Journal of Musculoskeletal Trauma

A Clinical Study of the Ankle Fracture with Diastnsis: Ik Dong Kim, Jo Chul Ihn, Pong Tnk Kim, Byung Chul Park, Young Goo Lyu, Il Hyung Park, Chang Hyuk Choi; J Korean Soc Fract 1992;5(2):253-259. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.253

Abstract PDF: The ankle fracture with diastasls of distal tibiofibular joint is caused by an axial loading force with concomitant external rotation and associated with severe ankle fracture in addition to talai subluxation due to rupture of the distal tibiofibular syndesmosis. In order to restore the normal ankle mortise, operative anatomical reduction and temporary stabilization of the syndesmosis is mostily required until early ligament healing is present. Twelve cases among ninety-six cases of the ankle fracture were associated with diastasis and treated in the Department of Orthopedic Surgery, Kyungpook National University Hospital during the period from January, 1988 to May, 1991. We analysed these cases according to injury mechanism, radiographic criterion, the patterns of associated medial and lateral injury and treatment result. The results obtained were as follows; 1. The incidence of trauma was most frequent in 5th decade(5 cases). 2. Diastasls was produced by 3 mechanism according to Lauge-Hansen classification : (pronalion-external rotation : 7, Suplnatlon-external rotation : 3, pronation-Abduction;2). 3. All were associated with fibular fracture : proximal fibular fracture was most common (7cases). 4. All had disruption of the medial structures (medial ligament rupture 3, medial malleolusfracture 9). 5. Although the cases were small, there seems no significant differences between transfixation group and unfixation group when accurate anatomical restoration of the distal tibiofibular syndesmosis was achieved.

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Intra-Articular Fractures of the Calcaneus: ORIF via Lateral Approac: Ik Dong Kim, Jo Chul Ihn, Poong Taek Kim, Byung Chul Park, Young Goo Lyu, Il Hyung Park, Sung Jung Kim; J Korean Soc Fract 1992;5(2):199-204. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.199

Abstract PDF: The os calcis is one of the most commonly injured tarsal bone and fractures involving the subtalar joint may cause serious and persistent disabilities. We treated 12 intra-artlcular calcaneal fractures in 11 patients from June, 1998 to April, 1992 by plate fixation after lateral approach. The Sanders fracture classification system was applied to out study which classify the fractures according to the number of the fractured segments and direction of the fracture lines after computerized axial tomography of the posterior facetal joint. The follow-up evaluation included questioning the patient about pain during activity and rest, the ability to walk and stand, range of subtalar motion and ability to return to work according to the assessment sheet for calcaneal fractures of Creighton Nebraska Health Foundationl We experienced 8 excellent and 2 good results among 12 cases and there was little complication.

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Herbert screw fixation of fracture of the radial head and capitellum: Ik Dong Kim, Joo Chul Ihn, Poong Taek Kim, Byung Chul Park, Young Goo Lyu, Il Hyung Park, Koo Hee Lee; J Korean Soc Fract 1991;4(2):356-361. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.356

Abstract PDF: No abstract available.

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Supracondylar osteotomy for cubitus varus deformity in adult: Ik Dong Kim, Poong Taek Kim, Byung Chul Park, Young Goo Lyu, Il Hyung Park, Byung Guk Min; J Korean Soc Fract 1991;4(1):22-29. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.22

Abstract PDF: No abstract available.

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Clinical Analsis of the Salter-Harris Type II Epiphyseal Injury of the Distal Femur: Ik Dong Kim, Poong Taek Kim, Byung Chul Park, Young Goo Lyu, Soo Ill Han; J Korean Soc Fract 1990;3(2):189-196. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.189

Abstract PDF: Although most of distal femoral epiphyseal fracture is Salter-Harris type II, its prognosis is not uniformly good and poses several problems such as limb length discrepancy, varus or valgus angulation and limitation of knee motion. Authors experienced 9 cases of Salter-Harris type II distal femoral epiphyseal injuries who were treated at Kyoungpook National University Hospital from January, 1982 to June, 1987, All were foloowed for an average of two years and ten months (range, one to seven years) and analysed clinically. The results abtained were as follows. 1. 5 out of 9 cases between 16 and 18 years of age. 2. Significant limb length discrepancy beyond 2cm occurred in only 1 case, lengthening of 0.6cm in 2 cases and less than 1.0cm shortening in 6 cases. 3. Valgus angulation of 10 degress or less occurred in 5 cases and 20 degrees of valgus defromity in 1 case. Varus angulation of 5 degrees or less occurred in 2 cases and of 6 degrees in 1 case. 4. Limitation of knee motion was not observed in all cases. 5. Salter-Harris type II epiphyseal plate injuries does not always carry a good prognosis especially when involving the distal femoral epiphsis. It can bring about growth acceleration or deceleration and angular deformity. Early and anual follow-up until cessation of growth is mandatory.

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Compression Fixation Using a Condyla Plate for Subtrochanteric Fractures: Ik Dong Kim, Poong Taek Kim, Byung Chul Park, Young Wook Choi, Young Gu Lyu, Young Duk Jo; J Korean Soc Fract 1990;3(1):79-87. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.79

Abstract PDF: No abstract available.

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Fracture of the Neck of the Talus: Ik Dong Kim, Poong Taek Kim, Byung Chul Park, Young Wook Choi, Young Gu Lyu, Sung Ho Kim; J Korean Soc Fract 1989;2(2):179-188. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.179

Abstract PDF: We Clinically analysed 10 cases of fractures of the neck of the talus which had been treated at the Department of Orthopedic Surgery, Kyungbook Nantional University Hospital from 1984 to 1988 and the following results were obtained. 1. Of the 10 cases, Hawkiins type I was 2 cases, type II, 4 cases and type III, 4 cases. 2. Avascular necrosis was developed in 7 cases. 1 of type I, 3 of type II and 3 of type III. 3. In all 6 cases with comminution at subtalar and medial aspect of talus, avascular necrosis was developed. 4. Hawkins sign was evident in the plane roentgenogram from 5th weeks to 12th weeks(mean at 8th weeks) and we could diagnose the avascular necrosis of talar body at 9.3th weeks. 5. Bone scan was not a helpful diagnostic tool for the confirmation of the avascular necrosis of the talar body. 6. Absolute non-weight bearing is mandatory until solid union is obtained and partial weight bearing with PTB brace is advisable after emergence of the sign of revasculariztion on the plane roetgenogram. 7. Of the 10 cases of the fracture of the neck of the talus, satisfactory results were obtained in 7 cases and of the 7 cases with avascular necrosis, relatively good results were in 5 cases.

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Clinical Study on treatment of Mid-clavicular Non-union with Semitubular Plating and Bone Graft: Ik Dong Kim, Poong Taek Kim, Byung Chul Park, Young Wook Choi, Sang Bock Lee; J Korean Soc Fract 1989;2(1):29-33. Published online June 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.1.29

Abstract PDF: We reviesed 4 patients with clavicular non-union who were treated by internal fixation with semitubular plate and iliac bone graft from Jan. 1984. to Oct. 1988. All 4 Patients had fractures at middle 1/3 of the clavicle. We have defined a non-united clavicular fracture as one that has not demonstrated healing at post-trauma 4 months. All 4 patients had symptoms due to non-union. All 4 patients were treated with semitubular plating and bone graft and achieved good union by average 9.8 weeks post-operatively and symptoms were disappeared. We might conclude that symptomataic non-union of the mid-clavicle could be treated with operative method and rigid internal fixation with semitubular plating and bone graft will be excellent method.

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