Journal of Musculoskeletal Trauma

Original Articles

Distal Femur Fractures Treated with Distal Femoral Locking Plate Fixation: A Retrospective Study of One Year Mortality and Risk Factors: Kwang-Hwan Jung, Yoon-Seok Youm, Seung-Hyun Jung, Jae-Min Oh, Ki Bong Park; J Korean Fract Soc 2023;36(1):10-16. Published online January 31, 2023; DOI: https://doi.org/10.12671/jkfs.2023.36.1.10

Abstract PDF: Purpose
This study examined the one-year mortality after locking plate fixation for distal femur fractures and the risk factors related to death.
Materials and Methods
From July 2011 to June 2020, 128 patients who underwent locking plate fixation for distal femur fractures were analyzed retrospectively. Epidemiologic information of the patients, characteristics related to fracture and surgery, and death were investigated. The risk factors related to death were investigated using Cox analysis, and a subgroup analysis was also performed based on the age of 65 years.
Results
The one-year mortality rate after locking plate fixation for distal femur fractures was 3.9%, and the mortality rates in patients younger than 65 years and older than 65 years were 0% and 6.7%, respectively. There were no significant risk factors related to death in the total population. On the other hand, in patients aged 65 years or older, however, high-energy fracture and high comorbidity index increased the risk of death after surgery by 6.9-fold and 1.9-fold, respectively.
Conclusion
The one-year mortality rate for the total patients was 3.9%, but the mortality rate for patients over 65 years of age increased to 6.7%. High-energy fractures and high comorbidity index were risk factors related to death after surgery for distal femur fractures in patients aged 65 years or older.

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The Pattern of Occurrence of Fractures in Children and Adolescents and Its Managements Based on the Database of the Health Insurance Review and Assessment Service: Yong Wook Kwon, Soon Hyuck Lee, Hyun Woo Kim, Jin Ho Hwang; J Korean Fract Soc 2014;27(4):308-314. Published online October 31, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.4.308

PURPOSE
The purpose of this article is to report on the pattern of medical process and relative frequencies of fractures in children and adolescents.
MATERIALS AND METHODS
The authors retrospectively analyzed the database of the health insurance review and assessment service regarding children and adolescents under 20 years old treated from 2008 to 2010. Newly registered numbers of fractures in children and adolescents according to sex, month, institution, and anatomical location were also reviewed.
RESULTS
A total of 1,893,416 fractures occurred during three years; approximately 630,000 cases were treated during one year (approximately 562 cases among 10,000 people during one year). During one year, the most fractures occurred in June and the least in February. Senior general hospital consisted of 5.72%, 12.30% in general hospital, 19.28% in hospital, and 62.70% in clinics. Among the fracture sites, 0.05% were cervical fractures, 0.91% in sternum and thoracic vertebra, 1.35% in lumbar vertebra and pelvis, 12.79% in shoulder and upper extremities, 26.87% in lower extremities, 38.10% in wrist and hand, 1.01% in femur, 10.40% in lower extremities including ankle, and 8.52% in foot excluding ankle. The maximal incidence was age 14 years in male and 12 years in female.
CONCLUSION
The authors reviewed the pattern of medical process and relative frequencies of fractures in children and adolescents.

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Analysis of Computed Tomography Scans for Radiation Safety Management in the Republic of Korea
Min Young Lee, Ji Woo Kim, Ga Eun Oh, Geon Woo Son, Kwang Pyo Kim
Journal of Radiation Protection and Research.2024; 49(3): 141. CrossRef

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Epidemiology of Senile Fractures of the Proximal femur, 1983-1992: Chang Ju Lee, Won Ho Cho, Ho Guen Jang, Soo Jung Choi, Jong Oh Ha; J Korean Soc Fract 1994;7(2):331-340. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.331

Abstract PDF: The risk of fracture of the proximal femur is high for individuals with metabolic bone disease, or with low bone mass associated with advanced age. The menopause is generally believed to be an important factor in bone loss in women. In these group, even minor trauma(low energy injury) may result in fractures, while much greater force is needed to produce a fracture in people with higher bone mass. This study is aimed at ascertaining the age, sex and type-specific incidences in the hip fracture, the difference of frequency between the neck and trochanteric fracture and the change in the averse age of the hip fracture patient. All patient from this hospital with a diagnosis of fracture of the neck and trochanteric region of the femur during the period 1983 to 1992 were reviewed for this study. Patients with fracture resulting from metastatic lesions were excluded. The original medical records were reviewed for each patient, data were entered on protocol disinged for the study. The data included basic demographic informations such as patients age and sex, type of fracture of the femur neck or trochanter, type of the low/high energy injury, immediate cause of accidents, presence of the cormorbid diseases, and safety factors inducing fall accidents in home or outside. During the years 1983-1992, a total 240 patients with fractures of the proximal femur were identified from the operating recordings. Among them, data of 201 patients could be entered on protocol through the retrieved records. 1. Of 201 patients, 65 years or older are 117. 39 are men and 78 are women, 103 are low energy injury and 14 are high,57 are sustained by fractures on the neck of the femur and 60 are sustained on the trochanter. 2. Mean age of the 117 patients over 65 years old is 76 years. Those of men and women are equaly 76 years old. 3. Of 57 patients sustained with the fractures on the neck of the femur, their mean age is 71 years. Men are 18 patients, their mean age is 76 years. Women are 39 patients, their mean age is 75 years. 4. Of 60 patients sustained with the fractures on the trochanter of the femur, mean age is 76 years. Men are 22 patients, their mean age is 75 years. Women are 38 patients, their mean age is 77 years. 5. The cormorbid common diseases are the hypertension, cataract, diabetes mellitus(DM), celebre-vascular accidents(CVA), pulmonary tuberculosis, asthma, chronic obstrutive polmonary disease(COPD), mitral insuficiency(Ml), chronic heart failure(CHF), and chronic renal failure(CRF) in order of.

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