Journal of Musculoskeletal Trauma

Femoral Head Fracture with Hip Dislocation Treated by Autologous Osteochondral Transfer (Mosaicplasty) - A Case Report -: Eui-Sung Choi, Hyun-Chul Shon, Ho-Seung Jeong, Jae-Young Yang, Seok-Hyun Hong, Byung-Hyun Ahn; J Korean Fract Soc 2020;33(2):96-100. Published online April 30, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.2.96

Femoral head fractures combined with hip dislocation are very rare injuries. In most cases, they result from high-energy trauma to the hip or lower extremity during traffic accidents. Various therapy options have been suggested to treat these injuries. Especially, different joint-preserving surgical options have been described for the treatment of traumatic osteochondral injury of the femoral head in young, active patients. In this report, we present a case that a traumatic osteochondral lesion to the femoral head after hip dislocation was treated with osteochondral autografts (OATS) from the non-weight-bearing area of the ipsilateral inferior femoral head through a surgical hip dislocation. After 1 year, the clinical and radiological outcome was satisfactory with no evidence of posttraumatic osteoarthritis and no pain of patients.

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Femoral head fracture with large crushed defect in weight-bearing area treated with autologous osteochondral transplantation (repositionplasty): A case report
Hyun-Chul Shon, Eic-Ju Lim, Jae-Young Yang, Seung-Jun Jeon
Medicine.2022; 101(52): e32569. CrossRef

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Intrapelvic Anterior Plate Fixation for Crescent Fracture-Dislocation of Sacroiliac Joint: Kwang Jun Oh, Jin Ho Choi; J Korean Fract Soc 2013;26(3):184-190. Published online July 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.3.184

Abstract PDF: PURPOSE
To evaluate the radiological and clinical outcomes of intrapelvic anterior plate fixations for Day Classification Type II crescent fracture-dislocations of sacroiliac joints.
MATERIALS AND METHODS
Ten patients who had undertaken the surgical treatment for the sacroiliac joint from 2006 to 2012 were enrolled in this study. All cases fell into Type II by Day Classification for sacroiliac joint injuries. For surgical treatments, the plate fixation through the intra-pelvic anterior approach was first performed for all cases and anterior ring fixation was performed in 4 cases with more severely displaced anterior pelvic ring injuries. Then, radiological and clinical evaluation was implemented.
RESULTS
The bone union was observed from all patients whom performed the surgical fixation. In the radiological results, 9 cases with the anatomic and nearly-anatomic reductions were observed. Out of the 10 cases which performed the rotational displacement analysis, there were 3 excellent cases, 6 good cases and 1 fair case. The 10 cases that performed the deformity index and vertical displacement analysis, less variations were observed in the anterior ring fixations after intra-pelvic anterior plate fixation group. According to the clinical results, 4 excellent cases, 3 good cases, and 3 moderate cases were observed.
CONCLUSION
In the Type II crescent fracture-dislocation of sacroiliac joint, the intrapelvic anterior plate fixation achieved satisfactory anatomical reductions, radiological stabilities and clinical results.

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Fracture-Dislocation of S1 in 3-Year-Old Boy: A Case Report: Sang Bong Ko, Sang Wook Lee; J Korean Fract Soc 2010;23(2):232-235. Published online April 30, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.2.232

Abstract PDF: Fracture-dislocation of the sacrum that has not yet fully developed is common in the distal sacrococcygeal joint of children, but this injury is rarely seen in 1st Sacrum. Most of these patients have a severe neurological deficit, so this injury generally requires surgical decompression. We managed a three year old patient who had a S1 fracture-dislocation without a neurological deficit, and the patient was treated with simple skin traction and bed rest without surgery. The child had a satisfactory result, so we report on this case with reviewing the relevant literatures.

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Posterior Hip Dislocation with Ipsilateral Fractures of the Femoral Head and Intertrochanter: A Case Report: Jai Hyung Park, Hyung Soo Kim, Soo Tae Chung, eong Hyun Yoo, Joo Hak Kim, Seung Do Cha, Tae Woo Lee; J Korean Fract Soc 2010;23(1):113-117. Published online January 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.1.113

Abstract PDF

High-energy injury, as traffic accident or fall down, can cause fracture of femur head and posterior dislocation of hip joint which is accompanied with ipsilateral acetabulum fracture or femur neck fracture. But the case that femur head fracture and posterior dislocation of the hip joint coincide with ipsilateral intertrochanteric fracture of proximal femur is so uncommon that reports of the case is very rare. We hereby are to report the experienced and treated-cases of femur head fracture and posterior dislocation of the hip joint that is accompanied with ipsilateral intertrochanteric fracture.

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Decoding the behaviour of extracapsular proximal femur fracture- dislocation - A systematic review of a rare fracture pattern
Keyur B. Desai
Journal of Clinical Orthopaedics and Trauma.2021; 18: 157. CrossRef

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Crescent Fracture-dislocation of Sacroiliac Joint: Affecting Factors of Operative Results: Hee Soo Kim, Chang Wug Oh, Poong Taek Kim, Young Soo Byun, Joo Woo Kim, Byung Chul Park, Woo Kie Min, Hyun Joo Lee; J Korean Fract Soc 2009;22(2):71-78. Published online April 30, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.2.71

Abstract PDF

PURPOSE
To assess the affecting factors of results after the operation of Crescent fracture-dislocation in sacro-iliac joint.
MATERIALS AND METHODS
In 19 patients (mean age, 47.4 year-old) of open reduction and internal fixation for Crescent fracture-dislocation, there were seven type I, 9 type II, and 3 type III fractures according to Day's classification. We assessed affecting factors of radiological and functional results, such as patients' ages, surgical approaches, the fixation extent of pelvic ring, and fracture patterns.
RESULTS
Seventeen of 19 cases united at 14.5 weeks in average, and 2 non-unions occurred with the fixation failure of posterior ring. Satisfactory results were 14 and 15 in radiological and functional evaluation, respectively. In complications, three cases of leg length discrepancy were from an imperfect reduction and two fixation failures. Surgical approach did not show any difference of results, but all cases of unsatisfactory reduction occurred from posterior ring fixation through the anterior approach. Fixation of both rings seemed to have satisfactory results, comparing to posterior ring only. Older patients over 60 year-old had more complications and a tendency to show an unsatisfactory result.
CONCLUSION
In operative treatment of Crescent fracture-dislocation of sacro-iliac joint, it is better to fix both anterior and posterior rings. But, caution is needed to prevent complications in old-aged patients.

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General Assessment and Initial Management of Polytrauma Patients
Hyoung Keun Oh
Journal of the Korean Fracture Society.2013; 26(3): 230. CrossRef
Damage Control and Provisional Fixation
Hyoung Keun Oh
Journal of the Korean Fracture Society.2010; 23(3): 346. CrossRef

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Fracture-Dislocation of the Carpometacarpal Joint with the Fracture of Hamate: Jin Woong Yi, Whan Young Chung, Woo Suk Lee, Cheol Yong Park, Youn Moo Heo; J Korean Fract Soc 2008;21(4):297-303. Published online October 31, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.4.297

Abstract PDF

PURPOSE
To evaluate the classification and treatment results about the injury of carpometacarpal (CMC) joint with the fracture of hamate.
MATERIALS AND METHODS
The authors categorized into 3 types (I, II, III) according to the location of injured CMC joint and type II was subdivided into 2 type (a, b) according to the size of coronal fragment of hamate fracture-type I: fracture-dislocation of 5th CMC joint with small-sized fragment or avulsion fracture of hamate, type IIa: fracture-dislocation of 4th and 5th CMC joint with small-sized fragment or avulsion fracture of hamate, type IIb: fracture-dislocation of 4th and 5th CMC joint with coronal fracture of hamate body presenting an oblique or coronal splitting fracture, and type III: type II injury associated with injury of 3rd CMC joint or coronal plane fracture of capitate. All cases were carried out the operative treatment. And radiologic results and clinical results were evaluated.
RESULTS
Type I were 2 cases, type IIa 4, type IIb 5, and type III 3. Twelve of 14 cases were excellent or good results, 1 case (type III) was fair, and 1 case (type IIa) was poor. All cases obtained anatomic reduction of CMC joint. But, the posttraumatic arthritis was observed in 1 case (poor) and the displacement of non-fixed hamate fragment was observed in 1 case (fair).
CONCLUSION
We think that it may get more favorable outcomes by the fixation of the relative large fragment of hamate with anatomical reduction of CMC joint.

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Operative treatment of hamate fractures with hamatometacarpal fracture dislocation using a self-designed dorsal buttress locking plate with trans-metacarpal pin insertion: short-term follow-up results
Seok-Won Kim, Hyung-Joon Lee, Ji-Kang Park, Dong-Min Chung
Archives of Hand and Microsurgery.2022; 27(3): 193. CrossRef
Operative Treatment of Trapezium Fractures
Ho Jung Kang, Nam Heon Seol, Man Seung Heo, Soo-Bong Hahn
Journal of the Korean Fracture Society.2009; 22(4): 276. CrossRef

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Hip Fracture-dislocation with Sciatic Nerve Palsy and Ipsilateral Femoral Shaft Open Fracture: A Case Report: Kap Jung Kim, Ha Yong Kim, Sung Il Kang, Won Sik Choy; J Korean Fract Soc 2007;20(1):94-98. Published online January 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.1.94

Abstract PDF: The posterior dislocation of the hip accounts for about 85~90% of traumatic hip dislocations and high energy mechanisms such as traffic accidents may cause them. The traumatic dislocation and fracture-dislocation of the hip are true orthopedic emergencies and it should be considered that a femoral head has poor vascularity and the sciatic nerve is closely located to it. We report on one patient who went through the surgical treatment of the concomitant ipsilateral open fracture of the femoral shaft and hip fracture-dislocation accompanying sciatic nerve injury with the review of the literatures.

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Operative Treatment in Fracture-Dislocations of Carpometacarpal Joints: Jae Yeol Choi, Hun Kyu Shin, Kyung Mo Son, Chun Suk Ko; J Korean Fract Soc 2005;18(4):443-451. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.443

Abstract PDF

PURPOSE
To present our operative experiences with carpometacarpal (CMC) injuries, excluding thumb.
MATERIALS AND METHODS
Thirty four fracture and dislocations of CMC joint excluding thumb were reviewed retrospectively. Emphases were placed on injury mechanisms, anatomical location, times between diagnosis and surgery, treatment and complications.
RESULTS
The average age of patients was 31.5 years. 19 cases of axial loading by blow as an injury mechanism. The 5th CMC joint was found to be the most frequently involved single joint (18 cases of 34 cases). Dorsal dislocation of CMC joints was present in 12 cases. Comminution of the carpal or metacarpal bone was present in 18 cases. The average time to surgery was 6 days. Twenty-seven cases were operated upon by closed reduction and percutaneous pinning. Seven cases were treated by open reduction and internal fixation. In the last follow up period, a clinically full hand function was restored in 31 cases. Intermittent pain was present in 6 cases in which there was grip weakness in 4 cases and limitation of motion in 3 cases. However, all cases were able to activities of daily living.
CONCLUSION
We obtained good outcomes in CMC joint injuries through the accurate diagnosis and proper operative treatment.

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Clinical Study on Percutaneous Intramedullary Bioresorbable Pin Fixation for Fourth and Fifth Metacarpal Bone Fracture
Sang Hwan Lee, Sang Hun Kim, Eun Soo Park, Seung Min Nam, Ho Seong Shin
Journal of the Korean Society for Surgery of the Hand.2017; 22(2): 105. CrossRef
Percutaneous retrograde intramedullary single wire fixation for metacarpal shaft fracture of the little finger
Soo-Hong Han, Seung-Yong Rhee, Soon-Chul Lee, Seung-Chul Han, Yoon-Sik Cha
European Journal of Orthopaedic Surgery & Traumatology.2013; 23(8): 883. CrossRef
Operative Treatment in the Delayed Diagnosed Fracture and Dislocation of Hamatometacarpal Joint
Suk Ha Lee, Jong Wong Park, Jin Il Kim, Seoung Joon Lee
Journal of the Korean Fracture Society.2011; 24(3): 249. CrossRef
Comparison of Early Fixation and Late Fusion of 4, 5th Carpometacarpal Joint in the Intra-Articular Fractures of 4th and 5th Metacarpal Base
Chang Ho Yi, Jin Rok Oh
Journal of the Korean Fracture Society.2011; 24(1): 60. CrossRef
Percutaneous Retrograde Intramedullary Pin Fixation for Isolated Metacarpal Shaft Fracture of the Little Finger
Soo Hong Han, Hyung Ku Yoon, Dong Eun Shin, Seung Chul Han, Young Woong Kim
Journal of the Korean Fracture Society.2010; 23(4): 367. CrossRef
Operative Treatment of Trapezium Fractures
Ho Jung Kang, Nam Heon Seol, Man Seung Heo, Soo-Bong Hahn
Journal of the Korean Fracture Society.2009; 22(4): 276. CrossRef
Fracture-Dislocation of the Carpometacarpal Joint with the Fracture of Hamate
Jin Woong Yi, Whan Young Chung, Woo Suk Lee, Cheol Yong Park, Youn Moo Heo
Journal of the Korean Fracture Society.2008; 21(4): 297. CrossRef

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Treatment of Transolecranon Fracture-Dislocation of the Elbow: Soo Yong Kang, Han Jun Lee, Jung Nam Han, Kyoung Hwan Kim; J Korean Soc Fract 2001;14(1):99-105. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.99

Abstract PDF: PURPOSE
We conducted this study to discriminate transolecranon fracture-dislocation of the elbow from the anterior Monteggia lesion and to validate the differences of method of treatment.
MATERIALS AND METHOD
From March, 1998 to May, 1999, 3 cases of the transolecranon fracture-dislocation of the elbow were treated by open reduction and internal fixation.One of the three patients had simple oblique fracture of the olecranon combined with capitellum fracture and two had complex comminuted fracture of the olecranon. Functional outcome was assessed with elbow performance rating system of Broberg and Morrey.
RESULTS
At a minimum follow-up of 12 months, overall outcome was rated as exellent in two patients, fair in one. Average bone union peoriod was three months.
CONCLUSION
Stable restoration of the accurate contour and dimension of the trochlear notch of the olecranon and early ROM exercise will lead to good result in transolecranon fracture-dislocation cases.

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Axial-Ulnar fracture-Dislocation of the Carpus : A Case Report: Ho Rim Choi, Sang Seon Lee, Chi Won Lee, Sung Jun Han, Won Tae Choi; J Korean Soc Fract 1999;12(4):1027-1030. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.1027

Abstract PDF: Axial dislocation of the carpus is a rare injury, and it usually is caused by crush mechanism in industrial fields. We experienced a case of axial-ulnar fracture-dislocation of the carpus which was treated by open reduction and internal fixation with K-wires and external rixator fixation.

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Immediate Quadriparesis after Posterior Sublaminar Wiring for Cervical Fracture Dislocation: A Case Report: Byeong Yeon Seong, Chan Ji Park, Dong Seong Park; J Korean Soc Fract 1999;12(3):679-685. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.679

Abstract PDF: Open reduction and internal fixation of the cervical spine is a commonly performed method of treatment for acute cervical fracture dislocation. A sudden or gradual worsening of the neurological status of a patient during reduction should alert the physician to the presence of high grade compression of the spinal canal. Loss of neurological function during or after manipulation or open reduction and internal fixation should raise the suspicion of compression of the spinal cord from a lesion occupying the canal, such as a herniated disc, buckling of the ligamentum flavum, an epidural hematoma or bone fragments. Magnetic resonance imaging or myelogram are the most helpful diagnostic means and should be used initially if suspected. Treatment is anterior decompression and autogenous strut bone graft. Causes of our case include ruptured disc, vertebral end plate and posterior longitudinal ligament. We experienced a case of immediate quadriparesis after posterior decompression and sublaminar wiring for cervical fracture dislocation which was resulted from ruptured disc, vertebral end plate and posterior longitudinal ligament.

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Treatment of fracture-dislocation of talar neck or body: Byoung Ho Lee, Sang Ho Ha, Min Hyuk Choi; J Korean Soc Fract 1999;12(2):307-313. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.307

Abstract PDF: From January 1992 to December 1996, authors analyzed 26 cases of fracture-dislocation of talar neck or body, treated at Chosun University Hospital retrospectively. There were 20 males and 6 females and the average age was 34 years old. The follow up period was at least 14 months. There were 19 neck fracture-dislocations, 6 body fractures and total dislocation of talus. Three type I talar neck fractures were treated conservertively. In six cases, in which either three cases of severe open type III talar neck fracture or three cases of severly comminuted talar body fracture, primary fusion was performed. Other seventeen cases of fracture-dislocation were treated by open reduction and internal fixation. Excellent results were observed in 6 cases, good in 7 cases, fair in 11 cases and poor in 2 cases. The result of primary arthrodesis for severe injury of talus was relatively good. Complications were avascular necrosis in 7 cases, posttraumatic arthritis in 5 cases, skinnecrosis in 3 cases, wound infection in 2 cases and malunion in 2 cases.

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Fracture-Dislocations of Carpometacarpal joints excluding thumb: A case report: Hyung Ku Yoon, Ho Seung Jeon, Kye Nam Cho, Hong Gweon Han; J Korean Soc Fract 1999;12(1):166-169. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.166

Abstract PDF: Fracture-Dislocations of the ulnar carpometacarpal joints is an uncommon injury. The priorities of management of other more extensive injuries often delay definitive treatment. If such a dislocation is diagnosed early, it can be reduced easily by closed means. We reviewed one case of fracture-dislocation of carpometacarpal joints excluding thumb with stable and pain free carpometacarpal joints in one year after closed reduction and internal fixation.

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Surgical Treatment for Displaced Talus Fracture-Dislocation: Kwang Soon Song, Chul Hyung Kang, Seong Ryeol Kim; J Korean Soc Fract 1998;11(4):906-911. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.906

Abstract PDF: Talus fracture is an uncommon fracture and frequently accompanied with serious complications such as avascular necrosis, nonunion and osteoarthritis. The purpose of this paper is to assess the effectiveness of open reduction and internal fixation in treatment of displaced talus fracture. Fourteen patients with severely displaced talus fracture-dislocation, classified as more severe than Hawkins type III and comminuted body fracture were evaluated. They were treated at Keimyung University Dongsan Medical Center during the period of July 1989 to August 1996. The average period for follow up was 53 months, ranging from 18 months to 8 years. All patients were treated by open reduction and internal fixation using screws except 2 cases of severe talar body fractures, which were treated by Blair fusion. according to Hawkins scoring system. the end results were excellent only in 4 cases, good in 2, fair in 5, poor in 3. Avascular necrosis developed in 3 cases and traumatic arthritis in 5 cases. In conclusion, displaced talus fracture-dislocation had a high incidence of postoperative complications(57%) in spite of early sugical treatment. It is essential to consider about possible complications and sequelae before operation is performed.

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Treatment of Surgical Neck Fracture and Fracture Dislocation in Proximal Humerus: Sung Ill Baek, Eea Sub Chung; J Korean Soc Fract 1997;10(4):897-903. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.897

Abstract PDF: The management of the two part surgical neck fracture, three part fracture and fracture-dislocation of proximal humerus is still under debate. Various method of internal fixation have been reported but none of these methods have been consistently successful. The purpose of this study is to analyze the result of open reduction and internal fixation surgical neck fracture, three-part fracture and fracture-dislocation in proximal humerus. From Janunary. 1991 to July 1996, fifteen patiens were reviewed and the result were summerized as follows. 1. There were 8 two-part surgical neck fracture, 3 three-part fracture, 4 three-part fracture-dislocalion. 2. The results were analyzed accroding to scoring system of Neer; the excellent or satis-factory results were seen in 11 cases, but unsatisfactory results were seen in 4 cases. 3. Complication occured as follows; joint disability in 4 cases, high positioning of plate in 1 case of joint disability. 4. We concluded that T-plate offers satisfpctory reduction and good stability at high risk of joint disability. Early mobilization is required in the prevenion of joint disability of shoulder.

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A Operative treatment of the three-part, four-part Fracture and Fracture dislocation in proximal humerus: Young Su Lee, Min Ki Kim; J Korean Soc Fract 1997;10(1):112-118. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.112

Abstract PDF: The three part, four part fracture and fracture-dislocation of proximal humerus generally need operative treatment but treatment of these fractures has remained controversal. The purpose of this study is to analyze the result of operative treatment of three-part, four-part fracture and fracture dislocation in proximal humerus. From Jan 1990 to July 1995, Eleven patiens were reviewed and the result were summerized as follows. 1. There were 4 three-part fracture, 1 four-part fracture, 4 three-part fracture-dislocation, 1 head-spliting fracture, 1 impression fracture. 2. Open reduction and internal fixation was done in 7 cases, prothetic replacement was done in 4 cases. 3. The result were analyzed accroding to scoring system of Neer. 1) The excellent or satisfactory result were seen in 5 cases of three part fracture and fracture-dislocation, but in none case of four-part fracture. 2) The excellent or satisfactory result were seen in 3 cases with open reduction and internal fixation, and in 3 cases with prothetic replacement. 4. Among the cases with joint disability(5), there are 1 three-part fracture-dislocation, 1 head-spliting, 2 three-part fracture, 1 four-part fracture. 5. The rigid fixation and early mobilization is considered to be a good modality.

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Clinical Study of the Surgically Treated Fracture-Dislocation of the Talus: Soo Jae Yim, Won Kee Choi, Seung Ryul Yoon, Seok Young Jung, Soo Kyun Rha; J Korean Soc Fract 1996;9(4):1026-1033. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.1026

Abstract PDF: Fracture of the talus are relatively uncommon injury, when they occur, however, they are of major importance, because of the relativily heigh frequency of complications and long term disability. Complications such as non-union, avascular necmsis, traumatic arthritis are frequently developed as a late sequele in fracture or fracture-dislocation of the talus because of talar surface is covered mainly with articular ratilage and poor blood supply. Authors have reviewed 19 cases of the talus fracture & fracture-dislocation surgically treated at Soonchunhyang University Kumi Hospital from January 1987 to October 1995 with minimal 1 year follow up period. The result were as follows 1. Of 19 cases, 16 male and 3 female with their average age of 29.8 years. 2. The rause of injury were traffic accident(motor veiheicle accident)-lO/l9 cases (53%), direct trauma-2/l9 cases(11%), sport injury-l/l9 cases(5%) and fall from height-6/l9 cases(32%). 3. The most common concomittant injury was the ipsilateral fracture of the tibiofibular (including medial malleolar fracture)-9/19 cases(47%). 4. According to the hawkinsclassification, 5 cases in type I, 8 cases in type II, 5 cases in type III and 3 cases in type IV. 5. According to the Hawkinstherapeutic criteria, excellent results in 8 cases, good in 1 cases, fair in 3 cases but poor in 1 case. 6. Avascular necrosis was occured in 7 cases(37%) and ankle stiffness in 4 cases(21%) but nonunion was not observed.

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Treatment of the Tarsometatarsal Joint Fracture-Dislocation: Kun Yung Lee, Young Kee Lee, Yong Man Cho, Heung Sik Kang; J Korean Soc Fract 1996;9(3):725-732. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.725

Abstract PDF: Traumatic dislocation and fracture-dislocation of the tarsometatarsal joint rare injuries. These injuries often missed because radiographs of this joint is difficult to be interpreted, so delay to be diagnosed and treated. These injuries often leads to arthritic change with significant residual symptoms and deformities. Tarsometatarsal joint injuries are generally managed by accurate repositioning of the displaced metatarsals and stabilization with instruments(K-wire, screws etc.). The purpose of this study is to review the anatomical, radiological and functional results. The authors analysed the 25 cases with injuries of the tarsometatarsal joint treated of the department of Orthopaedic Surgery, Lee-Rha general hospital from March 1989 to September 1994, which showed the following results. 1. The most common cause of the injury was traffic accident(76%). 2. According to the Hardcastles classification, the injuries were classified as follows:partial incongruity in 16 cases(64%), total incongruity in 6 cases(24%), and divergent congruity in 3 cases(12%). 3. Three cases were treated with closed reduction and case immobilization, thirteen cases were treated with closed reduction and percutaneous K-wire fixation. Nine cases were treated with open reduction and K-wire fixation as follows:reduction failure in 3 cases, entrapment of anterior tibial tendon in 2 cases, severe soft tissue injury in 4 cases. 4. The anatomic reduction and its maintenance were considered as most important factor of prognosis.

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Treatment of Fracture-Dislocation of Tarsometatarsal Joint: Chung Nam Kang, Jong Oh Kim, Sang Hun Ko; J Korean Soc Fract 1996;9(3):715-724. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.715

Abstract PDF: The tarsometatarsal fracture-dislocation are unusual freguency. Lesion in this area are generally the result of a high energy traulna and difficult to recognize on standard radiographs. Twenty-one casei of fracture and dislocation of the tarsometatarsal joint were treated by open or closed reduction from January 1991 to April 1996. We assessed clnical result & treatment result and the following results were obtained. 1. Anatomical reduction is likely to lead nearly normal function & little complications. 2. Due to soft tissue interposition, espicially interposition of tibialis anterior, and marked articular comminution, early closed reduction was failed in 3 cases. If the closed reduction is tossed, then open reduction and internal fixation was performed. 3. In cases of nearly anatomical reduction, good prognosis was obtained. 4. Accurate accessment of AP & oblique & lateral projection of radiographs were very adventa geous & important. 5. Open anatomical reduction was superior to closed reduction & percataneous pining & cast immobilization alone.

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Unusual Isolated lateroplantar Dislocation of the First Tarsometatarsal Joint: A case Report: Joo Hong Lee, Jae Hoon Lee, Hak Ji Kim, Kyung Jin Song, Byung Yun Hwang; J Korean Soc Fract 1996;9(2):349-353. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.349

Abstract PDF: Dislocation and fracture-dislocation fo the Tarsometatarsal joint were rare injuries, but an increase of motor vehicle accidents, industrial and athletic injuries seems to be responsible for an incresing incidence of these injuries. Because of the basic inherent stabilith of the bony architecture and the structures on the sole of the foot including the plantar fascia, the intrinsic foot muscles, peroneus, tibialis posterior tendon and the stronger plantar pligaments most dislocations occur in dorsal and lateral direction. We report a case of 32 year-old male patient who had an isolated fracture and disloction of the first Tarsometatarsal joint with laterai and plantarward displacement. This developed by in-car accident and which did not fit to any proposed classification systems. The diagnosis was delayed because of the combined injuries, but with open reduction and internal fixation with 2 smooth K-wires, satisfactory results could at 12 moonths follow-up study.

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Treatment of Neglected Fracture-Dislocation of the Ankle Using llizarov Device: A case report: Hong Jun Han, Dong Churl Kim, Seong Ho Lee; J Korean Soc Fract 1995;8(3):615-619. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.615

Abstract PDF: There was a close correlation between the final clinical result and the quality of reduction of the fracture fragments. Fracture-dislocations of the ankle are relatively rare and unstable injuries in which anatomical reduction and difficult by closed method. More recently, anatomical reduction, secure internal fixation and early motion have been advocated as principle of treatment for a success ful clinical outcome in fracture-dislocation of the ankle. We reviewed the result of a case of the neglected ankle fracture-dislocation that have been reduced anatomically by closed method using a Ilizarov device. Clinical and radiographic results of the technique were satisfactory after length of follow-up thirty-eight months.

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Treatment of Carpal Bone Fracture-Dislocation using the Small-External Fixator and Internal Fixation: Chil Soo Kwon, Young Uck Kim, Byung Hyun Jung, Kyeong Seog Kong; J Korean Soc Fract 1995;8(1):228-233. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.228

Abstract PDF: Authors reviewed 3 cases of carpal bone fracture-dislocation treated with samll-external fixator and internal fixation such as K-wires or screws from October 1991 to March 1993 with above 1 year follow up. The results were as follows; 1. Mean ages were 25 years, all patients were male. 2. The causes of injury were the fall down in 2 cases and the sports injury in 1 case. 3. Cases were a palmar transscaphoid lunate dislocation, a Neglected volar dislocation of lunate, and a doral transscaphoid perilunar dislocation. 4. Advantages are as follows 1) minimize surgical dissection 2) maintenance of reduction is easy 3) ROM: full 4) painless 5) results are excellent We would like to recomment to use the small-external fixator and limited internal fixation instead of other methods for the treatment of carpal bone fracture-dislocation.

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Surgical Treatment for Posterior Fracture-Dislocations of the Hip with Fracture of Acetabulum: Byung Woo Min, Chang Soo Kang, Young Sik Pyun, Kwang Soon Song, Chul Hyung Kang, Sang Hak Lee; J Korean Soc Fract 1994;7(2):530-537. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.530

Abstract PDF

Thirty-one posterior fracture-dislocations of hip with fracture of acetabulum were followed from 6 months to 84 months(average, 23.3 months). The patientsages ranged from 19 to 58 years(average, 35.4 years). All had primary attempt at closed reduction with subsequent open reduction. Satisfactory results were obtained in 87% of all patients. Complications included partial sciatic nerve palsy(1 case), myositis ossificans(2 cases), osteoarthritis(3 case), recurrent dislocation(1 case) and infections(2 cases). This survey was undertaken to assess the results of a certain method of treament, and in the hope of contributing further information on this subject.

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Complications in Patients with Acetabular Fractures Treated Surgically
Byung Woo Min, Kyung-Jae Lee
Journal of the Korean Fracture Society.2008; 21(4): 341. CrossRef
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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Treatment of Wrist Frarture-Disluation using the Mini-External Fixator and Internal Fixation: Chil Soo Kwon, Young Uek Kim, Jin Hyok Kim, Won Ho Choi; J Korean Soc Fract 1992;5(2):417-425. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.417

Abstract PDF: Authors reviewed 8 cases of wrist fracture-dislocation treated with mini-external fixator and internal fixation form Septmeber 1989 to May 1992 with average 6 months follow up. The results were as follows ; 1. Mean ages were 47 years, most patients were young age. 2. We could achieve good results in intra-articular, communited, displaced fracture and open fracture of the wrist by using the mini-externall fixator and internal fixation. 3. Radial length and inclination was maintained mainly by the external fixator. Articular surface restoration and reconstruction was performed by bone graft and the limited internal fixation. We would like to recommend to use the mini-external fixator and limited internal fixation instead of plate and screws for the intraarticular fractue, displaced, communited farcture and open fracture of the wrist.

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A Clinical Study of Fracture of Neck of the Talus: 6 Cases Report: Kyung Ckul Kim, Sung Joon Im, Bo Seok Kong, Bo Hyeong Bang; J Korean Soc Fract 1992;5(2):365-371. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.365

Abstract PDF: The talus is a important bone because it supports and distributes the body forces above it. The fractures of the talus are not common but the talus is a bone with unique biomechanical features and vascular supply, so the complications with avascular necrosis and tramatic arthritis are frequent and resulting disabilities are so severe that the importance of proper management is emphasized. We analyzed 6 cases of fracture-dislocation of the talus, treated at Koryo General Hospital from 1987 to 1991. The follow up period was at least 12 months. The results were as follows ; 1. Of 6 cases, all were males and almost were 3rd and 4th decade. 2. The causes were traffic accident and fall from height. 3. Associated injuries were fracture of medial malleolus, tibia and Os calcis. 4. According to modified Hawkons classification, type I was 1 case, type II and type III were 2cases and type IV was 1 case. 5. 1 case in type II was treated conservatively, and 5 cases in other types were treated operatively. 6. Complications were skin infection and necrosis in 3 cases, failure of reduction in 2 cases, avascular necrosis in 3 cases and degenerative arthritis in 2 cases. 7. Complications wlth avascular necrosis and degenerative arthritis were treated with fusion of ankle and subtalar joint with external fixator.

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Fracture & Dislocation of Tarso-metatarsal Joint: Eung Shick Kang, Ho Jung Kang, Ick Hwan Yang, Dong Wha Lee; J Korean Soc Fract 1992;5(2):212-218. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.212

Abstract PDF: The fracture and dislocation of tarso-metatarsal joint is rare injury, but if it occurs, as-sociated soft tissue injury is so severe according to its cause of injury. We reviewed 19 patients of fracture and dislocation of tarso-metatarsal joint who were treated in patient service, during the perlod, from April, 1981 to March, 1991 at our hospital. The results were as follows; 1. Fifteen patients (75%) among the 19 patients were injured due to traffic accident and the associated injury was so severe. 2. Nine cases were treated with percutaneous pinning, closed redoclion with cast immobilization in 2 cases and open reduction with multiple pinning in 8 cases. Three cases needed free vasculariaed flap for its extensive soft tissue injury and, one case was taken below knee amputation for its associatrd severe injury. 3. Anatomical reduction was achieved in 15 cases and iss results were as follows: good in 4 cases. fair in 10 cases and poor in one case Anatomical reduction was not achieved in 3 cases and the results were as follows : fair in one case and poor in 2 cases. 4. Eight cases which were treated with open reduction with multiple pinning had the results as follows: good in one. fair in 6 cases and the remaining one case had taken below knee amputation Seven cases which were treated with closed reductlon and cast immobiliza- cases and poor in 3 cases. 5. The patients who were achieved anatomical reduction had better results than who were not achieved anatomical reduction, Buy the results of all patients were not so satisractory. That is because of the point that the Lisfranc joint injury had associated with severe soft tissue injuries. We concluded that early and active intervention and anatomical reduction should be achieved for the better results.

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Clinical experience of the displaced proximal humeral fracture: Jeung Tak Suh, Dong Gi Shin; J Korean Soc Fract 1992;5(1):72-81. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.72

Abstract PDF: No abstract available.

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Total hip arthroplasty in unreduced fracture dislocation of the hip: Myng Sig Park, Su Sung Chae; J Korean Soc Fract 1991;4(1):128-132. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.128

Abstract PDF: No abstract available.

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