Journal of Musculoskeletal Trauma

The Character of Reverse Obliquity Intertrochanteric Fractures in Elderly Patients: Ji Wan Kim, Jae Suk Chang, Jung Hwan Sung, Jung Jae Kim; J Korean Fract Soc 2013;26(3):173-177. Published online July 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.3.173

PURPOSE
To discriminate the characteristics between reverse obliquity fractures in the elderly and that of young adults using three-dimensional computed tomography (3D CT).
MATERIALS AND METHODS
Eighteen patients who had reverse obliquity intertrochanteric fractures were enrolled from January 2007 to March 2012. The fracture pattern was analyzed using the 3D CT. The area showing low density (bone defect) of trochanter and femoral neck region was measured. Patients were divided into two groups: Group I, less than 65 years old and Group 2, 65 years and over.
RESULTS
In all 9 cases of group 1, the proximal fragment had a 'V' shape with an average of 5.6 cm below the vastus ridge; however, the fracture of 8 cases (88.97%) in group 2 had a 'Lambda' shape of the distal fragment at the level of vastus ridge and an additional fracture line extending to the greater trochanter tip. The bone defect volume of the trochanter and femoral neck region was larger significantly in group 2 than in group 1.
CONCLUSION
Reverse obliquity intertrochanteric fracture in the elderly demonstrated a pattern of bursting fracture with 4 parts, which had different patterns from that of young patients. We believe that the larger volume of bone defects resulted in the difference of fracture patterns between the two groups.

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A Comparison of Internal Fixation and Bipolar Hemiarthroplasty for the Treatment of Reverse Oblique Intertrochanteric Femoral Fractures in Elderly Patients
Bong-Ju Park, Hong-Man Cho, Woong-Bae Min
Hip & Pelvis.2015; 27(3): 152. CrossRef

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Treatment of Distal Femur Fracture: Jung Jae Kim, Ji Ho Choi; J Korean Fract Soc 2011;24(3):288-293. Published online July 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.3.288

Abstract PDF

No abstract available.

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Comparative study of retrograde intramedullary nailing versus locking extramedullary plating in complete articular fractures with metaphyseal comminution of the distal femur
Yong-Cheol Yoon, Youngwoo Kim, Benjamin D. Pesante, You Seung Chun, Sang Ho Lee, Hoon-Sang Sohn
Archives of Orthopaedic and Trauma Surgery.2024; 144(5): 2109. CrossRef
Efficacy of Integrated Korean Medicine Treatment Including Motion-Style Acupuncture Treatment for L1 Burst Fracture and Bilateral Femoral Condyle, Proximal Tibial, and Proximal Fibular Comminuted Fractures: A Case Report
Da Dam Kim, Seong Hyeon Jeon, Woo Young Kim
Journal of Acupuncture Research.2024;[Epub] CrossRef
The Mid-Term Result after Osteosynthesis of Intra-Articular Fractures of Distal Femur
Sam Guk Park, Jeong Jae Moon, Oog Jin Shon
Journal of the Korean Fracture Society.2016; 29(4): 242. CrossRef

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Bowel Entrapment by Fragments of Acetabular Fracture: A Case Report: Ji Wan Kim, Jung Jae Kim, Suk Kyung Hong, Kyu Hyuk Kyung, Jin Hee Kim; J Korean Fract Soc 2010;23(4):373-376. Published online October 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.4.373

Abstract PDF: Abdominal injuries are common in patients with pelvic or acetabular fracture. However intestinal entrapment or perforation caused by fragments of a pelvic or acetabular fracture is rare and to date there has been no report of this occurring in Korea so far. As it is difficult to diagnose intestinal entrapment caused by fragments of pelvic or acetabular fracture, the entrapment therefore results in intestinal perforation, sepsis, and a high mortality rate in the absence of early detection. We present a case of intestinal entrapment and perforation caused by fragments of acetabular fracture as well as a literature review.

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Bursting Fracture of the Proximal Femur during Insertion of Unreamed Femoral Nail for Femur Shaft Fracture: A Case Report: Ji Wan Kim, Seong Eun Byun, Won Hyuk Oh, Jung Jae Kim; J Korean Fract Soc 2010;23(2):227-231. Published online April 30, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.2.227

Abstract PDF

When treating femur shaft fracture in adults, undreamed nail can be an option in order to avoid systemic complications. To appropriately insert unreamed intramedullary nail, an accurate entry point and sufficient reaming of the entry portal is essential. The intramedullary canal of the proximal femur must be reamed over than the diameter of the proximal end of the nail. If the proximal reaming is not sufficient, complications such as bursting fracture of proximal femur can occur. We present two cases of bursting fracture of proximal femur following insertion of undreamed intramedullary nail as well as a literature review.

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Risk Factors Associated with Intraoperative Iatrogenic Fracture in Patients Undergoing Intramedullary Nailing for Atypical Femoral Fractures with Marked Anterior and Lateral Bowing
Yong Bum Joo, Yoo Sun Jeon, Woo Yong Lee, Hyung Jin Chung
Medicina.2023; 59(4): 735. CrossRef
Results of Intramedullary Nailing of Femoral Shaft Fracture - Trochanteric Entry Portal (Sirus Nail) versus Piriformis Entry Portal (M/DN Nail) -
Sang Ho Ha, Woong-Hee Kim, Gwang Chul Lee
Journal of the Korean Fracture Society.2014; 27(1): 50. CrossRef
Iatrogenic Femur Proximal Shaft Fracture during Nailing Using Lateral Entry Portal on Femur Shaft Fracture
Hong Moon Sohn, Gwang Chul Lee, Chae Won Lim
Journal of the Korean Orthopaedic Association.2014; 49(4): 272. CrossRef

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Subtrochanteric Fracture: Intramedullary Nailing: Jung Jae Kim, Ji Wan Kim; J Korean Fract Soc 2009;22(2):114-122. Published online April 30, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.2.114

Abstract PDF

No abstract available.

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Prevention of inaccurate targeting of proximal screws during reconstruction femoral nailing
Ji Wan Kim, Derly O. Cuellar, Jiandong Hao, Benoit Herbert, Cyril Mauffrey
European Journal of Orthopaedic Surgery & Traumatology.2016; 26(4): 391. CrossRef
Treatment of Femur Subtrochanteric Fracture Using the Intramedullary Long Nail; Comparison of Closed Reduction and Minimal Open Reduction
Sang Joon Lee, Sang Hong Lee, Sang Soo Park, Hyung Seok Park
Journal of the Korean Orthopaedic Association.2015; 50(1): 18. CrossRef
Factors Affecting Time to Bony Union of Femoral Subtrochanteric Fractures Treated with Intramedullary Devices
Jung-Yoon Choi, Yerl-Bo Sung, Jin-Hee Yoo, Sung-Jae Chung
Hip & Pelvis.2014; 26(2): 107. CrossRef
Fixation of the Femoral Subtrochanteric Fracture with Minimally Invasive Reduction Techniques
Chul-Hyun Park, Chul-Wung Ha, Sang-Jin Park, Min-Su Ko, Oog-Jin Shon
Journal of the Korean Fracture Society.2013; 26(2): 112. CrossRef
The Treatment of Subtrochanteric Fracture with Cephallomedually Nail -Minimal Incision and Lowman Clamp Assisted Reduction-
Jang Seok Choi, Do Hyun Moon, Young Tae Noh
Journal of the Korean Fracture Society.2011; 24(4): 301. CrossRef

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Upper Sacral Morphology Related to Iliosacral Screw Fixation in Korean: Jung Jae Kim, Chul Young Jung, Hyoung Keun Oh, Byoung Se Yang, Jae Suck Chang; J Korean Fract Soc 2007;20(2):115-122. Published online April 30, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.2.115

Abstract PDF

PURPOSE
To evaluate upper sacral morphology and anatomy of safe zone related to iliosacral screw fixation in Korean.
MATERIALS AND METHODS
100 patients performed pelvis 3D CT scan were evaluated. We used 16 channel CT and analyzed reconstructed image (shaded-surface display, transparent image and reformat image).
RESULT
The angle between superior aspect of S1 body and iliac cortical density is 27.3Â°, between anterior cortical line of S1,2 body and horizontal plane 24.6Â°, and between superior aspect of S1 body and horizontal plane is 39.7Â°. The axis of S1, S2 pedicle is 32.5Â° and 15.6Â° toward anteromedial. The area of S1 pedicle according to sagittal plane and sagittal-oblique axis is 310.7 mm2 and 384.8 mm2. Also, S2 pedicle area is increased 163.1 mm2 to 188.4 mm2. The average depth of ala indentation is 5.1 mm and the maximal value is 9.5 mm. Distinct upper sacral dysplasia is 22%, transitional form is 32%.
CONCLUSION
We measured Korean upper sacrum with 3D-CT, found out dysplasia come up to 54%. Considering the frequency of dysplasia, the investigation of anatomy and technique is essential to sacroiliac screw insertion.

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Percutaneous posterior transiliac plate versus iliosacral screw fixation for posterior fixation of Tile C-type pelvic fractures: a retrospective comparative study
Chul-Ho Kim, Jung Jae Kim, Ji Wan Kim
BMC Musculoskeletal Disorders.2022;[Epub] CrossRef
Measurement of Optimal Insertion Angle for Iliosacral Screw Fixation Using Three-Dimensional Computed Tomography Scans
Jung-Jae Kim, Chul-Young Jung, Jonathan G. Eastman, Hyoung-Keun Oh
Clinics in Orthopedic Surgery.2016; 8(2): 133. CrossRef

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Treatment of Acetabular Column Fractures with Limited Open Reduction and Screw Fixation: Jung Jae Kim, Hyoung Keun Oh, Sung Yoon Kim; J Korean Fract Soc 2007;20(1):26-32. Published online January 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.1.26

Abstract PDF: PURPOSE
To evaluate the results of limited open reduction and screw fixation of acetabular fractures.
MATERIALS AND METHODS
Six acetabular fractures were treated with fluoroscopic guided screw fixation. The mean age was 46 years old and mean follow-up period was 18 months. There were 3 anterior column fractures, 2 transverse fractures and 1 both column fracture. Anterior column screw fixation was used in 5 cases and posterior column fixation in 1 case. Limited ilioinguinal approach was used in 4 cases and percutaneous screw fixation in 2 cases.
RESULTS
The mean union time was 16.6 weeks. The postoperative radiographic results revealed 2 cases with an anatomic reduction and 4 cases with an imperfect reduction. The clinical results showed 1 case with excellent, 4 cases with good and 1 case with fair. Regarding complication, there was 1 case of SI joint penestration without clinical symptoms.
CONCLUSION
Limited open reduction and screw fixation can be a useful alternative treatment for acetabular fractures in patients with minimally displaced fracture, severe multisystem trauma and soft tissue injury not suitable to traditional treatment.

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Nonunion of the Humerus Shaft: Tae Seok Nam, Ji Won Choi, Ju Hyun Kim, Soung Yon Kim, Jung Jae Kim, Jae Myeung Chun; J Korean Fract Soc 2005;18(3):294-298. Published online July 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.3.294

Abstract PDF

PURPOSE
To evaluate the cause and treatment results of nonunion of humerus shaft fractures.
MATERIALS AND METHODS
39 cases were treated for humerus shaft nonunion between February 1990 and May 2002. The presence of open wounds, initial treatment modality after injury, treatment method for the nonunion and time to union were studied using medical records. The fracture type and appropriateness and problems of the initial surgical treatment were reviewed. Also, Pain and functional recovery in daily living were evaluated in the outpatient clinic, after surgery for nonunion.
RESULTS
Amongst the 30 cases, transverse fracture was the most common with 19cases. Most of 29 cases, initially surgically treated, revealed incorrect selection of the internal fixator or technical errors. For surgical treatment of nonunion, open reduction and internal fixation with cancellous bone graft was performed, most commonly, in 36 cases (92.3%). All cases showed clinical and radiographic union at an average of 13.3 weeks. More than 90% of the patients replied minimal pain and excellent functional recovery of daily living at final follow-up.
CONCLUSION
If treated with surgery by correct selection of internal fixation methods and accurate technical skills, nonunion incidence can be reduced.

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Comparing the Use of Single and Double Interlocking Distal Screws on a Polarus Intramedullary Nail for Humeral Shaft Fractures
Hee Seok Yang, Jeong Woo Kim, Hong Je Kang, Jung Hyun Park, Yong Chan Lee, Kwang Mee Kim
Clinics in Shoulder and Elbow.2015; 18(2): 91. 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
The Fate of Butterfly Fragments in Extremity Shaft Comminuted Fractures Treated with Closed Interlocking Intramedullary Nailing
Ki-Chan An, Yoon-Jun Kim, Jang-Suk Choi, Seung Suk Seo, Hi-Chul Gwak, Dae-Won Jung, Dong-Woo Jeong
Journal of the Korean Fracture Society.2012; 25(1): 46. CrossRef

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Intramedullary Nailing of Femoral Shaft Fractures : Comparison between with and without the Fracture Table: Jung Jae Kim, Yong Gab Jeong, Kwang Hwan Jung, Soo Sung Park, Eu Gene Kim; J Korean Soc Fract 2000;13(2):320-326. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.320

Abstract PDF

PURPOSE
: To evaluate and compare the efficacy of intramedullary nailin(IMnailing) between using radiolucent plane table in lateral position and using fracture table in supine position for femoral shaft fractures.
MATERIALS AND METHODS
: Consecutive 62 cases of the fresh fractures of femoral shaft treated with intramedullary nailing were divided into 2 groups; 31 cases on the fracture tables and the other 31 cases with the lateral position on the radiolucent plane table, and we analysed the difference the length of anesthetic time, preparation and draping time, operative time, postoperative complications between the two groups.
RESULT
: There was statistically significant decrease in the length of anesthetic time, operative time in the former group, but no difference in the postoperative complication(Wilcoxon test).
CONCLUSION
: Lateral position on radiolucent plane table with the traction device for intramedullary nailing for femoral shaft fracture considered to be generally accepted not only to the limited cases which fracture tables are not available but also to general cases.

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The PFNA Nail for Pertrochanteric Fracture of the Femur without Fracture Table
Jeoung Ho Kim, Sang Hong Lee, Kwang Chul Lee, Sung Won Cho
Journal of the Korean Fracture Society.2011; 24(3): 217. CrossRef

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A Technique for Intramedullary Nailing of Proximal Third Tibia Fractures: Jung Jae Kim, Kyung Min Noh, Woo Shin Cho, Yung Tae Kim, Key Yong Kim; J Korean Soc Fract 1998;11(2):456-463. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.456

Abstract PDF

INTRODUCTION : Recently, intramedullary nailing is the treatment of choice in the management of fractures in the tibial diaphysis. But fractures of the proximal third of the tibial shaft including segmental fractures do not appear to respond as favorably to intramedullaryu nailing as do fractures in the distal 2/3 of the tibia. One of the msot frequent complications of intramedullary nailing of proximal third tibia is fracture malalignment leading to anterior angulation, anterior displacement or valgus angulation. There are several factors combine to make these fractures difficult to reduce when nailing. 1) The pull of the patellar tendon and muscles around the proximal tibia on the shory proximal fracture fragment. 2) The traditional medial entrance point of nailing in the proximal tibia. The author`s objective is to introduce a new technique to neutralize these factors so that intramedullary nailing can be consistently used to treat poximal third ribia fractures.
MATERIALS AND METHODS
: Five of proximal third tibial shaft including one segmental fracture were treated with a new technique for intramedullary nailing of these fractures. The clinical summary was s belows. 1) Inserted two 0.125inch Steinmann pins at the proximal tibial fragment, which authors called as 'blocking pin'. These pins were crossed with 10-15degree angle at midpoint of the proximal tibia anteroposteriorly and mediolaterally. 3) Made the entrance hole using awl which was introduced just anterior to the cross point of two blocking pins. 4) The AO unreamed tibial nail was inserted anterior to two blocking pins, After then, continued the nail insertion with closed technique. 5) Performed proximal(3 screws) and distal(2 or 3 screws) locking. 6) Removed two blocking pins finally. Outcomes were evaluated immediately postoperatively and at follow-up visit by measurement of alignment in both the anteroposterior and lateral planes. All patient were evaluated clinically also.
RESULTS
: The average anterior angulation and anterior displacement immediately postoperatively were 3.0degree (range 1degree to 5degree) and 2.8mm (range 1mm to 4mm) respectively. The average coronal plane alignement was 3.2degree valgus(range 2degree to4degree valgus). There was no complication from the use of this technique either intraoperatively or postoperatively. Fracture alignment at the time of last follow-up was unchanged from immediate postoperative measurements. All 5 cases healed clinically and radiologically. In 3 casesm bone graft was performed at postoperative 6 weeks due to delayed union. The average time to radiologic healing was 21weeks(17-26 weeks).
CONCLUSIONS
: Intramedullary nailing of proximal third tibial fractures including segmental fractures is technically demending and has a problem of the high rate of malalignments. However, through a new technique above mentioned which neutralize deforming factors, reliable alignments and healing were achieved successfully in proximal third tibial fractures. The authors introduce and recommend a new technique in intramedullary nailing to treat the authors introduce and recommend a new technique in intramedullary nailing to treat the fractures of the proximal third of the tibial shaft(esp. segmental fractures).

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Fractures of the Middle Third of the Tibia Treated with a Functional Brace
Augusto Sarmiento, Loren L. Latta
Clinical Orthopaedics & Related Research.2008; 466(12): 3108. CrossRef

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Surgical Treatment of the Pilon Fractures: Jung Jae Kim, Jong Hi Park, Woo Shin Cho, Key Yong Kim; J Korean Soc Fract 1997;10(3):492-500. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.492

Abstract PDF: The intraarticular fractures of the distal tibia. so-called pilon fractures have been difficult in management due to the severe comminution of articular surface and frequent soft tissue problems. So there have been many controversies in the method of treatment. Although historically the results of various type of treatment of these fractures have been less than optimal, there has been a recent trend that suggests success in the majority of cases through operative treatment following the principles outlined by the AO/ASIF group. Among the patients of pilon fracture admitted to our hospital from October 1989 to August 1995 who were treated by open reduction and internal fixation, 32 patients(34 cases) were included who could be follow up for more than 2 years. According to AO/ASIF classification, type B1 5 cases, type B2 7 cases, type B3 5 cases, type C1 3 cases, type C2 4 cases, type C3 10 cases. The authors analyaed the clinical and radiological results of tibial pilon fractures exclusively treated by internal fixation. The results as follow : 1. Among 34 cases, 12 cases(35.3%) were not associated with of fibula fracture. There was no stastical relationship between the severity of pilon fracture and the presence of flbula fracture. 2. Good results in fracture reduction was obtained at 26 cases(76.5%) and good functional reults was obtained at 26 cases(76.5%). 3. The most commom postoperative complication was infection combined with skin problem(6 cases), which were treated by antibiotics and flap surgery. 4. Anatomical reduction and stable internal fixation of articular surface, careful manipulation of soft tissues and early range of motion exercise yielded good results of surgical treatment of pilon fracture.

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Closed Interlocked Nailing in Comminuted Femoral Shaft Fractures: Jung Jae Kim, Chang Won Lee, Key Yong Kim; J Korean Soc Fract 1997;10(1):8-15. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.8

Abstract PDF: Intramedullary nailing is one of the most popular method of treatment in femoral shaft fractures,which provides relatively stable fixation and preservation of blood supply and early mobilization. But whether open reduction, cerclage wiring and/or bone graft is necessary for the displaced comminuted fragment is still a subject of controversy. To clarify such debate we compared the results of IM nailing between simple, minimal displaced fractures and displaced, comminuted ones treated with closed method. We analyzed 36 cases of the fresh closed fractures of femoral shaft treated by closed intramedullary nailing from December 1992 to January 1996. There were 24 cases of minimal displaced fractures and 12 cases of displaced ones more than 1 cm during operation. The average follow-up period was 12 months(5-48 months). Clinical and radiological fracture union occurred in 97% of cases(35/36). Radiological callus was noticed just around 3 weeks postoperatively in both groups and the average time to radiological union was 23 weeks in minimal displaced group and 24.8 weeks in displaced one. Because there was no significant difference in bone healing time, closed interlocking intramedullary nailing is thought to be also the good method of treatment in femoral fractures regardless of fracture pattern or displacement of fragments.

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