Journal of Musculoskeletal Trauma

Current Concepts in Management of Tibia Plateau Fracture: Sang Hak Lee, Kang Il Kim; J Korean Fract Soc 2014;27(3):245-260. Published online July 31, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.3.245

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Effect of Korean Medicine Treatments in Patients with Proximal Tibia Fracture: A Retrospective Observational Study
Jung Min Lee, Eun-Jung Lee
Journal of Korean Medicine Rehabilitation.2020; 30(3): 141. CrossRef

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Revision Total Knee Arthroplasty in the Treatment of Periprosthetic Fracture around the Knee: Kang Il Kim, Kye Youl Cho, Donggeun Kang; J Korean Fract Soc 2011;24(4):382-387. Published online October 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.4.382

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Total Hip Arthroplasty Following Acetabular Fracture: Myung Chul Yoo, Yoon Je Cho, Kang Il Kim, Young Soo Chun, Dong Oh Ko, Jin Woong Yi; J Korean Soc Fract 2003;16(2):121-127. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.121

Abstract PDF: PURPOSE
We evaluated the results of secondary total hip arthroplasty (THA) after acetabular fracture. MATERIAL & METHODS: Twenty cases of THA were performed to treat acetabular fracture as a secondary treatment after conservative management (6 cases) or internal fixation (14 cases). The mean follow up period was 5 years 2 months. The cause of secondary THA was post traumatic arthritis in 15 hips and osteonecrosis of the femoral head in 5. Cementless acetabular cup was used in 18 cases and cemented in 2 cases. Cementless femoral component was used in 18 cases and cemented in 2 cases. Serial Harris hip score (HHS), pain, limb length discrepancy and radiographs were evaluated.
RESULTS
HHS improved from 57 points to 91 points. Osteolysis in the acetabular component occurred in 2 cases and 5 cases in the femoral component. Loosening occurred in 2 cases of cemented acetabular components and 1 case in the femoral component. In this study, 3 cases (15%) required revision of the acetabular component and 2 cases (10%) of the femoral component.
CONCLUSION
The clinical results of THA after acetabular fracture was inferior to that of conventional arthroplasty. The secure cementless acetabular fixation with proper bone grafting is mandatory to improve the survival of acetabular component.

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Triradiate Approach in Surgical Treatment of Complex Fracture of Acetabulum: Kang Il Kim, Kyung Hoi Koo, Bun Joong Kang, Hyung Bin Park, Sun Chul Hwang, Soon Taek Jeong, Hae Ryong Song, Se Hyun Cho; J Korean Soc Fract 2001;14(4):616-622. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.616

Abstract PDF: PURPOSE
To determine the advantages of triradiate approach in complex acetabular fractures, the results were reviewed for 24 patients who had open reduction and internal fixation of complex acetabular fractures with a triradiate approach.
MATERIALS AND METHODS
Twenty four patients were followed for a mean of 3 years after the operation. All patients with complex fractures of the acetabulum were treated with open reduction and internal fixation using Y-shaped triradiate incision, osteotomy of the greater trochanter, and arthrotomy of the hip joint. In 13 patients the fracture was fixed with reconstruction plates and in I 1 patients the fracture was fixed with the plates and wires.
RESULTS
All fractures united and no patient required subsequent total hip replacement arthroplasty. Four patients had heterotopic ossification without serious limitation of motion of the hip and one patient had grade IV lesion as defined by Brooker et al, which limited motion of the hip enough to impair function. Six patients showed posttraumatic arthritis at the latest radiograph. The overall clinical result was excellent for 7 hips, good for 13, and fair for 4 as defined by d' Aubigne and Postel. The radiological result was excellent for 13 hips, and good for 6 as defined by Matta. One femoral head necrosis was observed at the latest follow-up.
CONCLUSION
A triradiate approach provides a good extra and intraarticular access to complex fracture of the acetabulum, which facilitates an accurate reduction, rigid fixation, removal of loose osteochondral fragments and management of labial injury, without increased morbidity of the hip joint.

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Treatment of Peritrochanteric Fracture of Femur with Angulated Blade Plate: Myung Chul Yoo, Yoon Je Cho, Kang Il Kim, Young Soo Chun, Chang Hyeok Kwon, Dong Jin Shin; J Korean Soc Fract 2001;14(3):351-357. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.351

Abstract PDF: PURPOSE
To clarify the efficacy of angulated blade plate fixation in the treatment of complex peritrochanteric fracture of femur.
MATERIALS AND METHODS
Thirty peritrochanteric fractures treated with angulated blade plate, with a follow-up period of more than twelve months, were included. There were twenty subtrochanteric fractures and ten intertrochanteric fractures in which compression hip screw could not be applied due to comminution of trochanteric area. Average age was fifty six years(range, 17 to 76). Average follow-up period was 22.4 months(range, 12 to 31).
RESULTS
Average time to bony union for those fractures that healed primarily was 5 months. Solid union occurred in all cases with two malunion. Infection, implant failure, femoral head protrusion was not occurred.
CONCLUSION
Angulated blade plate can be a useful alternative for the fixation of comminuted peritrochanteric fracture if appropriate fixatives are not available.

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Treatment of Periprosthetic Fracture Following Total Elbow arthroplasty: Myung Chul Yoo, Yong Girl Rhee, Yoon Je Cho, Kang Il Kim, Young Lin Cho; J Korean Soc Fract 2000;13(1):193-199. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.193

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PURPOSE
: To classify the pattern of periprosthetic fracture after total elbow replacement(TER) and introduce the principles of treatment in various fracture patterns.
MATERIALS AND METHODS
: Four patients(1 man and 3 women) were evaluated, who had periprosthetic fractures following total elbow arthroplasty, form July 1997 to October 1998. The incidence of fracture among TERs was 6%(4/62) and the average follow-up period was 1 year 6 months. The locations of periprosthetic fractures were classified according to Hanyu et al. The result were analyzed about the treatment modalities, the period to bony union, elbow motion and complication.
RESULTS
: Type2 and type 3 fractures were treated with closed reduction and hanging splint, whereas type 1 fracture showing loosening of humeral component was treated with revision arthroplasty. Type 4 fracture was treated with open reduction and internal fixation. The period to bone union was 5 months in average. The elbow motion ranged between 7.5degrees to 106.2degrees at the last follow-up. Type 3 showed anterior angulation deformity of 20degrees.
CONCLUSION
: Fracture pattern, stability, and loosing of component should be considered to select treatment modality. In transverse fracture proximal to the humeral stem tip(type 3), open reduction and internal fixation is recommended because of difficulties in maintaining alignment of fracture fragment. Postoperative rehabilitation program is very important to prevent limitation of elbow motion

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Treatment of Periprosthetic Fracture after Total Elbow Replacement Arthroplasty
Hyunseok Seo, Jin-Hyung Im, Joo-Yup Lee
Journal of the Korean Fracture Society.2020; 33(2): 110. CrossRef

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The Results of Blair Ankle Fusion in Trauma and Disease Around the Ankle: Duke Whan Chung, Kang Il Kim, Byung Joo Park; J Korean Soc Fract 1998;11(2):362-370. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.362

Abstract PDF: Blair introduced talotibial fusion via tibial sliding graft, rectangular bone block donated from distal tibia, to the neck of talus to settle the problems, shortening of lower extremity and deformity of foot, which had been produced by talectomy or subtalar fusion in the treatment of the comminuted fracture-dislocation of the body of the talus. The purpose of this study was to report the excellent results of Blair ankle fusion in treatments of various diseases of ankle as well as fracture and avascular necrosis of talus, and to announce the effect of Blair ankle fusion. The ten cases were reviewed, which had undergone Blair ankle arthrodesis, from January 1989 to December 1996 in Kyung Hee Medical Center. There were 4 men and 6 women. Mean age was 4.7(18-75) years old. Preoperative diagnosis were 2 posttraumatic osteoarthritis, 2 avascular necrosis of talus, 2 degenerative osteoarthritis, 1 chronic osteomyelitis of calcaneus with myelopathy, 1 Charcot joint due to diabetes mellitus, 1 secondary osteoarthritis due to infection sequelae and 1 old crushing injury of ankle and foot. We used Boston children's Hospital ankle-scoring system as clinical assessment criteria and tibiopedal motion as functional assessment in gait. Time to union was average 14.6(8-23) weeks. Postoperative complications were pin tract infection in two cases and deep infection(chronic osteomyelitis) in one case. Pain was observed in three cases. Delayed union, nonunion or pseudoarthrosis were not observed. The average leg length discrepancy was 0.64cm(0-1.27). On the clinical criteria for Boston children's Hospital ankle-scoring system, we observed seven excellent and three good cases. The results in tibiopedal motion using cineroentgenography were 6 good and 4 fair cases. By using Blair fusion, we expect early bony union, near normal shape of foot, no shortening, and normal walking by preserving the enough range of tibiopedal motion.

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