with plate and screws in 14 cases. Treatment results was analyzed by Harriss hip scoring system and Mattas reontgenographic grading system. Among 12 patients who had followed up more than ony year, the satisfactory results were achieved in 76% and the poor results were achieved in 16%. The complications were post traumatic arthritis in 2 cases, avscular necrosis of femoral head 1 cases and skin necrosis 1 case. Anatomical reduction and firm fixation is essential for good result and extended iliofemoral approach is one of the good methods for surgical exposure of complex acetabular fracture.

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Distal Radius Fracture treated with Distraction Plate Technique: Ho Jung Kang, Dae Yong Han, Tae Yong Koo; J Korean Soc Fract 1994;7(2):308-315. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.308

Abstract PDF: The comminuted intraarticular fracture of the distal radius requires early, accurate reduction of the articular surfaces and sustained restoration of anatomic position. The most commonly employed methods are pins and plaster, external fixation, percutaneous pinning and open reduction and internal fixation. There are pitfalls, advantages and disadvantages inherent in each method. Open reduction and internal fixation has been condemned for some time without any controlled series documention its ineffectiveness. Anatomic open reduction and internal fixation with early mobilization, however, are recommanded for nearly every other intraarticular fracture. Two cases of displaced intraarticular fracture of distal radius was managed with distraction plating technique. We will present these cases in detail.

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Ipsilateral Fracture of the Femoral Neck and Shaft: Ho Jung Kang, Dae Yong Han, Dong Eun Shin; J Korean Soc Fract 1994;7(2):246-255. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.246

Abstract PDF: Ipsilateral fractures of the femoral neck and shaft are relatively uncommon infuries and usually the result of high-energy trauma in young adults. Frequently, the severe trauma responsible for this injury combination is also productive of associated injuries indeed life threatening. Several unique features of this injury have been recognized, including the high incidence of associated knee injuries, particulary fractures of the patella. This is thought to be due to a mechanism of injury in which the femur is longitudinally loaded at the flexed knee while positioned in neutral abduction. Also, this combination of injuries pose a difficult problem in management. The authors reviewed 14 cases of ipsilateral fracture of the femoral neck and shaft for the evaluation of the associated injury and method of ueatment from October 1986 to Febraury 1991 and the average follow-up period was 1.8 years. The results were as follows. 1. The site of the femoral neck and shaft fracture were mainly, basicervical and midshaft. 2. In two cases, the femoral neck fracture was not diagnosed initially. 3. Most of the associated fractures were patella and tibial fractures and PCL ruptures. 4. Complications Included three stiffness of the knee, two delayed union of the femoral shaft, one superficial wound infection and one delayed union with coxa vara deformity of the femoral neck.

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Surgical Treatment of the Pelvic Fracture: Dae Yong Han; J Korean Soc Fract 1994;7(1):20-22. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.20

Abstract PDF: No abstract available.

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Clinical Study of Nonunion of Clavicle in Adult: Dae Yong Han, Ik Hwan Yang, Jo Hyung Lee; J Korean Soc Fract 1992;5(2):356-364. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.356

Abstract PDF

Although the clavicle is one of the most commonly fractured bone, nonunion is rare. The authors experienced 15 cases of clavicle nonunion in adult who were admitted and treated at the Department of Orthopedic Surgery of Severance Hospital during period from January 1983 to December 1990 (eight years). This study focused on the predisposing factors in relation to nonunion of clavicle and the analysis of the results after operative treatment The results of analysis wire as follows ; 1. Predisposing factors of nonunion were primary operative treatment with inadequate fixation, middle 1/3 of clavicle, severe associated injury and initial gross displacement of fracture fragment. 2. Among the 15 patients, 14 patients were treated with plate and screw fixation and autogenous iliac bone graft. One patient was treated by metal removal due to infected nonunion. 3. Using a rating scale of excellent(no apparent fractors), good(one factor), fair(two factors), poor(more than three factors), the result showed, 12 excellent, 1 good, and 2 poor 4. Amonf the is opeTative treatment, there was only one case of complication which was metal failure. It was concluded that symptomatic nonunion of the clavicle could be treated by operation. and the procedure of choice seemed to be rigid internal fixation with plate and bone graft.

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Comparison of Results in Two Operative Treatments for Clavicle Shaft Fractures in Adult: Comparison of Results between Open Reduction and Internal Fixation with the Plate and Percutaneous Reduction by Towel Clip and Intramedullary Fixation with Steinmann
Sung-Sik Ha, Jae-Chun Sim, Ki-Do Hong, Jae-Young Kim, Jung-Ho Kang, Kwang-Hee Park
Journal of the Korean Fracture Society.2007; 20(3): 233. CrossRef

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Acromioclavicular dislocation treated by weaver and drum operation: Dae Yong Han, Yeo Hon Yun, Jin Soo Park; J Korean Soc Fract 1992;5(1):14-21. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.14

Abstract PDF: No abstract available.

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Fracture of the capitellum humeri in adult: Dae Yong Han, Kyoo Ho Shin, Yeo Hon Yun, Kyung Dae Min; J Korean Soc Fract 1991;4(2):362-368. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.362

Abstract PDF: No abstract available.

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