Journal of Musculoskeletal Trauma

Interposition of Extensor Pollicis Longus Tendon in Smith's Fracture in a Child: A Case Report: Seung Ju Jeon, Haeng Kee Noh, Do Yeon Kim, Sung Hoon Jung, Jun Beum Shin, Ho Seung Jeon; J Korean Fract Soc 2013;26(1):65-68. Published online January 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.1.65

Abstract PDF: Entrapment of the extensor pollicis longus tendon is reported rarely on Smith's fractures in children. In our case, a 15 year old boy with Smith's fracture received treatment of closed reduction at another hospital. When he visited our hospital, a wide gap at the fracture site was detected on radiograph and the thumb movement was limited. We have doubt the entrapment of the soft tissue, especially the tendon. We decided on open reduction. In the operation field, entrapment of the extensor pollicis longus tendon at the gap of the fracture site was found through dorsal approach. In addition, fracture treatment with K-wire fixation after reduction of extensonr pollicis longus tendon reduction was done. Therefore, we report this case with a review of the literatures.

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Costoclavicular Syndrome Secondary to Nonunion of a Displaced Fracture of the Clavicle, Misdiagnosed as a Simple Muscle Strain: A Case Report: Ho Seung Jeon, Haeng Kee Noh, Seo Goo Kang, Jong Min Kim, Seung Ju Jeon; J Korean Fract Soc 2013;26(1):60-64. Published online January 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.1.60

Abstract PDF: Thoracic outlet syndrome is a relatively common disease. However, costoclavicular syndrome as a condition secondary to nonunion of a displaced fracture of the clavicle is very rare. Most clavicular fractures in adults are united with no or minimal persistent symptoms. Also, symptomatic nonunion of a displaced fracture of the clavicle is rare. A 55-year-old male initially presented with persistent forearm pain after slip-down was initially diagnosed with simple muscle strain. However, he was given a delayed diagnosis of costoclavicular syndrome, caused by compression of the subclavian artery due to trauma in the fibrotic nonunion of the right clavicle without apparent symptoms. We obtained satisfactory results by surgical treatment. Here we report this case with a review of the literature.

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The Comparison between ITST(TM) (Intertrochanteric/Subtrochanteric) & DHS (Dynamic Hip Screw) in Unstable Femur Intertrochanteric Fracture: Ho Seung Jeon, Byung Mun Park, Kyung Sub Song, Hyung Gyu Kim, Jong Ju Yun; J Korean Fract Soc 2009;22(3):131-137. Published online July 31, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.3.131

PURPOSE
To evaluate between DHS and ITST nail (2nd generation) on the treatment of unstable femur intertrochanteric fracture in patients over 70 years old.
MATERIALS AND METHODS
61 cases of unstable intertrochanteric fracture (grouped 37 patients with DHS and 24 patients with ITST) who were taken the operation from Mar. 2003 to Sep. 2007 were analysed regarding to union time, sliding length of lag screws, operation time, blood loss, postoperative complications and functional recovery score by Skovron.
RESULTS
The mean union time was 14.7 weeks in study group (ITST). The mean union time was 16.2 weeks in control group (DHS). The lag screw slidings were 7.2 mm in study group and 8.7 mm in control group. The operation times were 57.9 min in study group and 76.9 min in control group. The amount of blood loss were 67.7 ml in study group and 227.4 ml in control group. The complications were 4 cases in study group and 4 cases in control group. The Skovron recovery scores were 76.5% in study group and 73.7% in control group.
CONCLUSION
From a practical point of short operation time, less amount of bleeding and less complication, author think that the ITST nail is useful implant for treatment of unstable femur intertrochanteric fracture in patient of old age.

Citations

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Unstable Intertrochanteric Fracture Treated with ITST: A Comparative Study between Groups with and without Comminution of Greater Trochanter
Kyung-Sub Song, Sang-Ho Lee, Seong-Hun Jeong, Su-Keon Lee, Sung-Ha Hong
Journal of the Korean Fracture Society.2014; 27(1): 36. CrossRef
Treatment of the Intertrochanteric Femoral Fracture with Proximal Femoral Nail: Nailing Using the Provisional K-wire Fixation
Gu-Hee Jung
Journal of the Korean Fracture Society.2011; 24(3): 223. CrossRef

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Arthroscopic Repair for Traumatic Peripheral Tear of Triangular Fibrocartilage Complex: Seung Ju Jeon, Chan Sam Moon, Ho Seung Jeon, Haeng Kee Noh, Sung Hwan Kim; J Korean Fract Soc 2007;20(4):330-334. Published online October 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.4.330

Abstract PDF: PURPOSE
To assess the results of an arthroscopic repair for traumatic peripheral tears of triangular fibrocartilage complex (TFCC, Palmer type Ib).
MATERIALS AND METHODS
10 patients with traumatic peripheral TFCC tear were treated with outside-in technique with arthroscope and evaluated with an average follow-up of 19 months (range, 15 to 28 months). The clinical outcomes were assessed with investigation of pain, range of motion, grip strength, return to job and patient's satisfaction.
RESULTS
The arthroscopic repair of traumatic peripheral TFCC tear resulted in significant pain relief and increase in functional ability of wrist, that is, 8 excellent, 1 good and 1 fair results. At last follow-up, the average of flexion was 79Â° (range 76~86Â°), average of extension was 78Â° (range 70~84Â°), average pronation was 85Â° (range 75~91Â°) and average supination was 87Â° (range 79~92Â°). Nine patients except one were back to their original job.
CONCLUSION
Arthroscopic repair of traumatic peripheral TFCC tear could be used for pain relief and increase in functional ability of wrist.

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Percutaneous Interlocking Intramedullary Nailing of Femoral Shaft Fracture with Retrograde Guide Wire Insertion Technique: Ho Seung Jeon, Seung Ju Jeon, Jae Ho Choi, Jong Min Kim, In Kee Cho; J Korean Fract Soc 2006;19(1):104-108. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.104

Abstract: Piriformis fossa is chosen for the entry point of the intramedullary nail insertion for the broken femoral shaft. To evaluate the correct entry point selection, the use of the usual operation table and short skin incision, we tried the percutaneous interlocking intramedullary nailing with retrograde guide wire insertion technique. The guide wire is inserted through the short skin incision on the anterior thigh and comes out through piriformis fossa easily. Through over the guide wire the femoral nail was inserted with only short skin incision. And the trick makes no difference except the convenience compared with the antegrade guide wire insertion technique. It is considered as a useful tip of the intramedullary nailing of the femoral shaft fracture.

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Closed Reduction and External Fixation of Displaced Fractures of the Proximal Humerus: Seung Ju Jeon, Ho Seung Jeon, Kye Nam Cho, Jae Ho Choi, Joon Yong Lee; J Korean Fract Soc 2004;17(1):43-48. Published online January 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.1.43

Abstract PDF: PURPOSE
This is a retrospective study to analyze the functional results of closed reduction and external fixation of unstable fractures of the proximal humerus.
MATERIALS AND METHODS
Ten unstable proximal humerus fractures were managed with closed reduction and external fixation in which other operative methods are not proper due to comminution, osteoporosis or poor general condition of patients. 4 cases of 2-part and 6 cases of 3-part fracture were included. Radiologically union of fracture, malunion and the evdence of avascular necrosis of humeral head were assessed and the functional results were analyzed with Neer scoring system.
RESULTS
Radiologically all fractures were healed but in 2 cases malunion was resulted because of reduction loss in proximal fragment. Pin site infection was developed in 7 cases and oral antibiotics were needed. The functional results were excellent in 4, satisfactory in 3 and unsatisfactory in 3 cases. 2 cases with malunion and one case with lack of postoperative cooperation resulted in functionally unsatisfactory.
CONCLUSION
External fixation is an alternative method in the treatment of unstable proximal humerus fractures in which open reduction or percutaneous pinning are not proper due to comminution, osteoporosis or poor general condition of patient.

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Closed Reduction and Percutaneous Fixation in the Treatment of Proximal Humerus Fractures: Seung Ju Jeon, Hyung Ku Yoon, Ho Seung Jeon, Kye Nam Cho, Hyung Sam Kim; J Korean Soc Fract 2002;15(2):173-180. Published online April 30, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.2.173

Abstract PDF: PURPOSE
This is a retrospective study to analyze the functional results of closed reduction and percutaneous fixation of displaced unstable proximal humerus fractures.
MATERIALS AND METHODS
We report 23 patients, 20 with 2-part and 3 with 3-part proximal humerus fractures that can be reduced closed but remain unstable in which percutaneous fixation was performed. The fixation methods were multiple pinning in 10, multiple cannulated screw fixation in 8, Rush pin fixation in 3 and Rush pin combined with other methods in 2. The functional rusults were analyzed with Neer,scriteria.
RESULTS
The functional rusults were excellent in 14, satisfactory in 4 and unsatisfactory in 5. No significant difference was not noted in the long term follow-up results according to the fixation methods but Rush pin resulted in impingement and displacement of greater tuberosity.
CONCLUSION
Closed reduction and percutaneous fixation is a useful alternative to open reduction and internal fixation for the displaced 2-part or 3-part proximal humerus fractures that can be reduced closed but remain unstable.

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Treatment of Tibial Plateau Fractures by Cannulated screw Fixation: Hyung Ku Yoon, Ho Seung Jeon, Kye Nam Cho, Seung Ju Jeon, Kang Woo Chung; J Korean Soc Fract 2001;14(1):73-78. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.73

Abstract PDF: PURPOSE
The results of treatment of tibial plateau fractures by extensive soft tissue exposure were less satisfactory even if anatomical reduction was achieved. The purpose of this study is to assess the functional and radiological results of the treatment of tibial plateau fractures by cannulated screw fixation to decrease soft tissue injury and operation time.
MATERIALS AND METHODS
From January 1996 to February 2000, 19 patients were treated by limited open reduction and internal fixation by cannulated screw. According to scoring of Rasmussen, the functional results were rated.
RESULTS
In all cases, Bony union was obtained and according to scoring of Rasmussen, excellent in 1 case, good in 14, fair in 4 cases. There were 2 cases of limitation of joint motion and 2 cases of persistant pain as sequale.
CONCLUSION
We considered that if accurate preoperative evaluation was done, Cannulated screw fixaction was easier and faster method than other methods for treatment of tibial plateau fractures.

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Surgical Treatment of Symptomatic Clavicular Nonunion: Hyung Ku Yoon, Ho Seung Jeon, Kye Nam Cho, Hong Gweon Han; J Korean Soc Fract 2000;13(1):113-119. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.113

Abstract PDF: PURPOSE
: The nonunion after mid-shaft clavicular fracture is predisposed by refracture, interposition of the soft tissue, complete displacement of the fracture fragment and bony defect with comminuted fracture by the high-energy trauma. Symptomatic nonuions may need surgical treatment. The purpose of this study is to assess the functional and radiological results of the surgical treatment of the symptomatic nonunion of the clavicle.
MATERIALS AND METHODS
: We reviewed 10 cases of symptomatic clavicular nonunions managed with surgical treatment from January, 1994 to May, 1997. The age at operation ranged from 26 to 60 years old( average 46.5 years ). The average length of follow-up was 1.7 years( range, 1 to 3 years ). According to the scoring system of Rowe, the function of the shoulder was evaluated.
RESULTS
: All cases were united and radiologic union was obtained at 10.2 weeks on average after surgery. On functional result. average score on pain was 9.9 (3-12), average score on stability was 24.5 (20-25), average score on function was 21.0 (10-25). In motion, average score on abduction and forward flexion was 11.0 (7-15), average score on internal and external rotation were 3.8 (3-5), 3.3 (0-5). According to the scoring system of Rowe, excellent in 6 cases, good in 3 cases, fair in 1 case and the average of the total score were 83.8.
CONCLUSION
: We concluded that open reduction and internal fixation by plate or intramedullary device with autogenous bone graft could provide the relief of symptom and effective results of shoulder of shoulder function in the symptomatic nonunion of the clavicle

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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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Clinical Results of Cemented Bipolar Arthroplasty in Femur Neck Fractures over 70 Years: Hyung Ku Yoon, Ho Seung Jeon, Kye Nam Cho, Jong Wha Yi; J Korean Soc Fract 1998;11(2):313-320. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.313

Abstract PDF: There have been much controversy about prosthetic replacement or internal fixation for patients over 70 years old. Authors reviewed and analyzed 45 cases of cemented bipolar hemiarthroplasty in patient over 70 years treated at the Department of Orthopedic Surgery, Sung-Ae General hospital from January 1988 to July 1995. The purpose of this study was to analyse the clinical and radiological results and to detect the motion study of bipolar cup. Follow up period was average 26.1 months, ranged from 24 months to 37 months. The following results were obtained. 1. In clinical evaluation, excellent & good result were in 31 cases(68.6%). 2. In radiologic evaluation, acetabular erosion were in 2 cases and loosening of the femoral component was in 1 case. 3. With time elapsed, the amount of the inner bearing motion was decreasing with preservation of the total joint motion. 4. Complications were idiopathic pain 7 cases, nerve paresis 2 cases, superficial infection 2 cases, intraoperative fracture 1 case, dislocation 1 case, losening 1 case.

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Treatment with Unleamed Interlocking Intramedullary Nail for Tibial Shaft Fracture: Hyung Ku Yoon, Kwang Pyo Jeon, Dae Eun Jung, Ho Seung Jeon, Man Je Park; J Korean Soc Fract 1996;9(2):466-474. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.466

Abstract PDF: Recently intramedullary nailing has become the most common method treating tibial fractures. Reamed intramedullaiy nailing technique leaves the problem of destorying the endosteal blood supply, which associated with delayed union and postoperative infection. Recent reports have shown excellent rate of union and low rate of intection with unlearned interlocking intramedullary nail. Author reviewed 58 cases of tibia shaft fractures that were treated with unrealned interlocking nail from Feb. 1992 to Feb. 1994. 1. Furty nine fractures were closed and 9 were open (Gustilo-Andersonl;3,II;5, IIIa;1). Thrity one fractures involved the distal portion, 19 fractures the middle portion, 6 fractures tile proximal portion and 2 fractures were segmental. 2. Thirty six cases were male and 22 were female. The most common age was 3rd decade (25.8%). 3. The most common caute was traffic accident. 4. Average interval from injury to operation were 5.7 days in close fracture and 11.3 days in open fracture. 5. The mean duration of bone union were 15.7 weeks in closed fracture and 19.5 wreks in open fracture. 6. Complications include 1 case of delayed union, 1 case of joint stiffness and 1 case of screw failure. 7. According to the functional results by Klemm and Borner, 42 cases were excellent, 15 cases were good and 1 was fair.

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Overall Review of the Treatment of Tibial Fracture by Endernailing: Technical Consideration of Ender Nailing on Tibial Fracture: Hyung Ku Yoon, Kwang Pyo Jeon, Dae Eun Jung, Ho Seung Jeon, Dae Young Jaang; J Korean Soc Fract 1995;8(2):370-377. Published online April 30, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.2.370

Abstract PDF: Fractures of the tibia are one of the most common injury encountered by orthopaedic surgeons and their treatments are considered to be difficult due to serious complications. Many treatment modalities were introduced. Among them, Ender nailing is considered one of the useful modality because it is a relatively simple and, 3ess invasive procedure Authors analized 123 tibial fractures treated with Endr nails from Feb. 1986 to Feb. 1992 to solve the problems during Ender nailing. The follow up ranged from 12months to 51 months with an average of 11 months. The results are as follows; 1. Among 123 patients,93 cases are male and 30 cases are female. Traffic accident is the most common cause of injury. 2. Average interval from injury to operation is 9 days and average 2.1 Ender nails are used. The mean duration of the bone union is 19.1 weeks. 3. To prevent knee joint pain, more distal medial and lateral portal of entry and more posteriorly located lateral portal of entry were used. 4. To provide stability of distal 1/3 fracture,3 or more nails are introduced with fanning in AP and lateral plane. 5. to provide stability of the comminuted fractures, convexities of at least 2 nails are located at the comminuted site. 6. To prevent rotation of the middle fragments of segmental fractures, technique of temporary Steinmann pin fixation for handling the middle fragment during operation were used.

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