Journal of Musculoskeletal Trauma

Miniplate and Miniscrew Fixation for the Metacarpal and Phalangeal Fractures: Bu Hwan Kim, Jong In Yim, Deog Jeong Kang; J Korean Soc Fract 1997;10(1):150-155. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.150

Abstract PDF: The functional end result is more important than fracture healing in the hand fracture treatment. Accurate open reduction and internal fixation with miniplate and miniscrew for metacarpal and phalangeal fractures of hand provides firm fixation and allows early postoperative mobilization which reduce the incidence of joint stiffness and tendon adhesion. The authors have reviewed 17 cases of metacarpal and phalangeal fractures of the hand in 13 patients which were treated with miniplate and miniscrew fixations in the department of orthopaedic surgery, Dae Dong General Hospital from Mar. 1994 to Feb. 1996. The following results were obtained. 1.The firm fixation allowed range-of-motion exercises in most patients between 3-14 days. 2.The roentgenographic union was obtained within 14.8 weeks in average. 3.The mean TAM(total active motion) range at last follow up was 247 in the metacarpal fracture and 226 in the phalangeal fracture. 4. The complications(tendon adhesion & loss of reduction) occurred in 2 cases(11.8%). In conclusion, fixation with miniplate and miniscrew for metacarpal and phalangeal fractures of the hand is considered to be an effective method in the treatment of metacarpal & phalangeal fractures.

Treatment of A-C joint dislocation with cannulated screw fixation under local anesthesia: Bu Hwan Kim, Jong In Yim, Deog Jeong Kang; J Korean Soc Fract 1996;9(1):185-192. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.185

Abstract PDF: In 1941, Bosworth used noncannulated coracoclavicular lag screw to Oeat acute A-C joint dislocation. In 1989, Tsou fixed coracoclavicular joint with percutaneous cannulated screw under general anesthesia in the treatment of acute A-C joint complete dislocations. We tried to treat 10 cases of acute A-C joint dislocations with cannulated screw fixation of C-C joint under local anesthesia, so we report the results with review of literatures. The results were as follows 1. Results of treatment were good in 7 cases, fair in 2 cases, and poor in 1 case by Weaver and Dunn evaluation criteria. 2. The operations were done under local anesthesia, but in two cases operation ended under general anesthesia due to discomfort of the patients. 3. In skeletally thin patient, it was very difficult to make accurate hole and we experienced an iatrogenic fracture of clavicle and coracoid process. This technique is not recommendable in skeletally thin patient. 4. Operation took 42 minutes on average(from 30 minutes to 105 minutes) though it took more time in the early cases. 5. We had several complications in 3 patients. Misdirection of screw(1 case), screw loosening and pull out(1 case), subluxation of A-C joint after removal of screw(2 cases), and iatrogenic fracture of clavicle and coracoid process(1 case) but no case of metal breakage or infection.

Operative Treatment of Intra-articular Fractures of the Calcaneus by Sanders Classification: Jong In Yim, Bu Hwan Kim, Hee Yeong Chung, Woo Sung Choi; J Korean Soc Fract 1995;8(3):628-637. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.628

Abstract PDF: The os calcis is the most frequently fractured than any other tarsal bone and the displaced intraarticular fracture account for 60-75% of them. Because of complex contour of calcaneus, it is difficult to evaluate the pattern of fracture exactuly by conventional roentgenograms. But recently, computed tomography clearly defines fracture patterns of subtalar joint and calcaneocuboid joint. From Feb. 1992 to Jan. 1994. we analyzed 18 feet in 16 patients of intraarticular calcaneal fractures after routine preoperative CT scan and Sandersclassification. All cases were operated through extensile lateral approach and internally fixed with plate and screws. The clinical and radiographic analysis were as follows: 1. Sanders classification of 18 cases were type I in 3, type I in 8, type III in 4 and type IV in 3. 2. As the fracture line moves medially, intraoperative visualization of joint, reduction becomes more difficult and the prognosis worsens in type II and IIIBC. 3. By SandersCT classification of calcaneal fracture, it help us in understanding fracture pattern more detail and in deciding of the method of treatment and in the predicting of the prognosis.

Locked Intramedullary Nailing of Tibial Segmental Fractures: Bu Hwan Kim, Jong In Yim, Hee Yeong Chung, Joon Young Park; J Korean Soc Fract 1995;8(3):557-565. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.557

Abstract PDF: Recently closed interlocting intramedullary nailing under image intensifier has been widely used in the treatment of segmental fracture of long bone and good results have been reported. Twenty-six segmental fractures of tibia were treated with interlocking intramedullary nailing from Mar. 1989 to Feb. 1993 at Dae-Dong General Hospital and all cases were followed up more than 18 months. In this paper we are reporting the results of twenty-six segmental tibial fracture treatment. 1. Seventeen patients were male and 7 patients were female. 2. Eighteen cases(69.2%) were caused by traffic accident and ipsilateral fibular fractures were the most common associated injury. 3. Most common type of fractures were Melis type II(10 cases 38.4fo), proximal fracture lies in the middle third of the shaft and the distal fracture lies in the lower third. 4. Average union time in closed fractures was 23.0 weeks and 29.5 weeks in open fracture with average 28.5 weeks.

Search