Journal of Musculoskeletal Trauma

Anatomy, Classification and Radiology of the Pelvic Fracture: Jae Min Ahn, Jeung Tak Suh; J Korean Fract Soc 2013;26(3):221-229. Published online July 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.3.221

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Radiostereometric Analysis Allows Assessment of the Stability and Inducible Displacement of Pelvic Ring Disruptions during Healing: A Case Series
Andreas Ladurner, Stuart A. Callary, Aniruddha Mitra, Mark Rickman, Dominic Thewlis, Lucian B. Solomon
Journal of Clinical Medicine.2020; 9(11): 3411. CrossRef
Case Report of a Pelvic Pain Patient with Pubic Fracture Caused by Traffic Accident
Ji-Hyun Lee, Mi-Hwa Song, Chang-Min Choi
The Journal of Oriental Obstetrics and Gynecology.2015; 28(4): 88. CrossRef

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Treatment of Femur Supracondylar Fracture with Locking Compression Plate: Seong Ho Bae, Seung Han Cha, Jeung Tak Suh; J Korean Fract Soc 2010;23(3):282-288. Published online July 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.3.282

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PURPOSE
To evaluate the effectiveness of locking compression plate by analyzing the clinical outcomes of open reduction and internal fixation with locking compression plate in the treatment of femur supracondylar fracture.
MATERIALS AND METHODS
We reviewed 21 cases of distal femur fractures which were treated with locking compression plate in our hospital from February 2005 to March 2009 and followed up for minimal 1 year. The types of fractures were seven A1, four A2, two A3, six C2, and two C3 according to AO classification. 2 cases were open fractures. The cases were evaluated by the criteria of Schatzker-Lambert.
RESULTS
The mean time to union was 14.3 weeks. One delayed union, one refracture were observed, but no nonunion and postoperative infection was observed. The outcomes were excellent in 6 cases, good in 11, fair in 3, and failure in 1 by the criteria of Schatzker-Lambert. The overall results were excellent or good in 17 cases (81.0%).
CONCLUSION
In the treatment of femur supracondylar fracture, open reduction and internal fixation with locking compression plate yields good result and locking compression plate is useful choice of fixation option.

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Incidence of nonunion after surgery of distal femoral fractures using contemporary fixation device: a meta‐analysis
Byung-Ho Yoon, In Keun Park, Youngwoo Kim, Hyoung-Keun Oh, Suk Kyu Choo, Yerl-Bo Sung
Archives of Orthopaedic and Trauma Surgery.2021; 141(2): 225. CrossRef

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Treatment of Distal Radius Fractures Using the Percutaneous K-wire Reduction-Fixation and External Fixator: Sang Jin Cheon, Ja Gyung Ku, Dong Ho Lee, Hui Taek Kim, Jeung Tak Suh; J Korean Fract Soc 2006;19(2):228-235. Published online April 30, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.2.228

Abstract

PURPOSE
To analyse the results of treatment of unstable intra-articular distal radius fractures using the percutaneous K-wire reduction-fixation and external fixator.
MATERIALS AND METHODS
A retrospective follow-up study of 22 cases was carried out. With use of the system of AO classification 9 cases were in C1 and 7 in C2, and 6 in C3. The average duration of follow-up for all fractures was 35 months. We evaluated the radiologic results, the functional results according to clinical evaluation scoring system by Green and O'Brien and osteoarthritis grade according to arthritic grading system by Knirk and Jupiter.
RESULTS
Excellent and good results were rated in 17 cases (77%) of all cases. At last follow-up the mean loss of radial length, radial inclination and volar tilt were 1.4 mm, 1.0o, and 1.4o respectively. Also 7 patients had grade I, 1 patient grade II, and 1 patient grade III arthritis.
CONCLUSION
We think that percutaneous K-wire reduction-fixation and external fixation is useful treatment method for the unstable intra-articular distal radius fracture. But severely comminuted AO type C3 fractures would need additional treatments such as open reduction and bone graft to acquire and maintain the articular reduction for better results.

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Management of Comminuted Intra-articular Fractures of the Distal Radius: Arthroscopically Assisted Reduction and Pin Fixation Supplemented with External Fixation
Jong-Pil Kim, Hyun-Jin Yu
The Journal of the Korean Orthopaedic Association.2009; 44(2): 233. CrossRef
Comparison of Outcomes for Unstable Distal Radius Intraarticular Fractures - T-locking Compression Plate versus External Fixator -
Chul-Hyun Cho, Su-Won Jung, Sung-Won Sohn, Chul Hyung Kang, Ki-Cheor Bae, Kyung-Jae Lee
Journal of the Korean Fracture Society.2008; 21(1): 51. CrossRef
Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures
Chul Hyun Cho, Ki Choer Bae, Doo Hyun Kwon
Journal of the Korean Fracture Society.2008; 21(3): 220. CrossRef

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Outcomes Related to Closed Interlocking Intramedullary Nailing for Segmental Tibia Fracture: Jeung Tak Suh, Sang Jin Cheon, Young Gyun Kim, Jung Sub Lee, Choon Key Lee; J Korean Fract Soc 2005;18(3):256-263. Published online July 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.3.256

Abstract PDF: PURPOSE
To evaluate the outcomes of twenty-six cases of segmental tibia fracture that were treated by closed interlocking intramedullary nailing. MATERIAL AND METHODS: All cases were followed up for at least 1 year (average 14.3 months). Clinical results were evaluated by Klemm & Borner's scale. We analyzed the average range of the motion of the ankle and knee joint, atrophy of quadriceps muscle and angular deformity at the last follow up. We evaluated complications (new fracture of the tibia, infection, compartment syndrome, nonunion, delayed union, angular deformity and pain of ankle and knee joint).
RESULTS
Results were excellent in 4 cases (15.4%), good in 18 cases (69.2%), fair in 3 cases (11.5%), and poor in 1 case (3.9%). Union was obtained in 25 cases (96.1%) over an average period of 23.3 weeks. Nine cases showed intra-operative or post-operative complications: new fracture of the proximal tibia on the posteromedial side (2 cases), local infection at an entry point (2 cases), compartment syndrome (1 case), deep infection (1 case), and delayed union (3 cases). At the last follow up, angular deformity was found in 4 cases (mean of all deformities, 6 degrees): 3 cases at the proximal fracture site (2 cases of valgus deformity: 5 and 8 degrees and 1 case of varus deformity: 7 degrees) and the other case in the distal fracture site (valgus 5 degrees). Average postoperative range of motion of the knee joint was 123.7 degrees (80~135 degrees). Knee pain or limited motion occurred in 4 cases. The average range of the motion of the ankle joint was 68.1 degrees (60~70 degrees). Limited motion occurred in 4 cases (average, 10 degrees) but no case showed ankle pain.
CONCLUSION
Closed interlocking intramedullary nailing for segmental tibia fracture often results in complications. To minimize these complications, comprehensive evaluation of the fracture, and careful surgical treatment are required.

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Treatment of Comminuted Femoral Shaft Fracture by Interlocking Intramedullary Nailing: Comparision of results between open reduction with cerclage wiring and closed reduction: Jeung Tak Suh, Hyoung Lok Roh, Jeung Il Kim, Chong Il Yoo; J Korean Fract Soc 2005;18(1):6-11. Published online January 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.1.6

Abstract PDF: PURPOSE
To compare of results between open interlocking intramedullary nailing combined with cerclage wiring and closed interlocking intramedullary nailing in treatment of femoral shaft comminuted fracture, we reviewed retrospectively 62 femoral shaft fractures.
MATERIALS AND METHODS
We reviewed retrospectively 62 femoral shaft comminuted fractures, who had been followed up for a minimum one year including Winquist-Hansen classification II, III, IV from January 1996 to December 2002. The group I include the patients who treated with closed interlocking intramedullary nailing. The group II include the patients who treated with open interlocking intramedullary nailing combined with cerclage wiring.
RESULTS
The average bone union time was 18.6 weeks in group I, 27.6 weeks in group II. The complication included 3 delayed unions, 1 nonunion and shortening of more than two centimeters in 1 patents in group I. In group II, The complication included 2 infections, 7 delayed unions and 3 nonunions.
CONCLUSION
We can use open interlocking intramedullary nailing with cerclage wiring in some femur shaft comminuted fractures, but there are many problems and complications. So we must consider it carefully before using this method.

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Surgical Treatment of Fractures of the Distal Radius in Patients Older Than 65 Years: Jeung Tak Suh, Dae Woong Kim, Chong Il Yoo; J Korean Soc Fract 2003;16(4):563-569. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.563

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PURPOSE
To analyze the results of surgical treatment of the displaced distal radius fractures in elderly patients over 65 years old who were treated with percutaneous K-wire fixation only and percutaneous K-wire fixation with external fixation. MATERIAL AND METHOD: We evaluated 24 cases of the distal radius fracture in patients older than 65 years from January 1998 to December 2001. The patients were followed up at least 12 months postoperatively. We compared the surgical results of 14 cases, treated with percutaneous K-wire fixation only with the surgical results of 10 cases, treated with percutaneous K-wire fixation with external fixation. We evaluated the functional results according to demerit point system and the radiographic results (radial length, radial inclination, volar tilt).
RESULTS
According to demerit point system, the mean score of demerit point was 9.9 in the group of percutaneous K-wire fixation and 5.3 in the group of percutaneous K-wire with external fixation respectively (p<0.05). In radiographic results, the percent of the mean loss of radial length, radial inclination and volar tilt were 23.2%, 12% and 41.7% in the group of percutaneous K-wire fixation and 11%, 5.9% and 27.4% in the group of percutaneous K-wire with external fixation respectively (p<0.05).
CONCLUSION
Percutaneous K-wire with external fixation showed better functional and radiographic results than percutaneous K-wire fixation only for the treatment of the displaced distal radius fractures in elderly patients older than 65 years and percutaneous K-wire with external fixation is thought to be a one of the most effective treatment of the displaced distal radius fractures in elderly patients.

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Osteoporotic Distal Radius Fracture-conservative Treatment
Seok-Whan Song
Journal of the Korean Fracture Society.2008; 21(1): 81. CrossRef

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Operative Treatment of the Humeral Shaft Fracture: Comparative Study of Dynamic Compression Plate and Interlocking Intramedullary Nail: Jeung Tak Suh, Sung Won Jung, Ja Kyung Ku, Chong Il Yoo; J Korean Soc Fract 2002;15(3):391-397. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.391

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PURPOSE
We have followed up the patients of the humeral shaft fracture who had been treated with dynamic compression plate or locked intramedullary nail, which are common therapeutic options, compared them and analyzed results and complications.
MATERIALS AND METHODS
We analyse the clinical results, radiological results and complications of 50 cases of the humeral shaft fracture who were treated with dynamic compression plate(DCP) or intramedullary nail(IMN) at the Pusan National University Hospital from March in 1996 to February in 2001.
RESULTS
We find the no significant difference in range of motion of the shoulder, infection, operation time, operative bleeding loss and second radial nerve palsy but 4 cases of shoulder pain and 1 case of shoulder impingement in IMN group. We find the no significant difference in mean bone union time in both groups but 2 cases of nonunion in DCP group and 4 cases of nonunion in IMN group. Complications happened in 4 case of DCP group (total 26 cases) and 2nd surgery was needed in 3 cases(11.5%). However complications happened in 10 cases of IMN group (total 24 cases) and second surgery was needed in 6 cases(25%).
CONCLUSION
The treatment results of the humeral shaft fracture with dynamic compression plate is much better than intramedullary nail except specific pathologic or segmental fracture pattern.

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COMPARATIVE STUDY OF COMPRESSION PLATING VS. INTERLOCKING NAIL IN FRACTURE SHAFT OF HUMERUS
Rajeev Kumar Roy, Mahesh Prasad
Journal of Evidence Based Medicine and Healthcare.2017; 4(41): 2481. CrossRef
Clinical and Radiographical Follow-up for Residual Displacement of Fracture Fragments after Interlocking Intramedullary Nailing in Humeral Shaft Fractures
Jae-Kwang Yum, Dong-Ju Lim, Eui-Yub Jung, Su-Een Sohn
The Journal of the Korean Shoulder and Elbow Society.2013; 16(2): 107. CrossRef

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Nonunion after open reduction and internal fixation of clavicle fractures: Jeung Tak Suh, Jung Sub Lee, Sung Jong Choi; J Korean Soc Fract 2001;14(4):714-719. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.714

Abstract PDF: PURPOSE
To report our experiences of treatment with reviewing literatures and articles about the fractures of plate and nonunion after open reduction and internal fixation of clavicle fracture.
MATERIALS AND METHODS
9 cases among 104 cases of clavicle fractures of reoperation due to the fractures of plate or nonunion after open reduction and internal fixation were included. Treatment results were analyzed after 5 months in regard to fracture site pain, gross deformities, limitation of movement of shoulder, discomfortness of casual activity, and patients' personal satisfaction.
RESULTS
According to the criteria of Kang et al 9 cases were classified into excellent 2 cases, good 4 cases, fair 2 cases, poor 1 case. All cases showed bone union average 14.4(12-26) weeks after reoperation. 3 cases of complications were 3 limitation of movement of shoulder, I superficial wound infection.
CONCLUSION
In operative treatment of clavicle fracture more than three screws in both side of fracture line shoulder be fixated and early exercise of shoulder motion seemed to be needed. In cases of less than three screws fixated, additional external protection is thought be necessary.

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Prediction of Peroneal Tenosynovitis in the Intraarticular Calcaneal Fractures Using Computed Tomography: Jeung Tak Suh, Ju Young Jung, Hui Tak Kim, Chong Il Yoo, Seong Ho Hwang, Heung Tae Chung; J Korean Soc Fract 2000;13(3):537-543. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.537

Abstract PDF: PURPOSE
The purpose of the current study is that CT can predict peroneal tenosynovitis in the intraarticular calcaneal fracture.
MATERIALS AND METHOD
Sixty five calcaneal fractures in 55 patients were evaluated with CT scan. The follow-up period after operation was averaged 19 months (ranging from 4 to 79 months). A classification for peroneal tendon injury was developed, based on CT scan.
RESULTS
Of the 65 intraarticular calcaneal fractures, the incidence of peroneal tenosynovitis were 14 cases(26%)[open reduction and internal fixation group 7/43(16%), Essex-Lopresti group 7/22(32%)]. According to the author's classification, the incidence of peroneal tenosynovitis among open reduction and internal fixation subgroup was followed ; type I was none(0/4), type II 11%(2/19), type III 20%(3/15) and type IV 40%(2/5) respectively(p=0.074). The incidence of peroneal tenosynovitis among Essex-Lopresti subgroup was followed ; type I was none(0/4), type II 16%(1/6), type III 33%(3/9) and type IV 100%(3/3) respectively(p=0.009).
CONCLUSION
CT can be used to evaluate the status of the peroneal tendon as well as to predict the development of peroneal tenosynovitis. The open reduction and internal fixation in type III and IV is preferable to achieve a alignment of peroneal tendon and a accurate reduction of subtalar joint.

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Treatment of Tibial Shaft Fracture with Butterfly Fragment using Interlocking Intramedullary Nailing: Chong Il Yoo, Jeung Tak Suh, Tae Wook Nam; J Korean Soc Fract 1999;12(4):894-900. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.894

Abstract PDF: PURPOSE
: We evaluated the result of tibial fracture with butterfly fragment treated with interlocking intramedullary nailing and union of butterfly fragment. Material and Method : The thirty tibial fractures with butterfly fragment treated with interlocking intramedullary nailing from 1994 February to 1997 January were followed up more than 12 months. They were clastified by Henleys classification based on the size of fragment and Johner and Wruhs classification cased on the comnlinution and accident mechanism. We evaluated the bone union of tibial fracture and butterfly fragment itself.
RESULTS
The time for bone union was Bl-14.5, B2-16.2, B3-18.8 weeks and Type I-15.2, Type II-17.1 Type III-18.3 weeks. In proximal and distal part of butterfly fragment, the time for bone union was 8.6 and 7.2 weeks in type I, 10.5 and 9.3 weeks in type II, and 11.8 and 10.2 weeks in type III. As the displacement of fragment were classified into 0-5, 5-10, and more than 10mm, the time for bone union was 15.3, 15.0 weeks in type I(no case in more than 10mm), 16.4, 17.5, 18.2 weeks in type II, and 17.7, 18.4, 20.3 weeks in type III.
CONCLUSION
: As the size and comminution of butterfly fragment increased, bony union was delayed. The union of spiral fracture in distal tibia was earlier than others, unrelated to the size of butterfly fragment. For the union of butterfly fragment, the distal part had earlier union than the proximal part. As the displacement of fragment was increased bone union was delayed.

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Treatment of open Tibial Shaft Fractures with Unreamed Interlocking Intramedullary Nailing: Jeung Tak Suh, Byung Guk Park, Chong Il Yoo; J Korean Soc Fract 1999;12(3):568-576. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.568

Abstract PDF: Severe open fracture of the tibia have a high incidence of complications and a poor outcome. The most usual method of stabilization was by external fixation, but the advent of small diameter interlocking intramedullary nails has introduced a new option. From the June 1992 to December 1997, 55 cases of open tibial shaft fracture were treated with unreamed interlocking intramedullary nailing at the department of orthopedic surgery, Pusan National University Hospital. The purpose of this study is to evaluate its result and complications. Mean age was 31, mostly male. The main cause of trauma was traffic accidents(30 cases, 55%) and fracture sites consisted of mid 1/3 portion over 75%. According to the Gustilo & Anderson classification 8 type I(15%), 22 type II(40%), 15 type IIIA(27%) and 10 type IIIB(18%) were shown. Union time was 28.3 weeks on an average and union rate was 98%. There were 5 cases(9%) of delayed union, 2 cases(4%) of deep infection and 1 case(2%) of chronic osteomyelitis. In conclusion unreamed interlocking intramedullary nailing can be the first choice treatment in the treatment of open tibia shaft fractures with low postoperative infection.

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Clamp external fixator for IIIb open tibial shaft fracture: Jeung Tak Suh, Byung Guk Park, Chong Il Yoo; J Korean Soc Fract 1999;12(3):557-567. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.557

Abstract PDF: As the saftest and simplest method of immobilization treatment, external fixation is indicated in IIIb open tibial shaft fractures with extensive damage to soft tissue and bone. This enables better wound treatment, patient transport and performace of surgical treatment such as plastic and reconstructive surgery, orthopedic surgery. From the march 1994 to september 1997 14 cases of IIIb open tibial shaft fractures were treated with clamp external fixator either Orthofix or DynaExtor. The purpose of this study is to determine indication of clamp external fixator and investigate its outcome as well as complications and solutions. 11 males and 3 females were followed for 29.3 months on an average. Fractures mainly occurred at mid 1/3 of tibial shaft and its pattern was most frequently comminuted one. Mean bony union time was 46 months. There were 1 case(7%) of delayed union, 2 cases(14%) of nonunion, 6 cases(42%) of reduction loss, 4 cases(28%) of deep infection including 2 cases(14%) of osteomyelitis, 6 cases(42%) of pin tract infection, 2 cases(14%) of malunion and 3 cases(21%) of ankle stiffness. Conclusively for the creation of a suitable environment of fracture healing and prevention of complications such as delayed union, nonunion and deep infection, thorough debridement and irrigation followed by adequate stabilization of bone, early soft tissue coverage and early prophylactic bone graft is paramount important in the treatment of IIIb open tibial shaft fracture since it is high energy trauma. In addition, initial firm fixation for the prevention of reduction loss and active and passive exercise for the prevention of ankle stiffness and pin tract infection or loosening should be taken into careful consideration.

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Ilizarov External Fixation for Severe Open Tibial Shaft fractures in Adults: Jeung Tak Suh, Tae Wook Nam, Chong Il Yoo; J Korean Soc Fract 1999;12(3):549-556. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.549

Abstract PDF: PURPOSE
It is to evaluate and discuss the result of severe open tibial shaft fractures treated by Ilizarov external fixation.
MATERIALS and METHODS
From the January 1992 to July 1997, 34 cases of severe open tibial shaft fracture in adults were treated with Ilizarov external fixator. 20 males and 14 females were followed for at least 1 year.
RESULTS
Fractures were evenly distributed through proximal 1/3 to distal 1/3 and its pattern was mostly comminuted one. According to Gustilo-Anderson classification, it mainly consisted of type IIIa &IIIb(28 cases: 82%). Mean bony union time was 40.2 months. There were 5 cases(15%) of delayed union, 2 cases(6%) of nonunion, 5 cases(15%) of deep infection including 3 cases(9%) of osteomyelitis, 10 cases(29%) of pin tract infection, 4 cases(12%) of malunion and 11 cases(32%) of ankle stiffness.
CONCLUSION
Conclusively, in the first place, for the successful treatment with Ilizarov external fixator, determining appropriate indications is the most important. Secondly, active reconstruction of soft tissue environment and early prophylactic bone graft, if necessary, are also essential to shorten union time. Thirdly, meticulous care of pin site and ankle motion is needed for the prevention of the two most common complications even though they are considered to be minor.

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Operative Treatment of fracture with Osteopetrosis: Jeung Tak Suh, Jin Heon Song; J Korean Soc Fract 1998;11(1):78-84. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.78

Abstract PDF: Osteopetrosis is a rare skeletal disorder characterized by increased bone radiodensity with diminished bone resorption due to malfunction of the osteoclasts. Orthopaedic problems in the intermediate and autosomal dominant form include increased fracture, coxa vara, long bone bowing, hip and knee degenerative arthritis, and mandibular and long bone osteomyelitis. Healing of osteopetrotic bone is slow, and surgical treatment may be complicated by unusual technical problems of internal fixation due to bony hardness. The authors have experienced three cases of fracture with osteopetrosis and those cases are to be reported with exhaustive review of reference.

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Fracture - Dislocation of the Talus: Jeung Tak Suh, Yong Ho Suh, Chong Il Yoo; J Korean Soc Fract 1997;10(3):470-479. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.470

Abstract PDF: The talus is one of the most important bones of the foot because it supports and distributes body weight above it and allows motion between the tibia and the foot. And it has unique biomechanical feature and vascular supply. Fractures and dislocations of talus are uncommon. However, once those happen, there is no single method of treatment and, all the more, there are several severe complications and are subsequent disabililies. Authors analyzed 15 cases of fracture-dislocation of the talus, which had been treated at Pusan National University Hospital from May 1988 to December 1994. 1. Among the 15 cases, there were 13 male and 2 female and the average age was 28.4 ranged from 6 to 48. 2. The causes were traffic accidents in 11, failing down in 4 cases. A violent hyperdorsiflexion of the ankle was common mechanism of the fracture. 3. According to the classification by Hawkins, there were 9 cases in talar neck fracture(2 cases in type I, 3 in type II, 4 in type III), 1 was head fracture and 5 were body fractures. 4. Two cases of talar neck fracture type I were treated conservatively, and other types were treated operatively. 5. Final results, evaluated by the criteria of Hawkins, were as follows : excellent in 3 cases, good in 7, fair in 4 and poor in one. 6. Complications were avascular necrosis in 4 cases and traumatic arthritis in 3 cases. According to the results, talar neck fracture associated with marked displacement, comminution of subtalar joint and dislocation increased the rate of occurrence of complications despite of early open reduction and internal fixation.

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Operative Treatment of the fractures of the Distal Femur: Jeung Tak Suh, seung Wook Kim, Chong Il Yoo; J Korean Soc Fract 1996;9(1):59-67. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.59

Abstract PDF

Fractures of the distal femur which include supracondylar and intercondylar injuries are difficult to manage. Usually combined with high energy trauma, there are severe soft tissue damage, comminu tion, intra-articular fracture, and injury to the quadriceps mechanism lead to unsatisfactory results in many cases, regardless of the treatment. The goals of treatment are to achieve fracture union and to restore early knee motion. Before 1960, preferred method of menagment was primarily traction alone or combination with a cast. During the last two decades, as technology and implants have been improved, most traumatologists have advocated some form of internal fixation in the managment of distal femur fractures. Surfaces, restorative treatment requires achieving the following goals;anatomic reduction of joint surfaces, restoration of limb length and alignment, rigid fixation, and eatly knee range of motion. Author reviewed and clinically analysed 42 cases of the fractures which were followed more than one year at the orthoedic department of Pusan National Universty Hospital during the period from January 1987 to December 1993. The results were as follows; 1.The incidence was higher in active young age group. 2.The most common cause of the injury was traffic accident with high energy rauma(59.5%) and the most frequent injury type by Mullwes classification was C type(59.5%) 3.Overall result estimsted by schatzkers criteria was excellent in 10 cases(28.6%), good in 4 cases(40.0%), faur in 6 cases(17.1%) and poor in 5 cases(14.3%). 4.The causes of poor resulted cases were open fractures, fracture with articular comminution and inadequate anatomical reduction. 5.Rigid internal fixation permits early functional rehabilitation of the patient and decrease the incidence of malunion, nonunion and loss of fixation.

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Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate
Dae Jin Nam, Min Seok Kim, Tae Ho Kim, Min Woo Kim, Suc Hyun Kweon
Journal of Orthopaedic Surgery and Research.2022;[Epub] CrossRef

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Surgical Treatment of Concomitant Ipsilateral Humerus and Forearm Fractures: Jeung Tak Suh, Sung Hun Kim, Chong Il Yoo; J Korean Soc Fract 1994;7(2):316-321. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.316

Abstract PDF: The term "floating elbow" refers to concomitant ipsilateral humeral and forearm bone fractures. This type of fractures is relatively rare and has few guidelines for treatment. Author reviewed 14 cases of these fractures which were treated by open reduction and rigid internal fixation in Pusan National University Hospital from January 1983 to January 1993. In follow up study, Author obtained that good results in 10 cases(71%) of patient, and fair results in 3 cases of patient. Author advocate the patient with concomitant ipsilateral humerus and forearm bone fractures should requires open reduction and stable internal fixation of the both humerus and forearm bone, as soon as possible.

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A Clinical Study of Trochanteric Fractures of the Femur in the Elderly over 70 years in the age: Jeung Tak Suh, Won Bum Chung, Chong Il Yoo; J Korean Soc Fract 1994;7(2):293-301. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.293

Abstract PDF

The primary goal in the treatment of the trochanteric fracture in the elderly with osteoporosis and poor general condition is to do early ambulation by rigid fixation of fracture and to decrease threatened postoperative complication. But these fractures have thirty-nine always represented a particularly difficult problem of treatment for orthopaedic surgeon. The 39 cases of intertrochanteric fracture of the femur in the elderly over 70 year in the age had operative procedures at the Department of Orthopaedic Surgery of Pusan National University Hospital and all cases were divided into compression hip screw fixation group, Jewett nail fixation group and Ender nailing group and were followed from 1 year to 3 year 8 months. The results were as follows; 1. By the Tronzo classifiaction, ihe most common type was type III (74.3%), type II(66.7%) by Boyd-Griffin classification, and unstable fracture(76.9%) by Evans classification. 2. The average bone union was about 14 weeks in compression hip screw fxation group, 15 weeks in Jewett nail fixation group 13 weeks in Ender nailing group. 3. For all patients, radiographic measurement for osteoporosis using the singh index were preformed ; 35 cases(89.7%) of these patients had poor bone quality below grade III, and the rate of loss of reduction was no statistical difference in the each group(p>0.05). 4. Ender nailing allows immediate mobilization without restriction of weight bearing after operation. 5. The modified technique to have the distal end of nails within the medullary cavity gave satisfactory result to prevent the distal migration of nails.

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Changes in Tip-Apex Distance by Position and Film Distance Measured by Picture Archiving and Communication System (PACS)
Kyu Yeol Lee, Sung Soo Kim, Hyeon Jun Kim, Dong Ho Ha, Hyung Min Yoon, Hyun Su Do
Hip & Pelvis.2015; 27(1): 36. CrossRef
Comparison of the Dyna Locking Trochanteric Nail, Proximal Femoral Nail Antirotation and Gamma 3 Nail in Treatment of Intertrochanteric Fracture of the Femur
Sung Soo Kim, Kyu Yeol Lee, Chul Hong Kim, Myung Jin Lee, Lih Wang, Hyeon Jun Kim, Sun Hyo Kim
Hip & Pelvis.2013; 25(3): 211. CrossRef
Operative Treatment with Gamma 3 Nail in Femur Intertrochanteric Fracture
Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Tae-Ho Kim, Yoon-Ho Choi, Jong-Hyun Kim
Journal of the Korean Fracture Society.2011; 24(1): 7. CrossRef

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Injuries of the Tarsometatarsal Joint: Chong Il Yoo, Jeung Tak Suh, Kuen Tak Suh, Yong Jin Kim, Hui Taeg Kim, Kie Bong Wang; J Korean Soc Fract 1992;5(2):219-226. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.219

Abstract PDF: Because of the anatomical configuration of the tarsornetatarsal joints with their strong ligmanet connections, the injries in this regicon are rare. But the injury is associated with a high potential for chronic disability.Authors reviewed and clinically analysed 18 cases of tarsometatarsal joint injuries which were followed more than one year at the orthopedic department of Pusan National University durging the period from January 1986 to December 1990. The results were as follows ; 1. The incidence was higher in male and young active age group. 2. The most common cause of the injury was traffic accident (50.0%). 3. Tarsal and metatarsal fractures were commonly combined (61.1%) 4. The most frequent injury type by Hardcastles classification was total inconjgrulty type (55.5%). 5. Overall result estimated by Hardcastles criteria was good in 5 cases (27.8%), fair in 8 cases (44.4%), and poor in 5 cases (27.8%). 6. The causes of poor resulted cases were severe crushing injury, inadequate anatomical reduction, delayed treatment due to combind injury and loss of medial longitudinal arch. 7. Late complications such as traumatir arthrltis, paln and foot deformity were seen more than half of the cases.

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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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Femoral head fractures associated with traumatic posterior hip dislocations: Chong Il Yoo, Jeung Tak Suh, Dong Gi Shin; J Korean Soc Fract 1991;4(2):227-236. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.227

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No abstract available.

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Outcomes of Treatment for Femoral Head Fractures with Hip Dislocation - Review of 20 Cases -
Ji Wan Kim, Jae Suk Chang, Joo Yul Bae, Jung Jae Kim
Hip & Pelvis.2010; 22(4): 298. CrossRef

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A Clinical Study of Proximal Humeral Fractures and Fracture-Dislocations: Chong Il Yoo, Jeung Tak Suh, Kuen Tak Suh, Wan Joo Hong; J Korean Soc Fract 1989;2(1):18-28. Published online June 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.1.18

Abstract PDF: A study was made of 39 cases of proximal humeral fractures and fracuture dislocations in adults who had been hospitalized and treated at the Department of Orthopedic Surgery, Pusan National University Hospital, from March 1983 to August 1988. Analysis was based on the age, sex distribution, causes, classification of fracture, associated injuries, treatments, results of treatment and complications. The results obtained were as follows; 1. the age of the patients ranged from 15 to 82 years with a mean of 46.8 years the highest incidence was in the fifth decades and male were affected more frequently than female. 2. The main cause of the fractures was traffic accident 20(51.3%) and the others were slip-down 10(25.6%), fall from a height 8(20.5%) and direct blow 1(2.6%) 3. According to Neers classification, 2-part fracture 28(71.8%) was the most common type and followed by 1-part fracture, head-splitting or head-fragmented fracture, 3-part fracture and 4-part fracture in the order of frequency. 4. Among the 39 cases, 25 cases(64.1%) were treated conservatively an 14 cases(35.9%) operatively. 5. The most common complication was joint stiffness. 6. The results of the cases were rated by the Neers numerical system. Of 39, 14 cases (35.9%) were excellent, 21 cases(53.8%) satisfactory, and 4 cases(10.3%) poor. Most of the poor results were the cases that were immobilized for a long time because of severe comminution, associated injury or poor general condition. It was thought important to allow early motion of joint to obtain a good functional result.

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