Journal of Musculoskeletal Trauma

Conservative Treatment of Valgus Impacted Four-Part Fracture of the Proximal Humerus: A Case Report: Moon Chan Kim, Jae Lim Cho, Hung Tae Chung, Dong Jun Kim, In Bo Kim; J Korean Fract Soc 2011;24(1):96-99. Published online January 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.1.96

Abstract PDF: For valgus impacted four part fracture of the proximal humerus, surgical stabilization and early mobilization of the joint can produce the best clinical outcomes. But, we have experienced a case of conservative treatment and gained good clinical results. We have reported this case and included a review of the relevant literatures.

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Differences of Bone Mineral Density between Spine and Hip in Osteoporotic Patients: Gyu Min Kong, Sang Eon Lee, Dong Jun Kim, Tae Hyun Yoon; J Korean Fract Soc 2005;18(2):181-184. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.181

PURPOSE
To evaluate differences and correlations of spine and hip region BMD in osteoporotic patients with or without spine fracture.
MATERIALS AND METHODS
From January 1999 to December 2002, We measured and evaluated BMD of L3 and hip by DXA in 52 patients with spine fracture (fracture group) and 96 osteoporotic patients without spine fracture (non-fracture group) above 60 years.
RESULTS
The average age of patients with spine fracture is 72.1 years and without spine fracture is 66.9 years. There were no statistical significant differences of BMD of spine, neck of femur and trochanteric area between 2 groups. But the BMD of Ward triangle of fracture group decreased significantly in statistics. The correlation coefficient between the lumbar spine and trochanteric area were 0.674 in fracture group and 0.794 in non-fracture group. They had statistical significance (<0.01).
CONCLUSION
The BMD of Ward triangle of fracture group had lower value, but the BMD of lumbar spine had no differences between 2 groups. Therefore in these persons who have decreased BMD in Ward triangle should be concerned about high vertebral compression fracture risk vertebral compression fracture.

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Comparison of vertebral and femoral bone mineral density in adult females
Han Seong Choe, Jae Hong Lee, Dong Ki Min, So Hong Shin
Journal of Physical Therapy Science.2016; 28(6): 1928. CrossRef
Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis
Ki-Chan An, Gyu-Min Kong, Jang-Seok Choi, Hi-Chul Gwak, Joo-Yong Kim, Sung-Yub Jin
Journal of the Korean Fracture Society.2013; 26(4): 248. CrossRef
Comparison of Bone Mineral Density in Elderly Patients over 65 Years according to Presence and Types of Hip Fracture
Myung-Ho Kim, Moon-Jib Yoo, Joong-Bae Seo, Hyun-Yul Yoo, Sang-Young Moon
Journal of the Korean Fracture Society.2010; 23(3): 263. CrossRef
Comparison of Bone Mineral Density in Elderly Patients according to Presence of Intertrochanteric Fracture
Sang Ho Moon, Byoung Ho Suh, Dong Joon Kim, Gyu Min Kong, Hyeon Guk Cho
Journal of the Korean Fracture Society.2007; 20(3): 222. CrossRef

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Common Modes of Fixation Failure with a Sliding Hip Screw encountered Unstable Intertrochanteric Fracture: Byung Soon Kim, Duck Yun Cho, Hyung Ku Yoon, Dong Eun Sin, Soo Hong Han, Jae Hwa Kim, Dong Jun Kim; J Korean Soc Fract 2003;16(1):15-21. Published online January 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.1.15

Abstract PDF

The purpose of this study was to evaluate the common modes of fixation failure in unstable intertrochanteric fractures , related risk factors and the prevention of fixation failure. Between 1995 and 2001, 44 patients who had sustained an unstable intertrochanteric fractures were assigned to be treated with a sliding hip screw. Men in 14 cases ( 32% ), women in 30 cases ( 68% ) , the average age at the operation was 65(22-90) years and the average duration of follow up was 12(8-22) months. We classified the fracture patterns with Evans system and used Singh 's index for osteoporosis. And we examined the common modes of fixation failure with postoperative X-ray. The fixation failure in unstable intertrochanteric fracture was 8 cases (18.2 % ); varus collapse of the proximal fragment with cutout of the lag screw was 3 cases (6.8%), varus collapse of the proximal fragment with excessive sliding of the lag screw was 4 cases (9.1%) and loss of fixation of the plate-holding screws was 1 case (2.3%). The authors think that inadequate anatomical reduction of comminuted posteromedial fragment and severity of osteoporosis are main causes of fixation failure. During operation for unstable intertrochanteric fractures, the most important point is accurate reduction of posteromedial fragment and the intramedullary hip screw like proximal femoral nail ( PFN ) may be considered to avoid fracture of lateral cortex that enter the lag screw, causing fixation failure.

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The Antero-medial Cortex Overlapped Reduction of Unstable Intertrochanteric Fractures
Chae-Geun Kim, Suc-Hyun Kweon, Hong-Jun Han, Jae-Seon Hwang
Hip & Pelvis.2013; 25(4): 280. CrossRef

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Operative Treatment of Intraarticular Fractures of the Distal Radius: Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Jong Oh Kim, Dong Jun Kim, Jong Keon Oh, Han Cheon Bang; J Korean Soc Fract 1998;11(1):56-62. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.56

Abstract PDF: Intraarticular fractures of the distal part of the radius comprise a distinct subgroup of fractures that are difficult to manage and are associated with a high frequency of complication and represent one of the greatest challenges to the orthopaedic surgeon. We reviewed 30 cases(28 patients) of intraarticular fractures of the distal radius treated surgically in orthopaedic department of Ewha medical center between January 1993 to May 1996 and analyzed the correlation between the clinical end results and radiographic parameters. The clinical end results were significantly worse when radia inclination didn't exceed 15, or radial length was less than 10mm or dorsal tilt exceeded 0. Ulna styloid fractre did adversely affect the clinical results. In our study 2mm articular step off did not show any difference in clinical results. But this is thought to be the result of relatively short period of follow up. Therefore we need to analyse this factor with long term follow up data.

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Ankle Arthrodesis by Internal Fixation with Cancellous Screws and Fibula Strut Graft: Report of Two Cases: Jin Man Wang, Kwon Jae Roh, Yeo Hon Yun, Dong Jun Kim, Joo Seok Eom; J Korean Soc Fract 1997;10(3):480-484. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.480

Abstract PDF: We present two cases of ankle arthrodesis in which tibiotalar fixation was achieved by two cancellous-bone screws across the ankle joint and a lateral fibular strut graft fixed with a proximal and a distal screw. This operation is a technique described by Thordarson and his associates, who performed only an in vitro biomechanical study using fresh-frozen cadaver. Through the recent clinical trial, we could get excellent results in both of our cases. We feel the fibular strut graft provides additional stability to tibiotalar internal fixation. This technique may have a special value for those cases with poor bone quality or osteoporosis.

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Treatment of Femoral Neck Fractures in the Elderly Patiene: Chung Nam Kang, Kwon Jae Roh, Yeo Hon Yun, Dong Jun Kim, Cheol Min Kim; J Korean Soc Fract 1995;8(1):61-67. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.61

Abstract PDF: We analyzed 41 femoral neck fractures in 40 elderly patients aged over 65 years. All of them were treated by surgery and followed for average 22 months (range, 14 to 52 months) at the Ewha Womans University Hospital from 1988 to 1992. Of these, 15 cases were treated with internal fixation and 26 cases with endoprosthetic or total hip replacement arthroplasty For the level of fractures the most common features were subcapital, that were moderately to severely (Gardens stage III or IV) displaced. In the internal fuation group the results were unsatisfactory in the cases of subcapital type, moderate to severe (Gardens stage III or IV) displacement, Pauwels type III and those with osteoporosis (below stage III in Singh index). Our short term follow-up results showed that the prosthetic replacement group were generally superior in that they were not affected by the types of fractures and the degree of osteoporosis.

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Treatment of Intertrochanteric Fractures of femur in Elderly Patient with Osteoporosis: Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Jong Oh Kim, Yeo Hon Yun, Seok Beom Lee, Dong Jun Kim, Chung Hyok Choi, Dong Wook Kim, Seok Woo Kim; J Korean Soc Fract 1994;7(2):404-411. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.404

Abstract PDF: With the age of our population advancing, the number of elderly osteoporotic patients with comminuted intertrochanteric fractures of the femur has increased dramatically. Intertrochanteric fractures of the femur usually occur in a more elderly age group than femoral neck fractures of the femur usually occur in a more elderly age group than femoral neck fractures. Intertrochanteric fractures are best treated by intenal fixation, since this mehod provides satisfactory positioning of the fragments and obviates the hazards of recumbency. However, in some caces with severe osteoporosis, arthroplasty is an excellent altemative to the internal fixation. From 1987 to 1992, thirty-six intertrochanteric fractures of femur in the elderly patients(over 60 years of age) were treated by operation at the department of orthopaedic surgery in the Ewha Womans University Hospital. Thirty-three caces were internally fixated with the sliding-compression hip screws-plates(30), the Gamma interlocking intramedullary nails(2), the Rohs plate(1), and in three caces endoprosthetic or total hip replacement arthroplaties were performed.

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Primary Open Reduction of the Clavicular Shaft Fractures in Adults: Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Yeo Hon Yun, Dong Jun Kim, Cheol Min Kim; J Korean Soc Fract 1994;7(1):87-94. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.87

Abstract PDF: The clavicle plays very important role in the motion of the shoulder girdle and maintenance of power and stability of the arm. The most clavicular shaft fractures can be treated by conservative methcds with a high rate of union and low rate of complications. The operative treatment in clavicular fracture is limited in such as wide separation of the fragments with soft tissue interposition, nonunion, or neurovascular involvements. From 1989 to 1991, eighty six consecutive patients with clavicular shaft fractures were treated at Ewha Womans University Hospital. Fifty eight patients were treated conservatively(Group I) and twenty eight patients operatively(Group II) Authors compared both groups and obtained the following results; 1. The most common cause of injuries was the traffic accident and the most common associated skeletal injury around the shoulder was the rib fracture. 2. The degree of comminution and displacement of the clavicular shaft fracture were more severe in Group II. 3. The average time to union was 8.7 weeks in Group I and 10.3 weeks in Group II. 4. The average rate of union at 4 months was 93.1% in Group I and 96.4% in Group II 5. The functional result was good or excellent in over 90% in both Groups according to the Kangs criteria. 6. The rate of complication was 8.0% in Group I (one nonunion, three delayed unions and one malunlon) and 3.6% in Group II(only one case of nonunion) 7. The immobilization period was between 6 to 8 weeks In Group I and within 4 weeks in Group II in most cases.

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A clinical study of open fractures of the tibia in children: Hyung Ku Yoon, Kwang Pyo Jeon, Kuk Hwan Oh, Dae Eun Jung, Dong Jun Kim, Han Linm Kim; J Korean Soc Fract 1993;6(2):289-295. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.289

Abstract PDF

No abstract available.

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Analysis of Treatment Outcomes for Open Fractures of the Tibia in Children
Jong-Hyuk Park, Jung Ryul Kim, Dong Hun Ham, Hyung Suk Lee, Sung Jin Shin
Journal of the Korean Orthopaedic Association.2010; 45(6): 440. CrossRef

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Clinical observation of percutaneous pinning for displaced supracon dylar fracture of the hunerus in children: Kuk Hawn Oh, Hyung Goo Yoon, Dong Jun Kim, Kwang Pyo Jeun, Jin Ill Kim; J Korean Soc Fract 1991;4(1):37-43. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.37

Abstract PDF: No abstract available.

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