Journal of Musculoskeletal Trauma

Comparison of Open Fixation and Closed Percutaneous Pinning in Jakob Stage II Lateral Condylar Fractures of Children: Eui Sung Choi, Dong Soo Kim, Hyun Chul Shon, Yong Min Kim, Kyoung Jin Park, Jun Mo Jeon, Gee Kang Park; J Korean Fract Soc 2006;19(2):277-282. Published online April 30, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.2.277

Abstract: PURPOSE
To compare the results of open fixation and closed percutaneous pinning in managing Jakob stage II lateral condylar fractures of children's elbow.
MATERIALS AND METHODS
Since Febuary 2000, We operated 21 children with Jakob stage II lateral condylar fractures of elbow. Eleven of the 21 were treated with closed percutaneous pinning, open fixation was done to the other 10 children. Each patient was evaluated about range of motion, carrying angle, scar satisfaction and radiologic findings for comparison between closed pinning and open fixation groups.
RESULTS
Open fixation group showed 3.8 degrees decrease of elbow motion while closed pinning group showed no significant decrease. Carrying angle and radiologic findings were not different between the two groups. Open fixation group expressed dissatisfaction to their scars (average 5.2 cm) whereas all the patients of closed pinning group were satisfied with their functional and cosmetic outcomes.
CONCLUSION
In managing Jakob stage II lateral condyle fractures of children's elbow, closed percutaneous pinning was thought to be superior to open fixation because of the same functional outcome and much better cosmetic results.

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Fat Embolism in a Patient with Multiple Fractures of Cancellous Bones: A Case Report: Eui Sung Choi, Yong Min Kim, Dong Soo Kim, Hyun Chul Shon, Kyung Jin Park, Jun Mo Jeon; J Korean Fract Soc 2005;18(2):202-204. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.202

Fat embolism is a rare complication of multiple long bone fracture or extensive soft tissue injury. The pathogenesis of fat embolism has been poorly understood and definite pathogenesis and treatment were not fully established. Respiratory failure associated with fat embolism is a major cause of death, but is usually self-limited, and is responsive to intensive treatment. We have experienced fat embolism in cancellous bone fracture which occurred in spine, distal radius and talus. Patient's fractures were treated with conservative management. The patient was recovered from fat embolism with supportive treatment.

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A case of fat embolism syndrome in juvenile rheumatoid arthritis patient
Kyung Hoon Kim, Ju Kyung Lee, Young Hun Choi, Woo Sun Kim, June Dong Park, Young Yull Koh, Dong In Suh
Allergy Asthma & Respiratory Disease.2013; 1(1): 94. CrossRef

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Differences of Fracture Types and Associated Injuries in Thoracolumbar Fractures Caused by Fall from Height and by In-Car Accident: Eui Sung Choi, Yong Min Kim, Dong Soo Kim, Kyung Jin Park, Kyeong Il Jeong, Yoon Moo Hur, Young Chan Cha, Jun Mo Jeon, Jong Won VKang; J Korean Fract Soc 2005;18(2):176-180. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.176

Abstract PDF

PURPOSE
To evaluate the differences of associated factors in thoracolumbar fractures according to the mechanism of injury, level and type of the fracture, associated injuries were investigated for comparison between injuries by fall from height and by in-car accident injury.
MATERIALS AND METHODS
Medical records and X-ray findings of 249 patients with fractures of thoracolumbar spine were reviewed retrospectively. Among them, 169 patients were injured by the two main causes. McAfee classification was adopted to determine the type of fracture. Associated injuries were classified as head and neck, chest and abdomen, pelvis, proximal and distal extremity, and neurologic deficit. Statistical analysis using Chi-square method was used for comparison between the two groups.
RESULTS
In overall patients, the most common cause of thoracolumbar fracture was fall from height (44.6%) followed by in-car accident (23.3%) and fall down (16.9%). In fall-from height gruoup, burst fracture was the most common (44.1%) while flexion-distraction injury was the most popular (39.7%) in in-car accident group (p=0.05). Comparison according to height of fall showed significant increase of multiple fractures (p=0.0326). Associated injuries of distal lower and upper extremities and pelvis were common in fall-from-height group, while injuries of head and neck, proximal part of upper extremity, chest and abdomen were common in in-car accident patients.
CONCLUSION
Type of fracture and distribution of associated injuries were significantly different between the two main causes of thoracolumbar injury, which seemed to be useful for understanding the mechanical events of injury and detecting associated injuries in each victim.

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Injury Severity and Patterns of Accompanying Injury in Spinal Fracture
Hun Park, Kyung-Jin Song, Kwang-Bok Lee, Joo-Hyun Sim
Journal of the Korean Fracture Society.2012; 25(3): 203. CrossRef
Differences in Thoracolumbar Burst Fractures by Falls from Height with Associated Foot and Ankle Fractures
Chung-Shik Shin, Eea-Sub Chung, Chang-Eon Yu, Byeong-Yeol Choi
Journal of Korean Society of Spine Surgery.2012; 19(2): 47. CrossRef

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