Journal of Musculoskeletal Trauma

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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The effect of percutaneous vertebroplasty with bone cement in the treatment of osteoporotic thoracolumbar compression fracture: Jae Do Kang, Kwang Yul Kim, Sang In Park; J Korean Soc Fract 2001;14(2):265-271. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.265

Abstract PDF

PURPOSE
To analyzed the degree of pain relief of 40 patients with osteoporotic thoracolumbar compression fracture treated by percutaneous vertebroplasty with bone cement.
MATERIALS AND METHODS
We studied 40 cases of the osteoporotic thoracolumbar compression fracture from January 2000 to June 2000. It was evaluated with simple Xray, bone scan, bone mineral density and CT for the patients 1)who had the compressed wedge fracture of vertebral body on simple X-ray, 2)who had increased bony uptakes of fracture site on bone scan, 3)who were under -2.5 in T-score on bone mineral density, 4)who were not relieved the pain to analgesic drug medication for more than 3 month with no radiating pain, 5)who had no fracture of posterior wall of vertebral body on CT in the case of acute fracture. We performed percutaneous vertebroplasty with bone cement and observed the degree of pain relief using pain scale pre-/ postoperation.
RESULTS
The average pain point decreased from 6.17 points to 1.06 points at postoperative 1 day, total decreased points were 5.11 points. The average pain point was 1.05 at postoperative 6 months in the patients followed up for more than 6 months.
CONCLUSION
Percutaneous vertebroplasty with bone cement is valuable method in the treatment of osteoporotic thoracolumbar compression fracture, providing pain relief, prevention of complication originated from long term traction and bed rest, unwearing brace and early ambulation

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Treatment of Combined Degenerative Lumbar Disease and Adjacent Vertebral Fracture
Jae-Lim Cho, IL-Hoon Sung, Seung-Wook Baek, Ye-Soo Park
Journal of Korean Society of Spine Surgery.2008; 15(4): 236. CrossRef

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Open Reduction and AO Miniscrew Fixation of Displaced Radial Head Fractures in Adults: Jae Do Kang, Kyung Chil Jung, Chi Wook Kyoung; J Korean Soc Fract 2000;13(1):146-151. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.146

Abstract PDF: PURPOSE
: To analyze the results of open reduction and AO miniscrew fisation in displaced radial head fractures in adults. Materials & Methods : We analyzed 10 cases of displaced radial head fractures who were operated with open reduction and AO miniscrew fixation from January 1996 to March 1998. All of the fractures were classified in the Mason classification. The functional rating index was used in follow-up assessment.
RESULTS
: Average flexion was 143.5degrees, and the mean fixed flexion deformity was 3.5 degrees. The average elbow score was 95.6 points Good or excellent results were achieved in 100%. No patient had evidence of valgus instability.
CONCLUSION
: We concluded that open reduction and internal fixation in Mason type II and reparable Mason type III radial head fractures gives satisfactory range of motion and stability in the elbow joint. We suggest that anatomical reduction of fracture fragments, rigid fixation, early mobilization and proper implant placement are important for the restoration of the elbow function

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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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