Journal of Musculoskeletal Trauma

Peroneus Tendon Dislocation Associated with Fracture of Lateral Process of Talus: A Case Report: Youn Soo Hwang, Sung Jun Jo, Kwang Yeol Kim, Hyung Chun Kim, Dong Seon Kim; J Korean Fract Soc 2014;27(3):222-226. Published online July 31, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.3.222

Abstract PDF: Traumatic peroneal tendon dislocation in association with fracture of the lateral process of the talus is a rare injury, which is difficult to diagnose. As a result, early detection is often delayed, which in turn leads to ankle pain and dysfunction. We treated a patient by open reduction and screw fixation in fracture of the lateral process of talus and primary repair of the superior peroneal retinaculum. We report this case with a brief review of the literature.

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Polarus Intramedullary Nail for Proximal Humeral and Humeral Shaft Fractures in Elderly Patients with Osteoporosis: Youn Soo Hwang, Kwang Yeol Kim, Hyung Chun Kim, Su Han Ahn, Dong Eun Lee; J Korean Fract Soc 2013;26(1):14-20. Published online January 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.1.14

Abstract PDF: PURPOSE
To assess the effectiveness of optimal treatment of proximal humeral fractures and humeral shaft fractures in elderly patients with osteoporosis using the Polarus nail.
MATERIALS AND METHODS
Twenty-three patients with proximal humeral and humeral shaft fractures in elderly osteoporosis patients were treated using the Polarus intramedullary nail. Nine patients had proximal humeral fracture, 10 had humeral shaft fracture and 4 had the proximal humeral frac-ture extended diaphyseally. Radiological outcomes included the bone-union and the degree of re-sidual deformity. The residual deformities of the proximal humerus were assessed by the neck-shaft angle and the shaft angulation. Clinical outcome was assessed with the American Shoulder and Elbow Surgeons (ASES) score.
RESULTS
All cases had bony union and the mean union period was 16.5 weeks. The average neck/shaft alignment at the time of bone union was 135degrees and varus deformities of neck-shaft angle was not seen in all patients. Varus shaft angulation was seen in 5 patients. The mean ASES score after surgery was 86.7 points.
CONCLUSION
The Polarus intramedullary nail is effective for the treatment of proximal humeral and humeral shaft fractures in elderly patients with osteoporosis because it not only enables early postoperative mobilization, but also obtains bone-union without avascular necrosis and nonunion.

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Complications of Hook-Plate Fixation for Distal Clavicle Fractures: Su Han An, Hyung Chun Kim, Kwang Yeol Kim, Ji Hoon Lee, Seung Hyun Yoon; J Korean Fract Soc 2012;25(1):38-45. Published online January 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.1.38

PURPOSE
To report on the complications of hook-plate fixation for distal clavicle fractures.
MATERIALS AND METHODS
Eighteen patients who underwent surgery for distal clavicle fracture with a hook-plate from April 2008 to April 2011 were enrolled with a minimum of 4 months follow-up. The reduction was qualified and evaluated according to the radiologic findings. We analyzed the results by UCLA score, Kona's functional evaluation, and VAS pain score.
RESULTS
By radiologic evaluation, 17 of 18 cases showed anatomical reduction and solid unions. Although satisfactory results were found in the clinical study as shown by the UCLA score, Kona's functional evaluation, and VAS pain score, complications arose in 7 cases, including osteolysis of the acromion in 2 cases, nonunion in 1 case, periprosthetic fracture in 2 cases, subacromial pain in 1 case, and skin irritation in 1 case. 2 cases of all required reoperation.
CONCLUSION
To reduce the complications of the hook-plate, a precise surgical technique and the choice of an appropriate size for the hook-plate are needed. We suggest that early removal of the plate is necessary to decrease the risk of subacromial impingement and erosion in hook-plate fixation.

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Clinical outcomes of bending versus non-bending of the plate hook in acromioclavicular joint dislocation
Min Su Joo, Hoi Young Kwon, Jeong Woo Kim
Clinics in Shoulder and Elbow.2021; 24(4): 202. CrossRef
Surgical Treatment of Unstable Distal Clavicle Fractures: Comparison of Transacromial Pin Fixation and Hook Plate Fixation
Young Sung Kim, Ho Min Lee, Han Gil Jang
The Journal of the Korean Shoulder and Elbow Society.2013; 16(2): 123. CrossRef

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Treatment of Distal Clavicle Fracture Using Hook Plate: Su Han Ahn, Hyeong Jo Yoon, Kwang Yeol Kim, Hyung Chun Kim, In Yeol Kim; J Korean Fract Soc 2011;24(1):48-54. Published online January 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.1.48

Abstract PDF

PURPOSE
To evaluate the result of distal clavicle fracture treated by Hook plate (LCP clavicle hook plate, Synthes(R), Paoli, Switzerland).
MATERIALS AND METHODS
10 patients with distal clavicle fracture treated by Hook plate from April 2008 to March 2010 were analyzed. The average follow-up period was 10 (range 4 to 26) months. The reduction was qualified and evaluated according to the immediate post-operative, final radiographs. We analyze the result by UCLA score and Kona's functional evaluation.
RESULTS
By radiologic evaluation, all cases showed anatomical reduction and solid union. By Kona's functional evaluation, there are 7 cases with excellent results, 3 cases with good results. The UCLA score was average 33.3 (range 29 to 35) points followed by 6 excellent cases, 4 good cases. As complication, 1 case showed post-operative clavicle shaft fracture and 1 case showed acromial osteolysis on X-rays. We found no complications such as skin irritation, infection, loosening of screws, and plate failure.
CONCLUSION
The Hook plate fixation for distal clavicle fracture is considered effective method for satisfactory reduction and rigid fixation, a lower incidence of nonunion and excellent clinical result.

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Comparison of Locking Compression Plate Superior Anterior Clavicle Plate with Suture Augmentation and Hook Plate for Treatment of Distal Clavicle Fractures
Jun-Cheol Choi, Woo-Suk Song, Woo-Sung Kim, Jeong-Muk Kim, Chan-Woong Byun
Archives of Hand and Microsurgery.2017; 22(4): 247. CrossRef

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The Treatment of Acromioclavicular Dislocation Comparison Study between Bosworth Screw and Wolter Plate Technique: Jae Do Kang, Kwang Yul Kim, Hyung Chun Kim, Kyung Chil Jung, Mun Sup Lim, Jin Hyung Kim, Seong Joo Lee; J Korean Soc Fract 2003;16(4):548-554. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.548

Abstract PDF: PURPOSE
Acromioclavicular joint dislocation are frequently seen and various operation treatment modalities have been suggested. The purpose of this study is to compare the clinical results of two operative methods, Bosworth screw procedure and Wolter plate technique.
MATERIALS AND METHODS
We have analysed 30 patients with acromioclavicular dislocations, which had been treated by Bosworth screw & Wolter plate technique from June 1996 to February, 2002 with minimal 1 year follow up. All patients were assessed clinical and radiological results by ASES Score and UCLA Score.
RESULTS
Using the Shoulder evaluation scheme of ASES and UCLA Score at the one year follow up examination, 93.4% of the patients had excellent results in Wolter plate group. In Bosworth screw group, 4 complications such as loosening of the screw, or breakage of screw were seen. 2 complicated patients were over 40 years old and then conversions to Wolter plate operation was needed and obtained good results.
CONCLUSION
Bosworth procedure has a merit not to damage acromioclavicular joint, but the technique is difficult, sometimes may be encountered loss of fixation due to overcorrection and anterior displacement of the clavicle. However, Wolter plate implant provides enough stability for active postoperative physiotheraphy, and hence accelerates rehabilitation. Therefore, this technique is thought to be a good modality in the treatment of acute acromioclavicular seperation.

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Flexion-type Humerus Supracondylar Fractures in Children: Jae Do Kang, Kwang Yul Kim, Hyung Chun Kim, Moon Sup Lim, Shin Kwon Choi, Hyun Soo Park; J Korean Soc Fract 2002;15(4):601-606. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.601

Abstract PDF: PURPOSE
We investigated the treatment modality and clinical results in flexion-type supracondylar fractures of the humerus in children.
MATERIALS AND METHODS
11 cases of flexion-type supracondylar fractures of the humerus(3 type I, 5 type II, 3 type III) were treated, 3 fractures(3 type I) with extension cast, 6 fractures(5 type II, 1 type III) with two lateral percutaneous K-wire fixation, 2 fractures(2 type III) with open reduction and crossed pin fixation. The K-wire were removed after 4-6 weeks of operation and the follow-up period ranged from 12 months to 26 months, averaging 18 months.
RESULTS
By Flynn 's functional and cosmetic criteria, nine cases were good and excellent results, one case (type III with two lateral percutaneous pin fixation) is fair result.
CONCLUSION
As the same methods of the extension-type supracondylar fractures, the K-wire fixation is useful method in the treatment of flexion-type supracondylar fractures of the humerus in children.

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Treatment of bone cystic change with femoral head fracture in Neurofibromatosis patient: Jae Do Kang, Hyung Chun Kim, Chi Wook Kyoung, Hyun Chul Seo; J Korean Soc Fract 2002;15(3):427-431. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.427

Abstract PDF: Cystic change on femoral head and neck in neurofbromatosis patient is rare case. Scoliosis is the most common bony lesion. Others are appeared at changes of out feature in long bone shaft. Bone cyst with bone fracture are treated with non operation or external fixation, osteotomy, curettage, partial and complete excision of cyst capsule, steroid injection therapy, bone graft, internal fixation, arthroplasty. We have experienced a case of bone cystic change on femoral head and neck with femoral head fracture and acetabular lesion in neurofibromatosis patient treated with total hip arthroplasty who was acceptable result.

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Case-control study of risk factors of fracture due to osteoporosis: JiJae Do Kang, Hyung Chun Kim, Chi Wook Kyoung, Hyun Chul Seo; J Korean Soc Fract 2002;15(1):7-14. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.7

Abstract PDF

OBJECTIVES
In the recent years, osteoporosis and fracture with osteoporosis is growing due to increasing of old people. In case of fracture with osteoporosis, there is much socio-economic loss adding to the disability of patients. Prevention of osteoporosis and Fracture is more economic and more effective than treatment after occuring fracture. Study of risk factor of increasing fracture is meaningful. And the investigation of these factors, contributed to fracture can be used as milestone for prevention of fracture.
METHOD
Case-control study was done with the patients(191 case) who examined BMD (DEXA). Cases were divided into two group; one was fracture group(39 cases) and the other was non-fracture group(152 cases). Then weight, height, age, and BMD known asthe risk factors of the osteoporotic fractures were investigated and analyzed.
RESULT
1. Non-fracture group showed high score than fracture group in weight, height and BMI, but there were no statistical differences. 2. Age of fracture group was higher 10 years more than that of non-fracture group and there were significant statistical differences. 3. The extent of osteoporosis was inversly proportional to age, but proportional to weight and height. 4. There were significant differences between fracture and non-fracture group in BMD, and after correction of age & BMI, significantly different in L1 and L3 vertebrae.
CONCLUSION
We suggest that BMD, age, weight, height and BMI have many influences on the fracture prevalence, the study for the effect of the various risk factorswill contribute to the prevention of the fracture.

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Treatment with Modified Steinmann Pins and Tension Band Wiring Technique in Proximal Humeral Comminuted Fractures with Osteoporosis
Soo-Tai Chung, Joo-Hak Kim, Hyung-Soo Kim, Sang-Joon Park
Journal of the Korean Fracture Society.2007; 20(2): 184. CrossRef
Decreased Bone Mineral Density and Fractures in Low-Income Korean Women
Kyunghee Yang, Beverly J. McElmurry, Chang G. Park
Health Care for Women International.2006; 27(3): 254. CrossRef

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Attritional Rupture of the Flexor Tendons after Malunion of Distal Radial Fracture : Report of One Case: Jae Do Kang, Kwang Yul Kim, Sang Hun Ko, Hyung Chun Kim, Kyeong Chil Jung, Moon Sub Yim; J Korean Soc Fract 1997;10(4):929-933. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.929

Abstract PDF: There are a few of reports of delayed rupture of flexor tendon around the wrist and hand by attrition. Only 4 cases of delayed flexor tendon rupture of finger except rupture of flexor pollicis longus after Cellos fracture were reported until now. Several causes of the delayed rupture of the tendon around the wrist and hand were reported by many authors. Cellos fracture is one of the cause of the attritional rupture. But the frequency of the attritonal rupture of the flexor tendon was only one-third of the extensor tendons. Furthermore, flexor tendons of the finger were less commonly affected than that of the thumb by their anatomical features. We would like to report a very rare case of delayed rupture of flexor digitorum profundus on 73 year old male patient by attrition on the bony spur which was formed by malunion of distal radial fracture about 10 years ago. They were treated by direct repair for ring finger and free tendon graft with flexor digitorum sublimis of middle finger for little finger. After 1 year follow up, range of motion and flexion power were recovered to nearly normal.

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A Operative Treatment of the Tibial Pilon Fractures : For minimize soft tissue injury: Jae Do Kang, Kwang Yul Kim, Hyung Chun Kim, Moon Sub Yim, Sang Hoon Ko; J Korean Soc Fract 1997;10(2):346-355. Published online April 30, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.2.346

Abstract PDF: The tibial Pilon fracture is difficult to manage because high energy axial compression and rotational forces which make severe injuries to the ankle joint, which result in impaction, severe comminution, metaphyseal disruption and soft tissue trauma. Though there are variable methods of treatment including manipulation and cast, calcaneal traction and cast, external fixation, pin and plaster, limited open reduction and external fixation, open reduction and internal fixation and arthrodesis, most of authors reported better result after a surgical treatment than that of conservative treatment. While there is no doubt that the treatment of ankle joint injuries is much improved today, complications are still very common for many reasons. We have reviewed the 19 cases of the tibial plafond fractures on 18 patients which were treated at orthopedic department, Walles Memorial Baptist Hospital, from March 1991 to February 1995. The results were as follows . 1. There were so much combined injuries that physician must evaluate other injury such as spinal compression fracture. 2. The most frequent type of pilon fracture was type 3, the 2nd was type 5 by Ovadia and Beals classification. 3. Regardless of the treatment method, type 1 and 2 were excellent subjective result by Ovadia and Beals subjective evaluation classificatioin, but in case of type 3, 4 we could get a good and excellent result by anatomical open reduction and internal fixation. 4. We could reduce complications of the postoperative wound infection and skin necrosis by posteromedial and posterolateral approach after skeletal traction and manual reduction for more than one week.

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