Journal of Musculoskeletal Trauma

Treatment of Supracondylar Fracture of Humerus in Children: Conservative vs Operative Treatment: Jong Min Sohn, Ju Hai Chang, Dong Heon An, Seung Pyo Eun, Han Seok Son; J Korean Soc Fract 1996;9(3):695-705. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.695

Abstract PDF: Supracondylar fracture of the humerus is the most common fracture around the elbow joint in children, especially in the age from 4 to 9. 97% of the fractures are extension type and there are many problems in management such as the method of reduction and maintenance of reduction, Volkmanns ischemia, neurovascular injuries, cubitus varus or valgus deformity, and myositis ossificans etc. Currently the methods of treatment of supracondylar fracture include open reduction and pin fixation, closed reduction and percutaneous pin fixation, and closed reduction and immobilization by splint. 134 children with supracondylar fracture of humerus, conservatively 49 cases and operative 85 cases, were treated from January 1991 to October 1995 and were followed up for at least 6 months. We analyBed the type of fracture, method of treatment and results and concluded that accurate reduction, minimizing soft tissue injury and maintenance of reduction are important factors for gaining good results.

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Lateral Condyle Fracture of Tibia Treated by Open Reduction and Internal Fixation: Jong Min Sohn, Ju Hai Chang, Dong Heon An, Soo An Park; J Korean Soc Fract 1996;9(1):137-145. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.137

Abstract PDF: Tibial condyle fracture involving articular surface can produce some disabilities of the knee because they are usually accompanied with the injuries of the ligaments and menisci. Though recent studies suggest that anatomical reduction and rigid fixation of the fracture followed by early knee mobilization have improved clinical end results, the results were not always successful. The lateral condyle fracture is more often in the incidence than the medial one. This is due to the physiologic valgus of the knee, the weaker trabeculation under the lateral tibial plateau, and the increased frequency of valses injuries as the knee is protected medially by the contralateral side. Eighteen lateral condyle fractures of the tibia treated by open reduction and internal fixation at the Our Lady of Mercy Hospital from June 1991 through February 1995 were analized. The results are as follows. 1. The patients were 13 males and 5 females, mean age was 39.2 years and mean follow up-period was 19.2 months. 2. The most common cause was motor vehicle accident(8 cases,44.4%). 3. The most frequent type of fracture was split(8 cases,44.4%) by Rasmussens lateral condyle fracture classification and the next was split-compression(6 cases,33.3%). 4. According to Blokkers criteria,15 cases(83.3%) had satisfactory results. Among 3 cases of unsatisfactory results, 1 developed secondary degenerative change, 1 had valgus instability and 1 secondary degenerative change and mild valgus instability. It is thought that the most important factor influencing results was the anatomical reduction of the articular surface, rigid fixation and early joint mobilization.

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Interlocking Intramedullary Nailing for femoral Shaft Fracture: Closed and Open Nailings: Ju Hai Chang, Jong Min Sohn, Dong Reon An, Sung Tae Kim; J Korean Soc Fract 1995;8(4):760-766. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.760

Abstract PDF: Femoral shaft fractures are caused by violent external forces like motor vehicle or falling down accident and associated with multiple injuries of other parts of the body, so that accurate reduction and rigid fixation is mandatory to ensure early fracture healing and mobilization of patients. Authors thought that the interlocking intramedullary nailing may be one of methods that can provide rigid and stable fixation for the unstable fracture of femoral shaft. Thus this study was carried out to assess the effectiveness of open reduction and interlocking intramedullary nailing to the comminuted unstable femoral shaft fracture. Twenty-seven femoral shaft fractures were treated by closed or open interlocking intramedullary nailing from July 1990 through August 1994 and followed-up at least for 12 months. Closed nailings were 11 and open nailings were 16 cases. Radiological union was obtained at an average of 15 weeks in closed nailing cases and at an average of 21 weeks in open nailing cases. However, comparative anlysis of union times was meaningless because of different fracture patterns in both open and closed nailings. Clinical results by Thoresens classification were excellent in all cases. Complications were 3 iatrogenic cortical fractures developed by closed nailing procedures and 3 deep infections, one after closed nailing and two after open nailing. There was no sequela related directly to the intramedullary nailing. Authors thought is that open intramedullary nailing is beneficial to the unstable comminuted fracture of femoral shaft in spite of increasing risk of infection, because that permits accurate reduction and secure fixation of the comminuted fragments and sometimes bone grafting with compatible clinical results.

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Injury of Distal Tibio-Fibular Syndesmosis Treated with Trans-Syndesmotic Screw Fixation: Jong Min Sohn, Ju Hai Chang, Dong Heon An, Jong Wook Shin; J Korean Soc Fract 1995;8(3):586-593. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.586

Abstract PDF: Injury of distal tibiofibular syndesmosis Is usually associated with pronation-external rotation, supination-extemal rotation or pronation-abduction injuries at the ankle. In general, there are two methods of treatment for injured distal tibioflbular syndesmosis. The first is direct repair of injured syndesmosis and the second is internal fixation with trans-syndesmotic screw for stability of distal tibiofibular joint. The latter method is generally used because the procedure is simple and the outcome is relatively good. Our patients who had been injured of distal tibiofibular syndesmosis that associated with ankle fractures had treated with open reduction, internal fixation and transfixing screw, and early range of motion exercise was started for decreasing joint stiffness and degenerative change. Between March 1990 and August 1994, twelve patients were treated by open reduction and internal fixation and trans-syndesmotic screw fixation. Early range of motion exercise was started ater 3 weeks, and trans-syndesmotic screw was removed and partial weighting bearing was started at 8-12 weeks after sugery. After full weight bearing, follow up clinical examination and full weight bearing ankle roentgenography was evaluated. The results was as followed 1. Among the 12 cases, male was 7, Female was 5, and the mean age was 30.7 years and the average follow-up period was 27.3 months 2. Range of motion exercise was started at postoperative day 3 weeks. 3. Trans-syndesmotic screw was removed at postoperative day 8-12 weeks and partial weight bearing walking ambulation was started. 4.The full weight bearing ankle anterior-posterior roentgenography was evaluated. 5. There was 3 complicated cases, traumatic arthritis 1 case, infection with diastasis 1 case and distal tibiofibular fusion 1 case. 6. The excellant and good result were achieved in 9 cases(75%)

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Extensively Comminuted Type III Open Fracture of Tibial Shaft: 4 Case Treated by Ilizarov External Fixator: Ju Hai Chang; J Korean Soc Fract 1994;7(2):480-489. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.480

Abstract PDF: It is extremely difficult to treat to the type III open fractures of the tibial shaft which have been severely comminuted and splitted in the long length. Early internal fixation with plates and screws or intramedullary nailing of type III open fracture is contraindicated because of high infection rate and circulatory compromising at the fracture site. External fixation is the method of choice for the treatment of type III open fracture of the tibia. It reduces the risk of infection and permits easy access for wound care, early mobilization of joints and weight bearing. Four type III open fractures of the tibial shaft that were very unstable had entered this hospital from November 1990 to June 1992. The patients were all young males. The causes of injury were one explosion and three motor vehicle accidents. The open fractures were three type III A and one type III B according to Gustilos classification. These fractures were stabilized with Ilizarov external fixator. Parenteral antibiotic therapy was started from the emergency room to prevent infection. Illzarov fixator was applied 17 to 63 days(av. 37 days) after injury and maintained for 6 to 12 months(av. 8 months). Subsequent autogenous bone grafting and internal fixation were done in three patients 7 to 8 months after external fixation because of delayed union. Follow-up period ranged from 1 year and 11 months to 2 years and 6 months(av. 2 years and 2 months). Solid union was obtained in all patients between 1 year 1 month and 1 year and 7 months(av, 1 year and 3 months) without active osteomyelitis. At last follow-up, there were mild limitation of ankle joint motion in all patients and tibial shortening of 18 to 34mm(av. 25 mm)on the roentgenograms of three patients. No significant working disability or malalignment of the leg was noted in all patients. The final results were very good compared to the severity of their injuries.

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Patellar fractures treated with modified tension band internal fixation: Ju Hai Chang, Jong Min Sohn, Won Jong Bahk, Joo Hyoun Song; J Korean Soc Fract 1993;6(2):262-270. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.262

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Clinical Effectiveness of Korean Medical Rehabilitation Treatment after Patellar Fracture: A Report of 4 Cases
Ji-Hye Geum, Hyeon-Jun Woo, Jong-gyu Kim, Jung-Han Lee
Journal of Korean Medicine Rehabilitation.2020; 30(4): 203. CrossRef

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Displaced surgical neck fractures of humerus treated with pinning: Ju Hai Chang, Jong Min Sohn, Won Jong Bahk, Joon Taek Kong; J Korean Soc Fract 1992;5(1):65-71. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.65

Abstract PDF: No abstract available.

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