Journal of Musculoskeletal Trauma

Diagnosis and Management of Acute Compartment Syndrome: Keun Bae Lee, Seung Hun Lee; J Korean Fract Soc 2015;28(1):93-101. Published online January 31, 2015; DOI: https://doi.org/10.12671/jkfs.2015.28.1.93

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Design and Feasibility Test of Motorized Hand-Held Devices for Intra-compartmental Pressure Monitoring
Bomi Yang, Jaeho Hyun, Jingyu Kim, Jihoon Kweon, Jaesoon Choi, Youngjin Moon, Ji Wan Kim
International Journal of Precision Engineering and Manufacturing.2024; 25(1): 99. CrossRef
Crush Syndrome: Traumatic Rhabdomyolysis, Reperfusion Injury
Yong-Cheol Yoon
Journal of the Korean Fracture Society.2023; 36(2): 62. CrossRef
Complications of Fracture: Acute Compartment Syndrome
Sung Yoon Jung, Min Bom Kim
Journal of the Korean Fracture Society.2023; 36(3): 103. CrossRef
Acute Compartment Syndrome Induced by Rhabdomyolysis Due to Antipsychotic Drug Overuse
Seok-Ha Hwang, Sung-Ha Hong, Seung-Pyo Suh, Joo-Young Kim
Journal of the Korean Orthopaedic Association.2020; 55(3): 276. CrossRef
Clinical Outcomes of Fasciotomy for Acute Compartment Syndrome
Ji Yong Park, Young Chang Kim, Ji Wan Kim
Journal of the Korean Fracture Society.2015; 28(4): 223. CrossRef
Compartment Syndrome of the Gluteus Medius Occurred without Bleeding or Trauma: A Case Report
Gyu-Min Kong, Yong-Uk Kwon, Jun-Ho Park
Hip & Pelvis.2015; 27(4): 278. CrossRef
Surgical Timing of Treating Adult Trauma: Emergency/Urgency
Dong-Hyun Kang, Kyu Hyun Yang
Journal of the Korean Fracture Society.2015; 28(2): 139. CrossRef

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Extensor Pollicis Longus Rupture after Distal Radius Fracture: Nam Young Cho, Chang Young Seo, Myung Sun Kim, Ha Sung Kim, Keun Bae Lee; J Korean Fract Soc 2012;25(1):52-57. Published online January 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.1.52

Abstract PDF

PURPOSE
To evaluate the cause and surgical outcome of extensor pollicis longus rupture after distal radius fractures.
MATERIALS AND METHODS
Nineteen cases in which the patients underwent surgical treatment for rupture of the extensor pollicis longus after distal radius fractures were followed for more than one year. Among the nineteen cases, fourteen extensor pollicis longus ruptures occurred after conservative treatment, four occurred after closed reduction with K-wire fixation, and one occurred after open reduction and internal fixation with a plate. All cases were treated by extensor indicis proprius transfer.
RESULTS
Extensor pollicis longus ruptures were caused by K-wire irritation in two, by a protruding screw tip in one, and by a callus in one. In the conservative treatment group, tendon ruptures were diagnosed at an average of 3.1 months (0.7~17). Tendon ruptures were detected in the surgical treatment group at an average of 12.8 months (1~48). All the patients showed favorable recovery of the extension capability of the thumb at the final follow-up.
CONCLUSION
The main cause of extensor pollicis longus rupture after distal radius fracture was ischemic damage. Therefore, during the surgery, the length and direction of screws and K-wires should be fixed carefully to avoid such damage. Distal radius fracture also requires careful observation of the extensor pollicis longus during follow-up. Furthermore, extensor indicis proprius transfer is considered to be an effective method for extensor pollicis longus rupture.

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Radiologic Analysis of Distal Radius Fracture Accompanying Spontaneous Extensor Pollicis Longus Rupture
Jun-Ku Lee, In-Tae Hong, Young-Woo Kwon, Gyu-Chol Jang, Soo-Hong Han
Journal of the Korean Fracture Society.2017; 30(2): 63. CrossRef
Assessment of penetration of dorsal screws after fixation of the distal radius using ultrasound: cadaveric study
D Williams, J Singh, N Heidari, M Ahmad, A Noorani, L Di Mascio
The Annals of The Royal College of Surgeons of England.2016; 98(2): 138. CrossRef
Rupture of the Extensor Pollicis Longus Tendon at the Proximal Screw of Volar Plate Fixation for Distal Radius Fracture - A Case Report -
Dong-Ju Shin, Seung-Oh Nam, Hun-Sik Cho
Journal of the Korean Fracture Society.2013; 26(4): 338. CrossRef

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Minimally Invasive Osteosynthesis with Locking Compression Plate for Distal Tibia Fractures: Sung Kyu Kim, Keun Bae Lee, Keun Young Lim, Eun Sun Moon; J Korean Fract Soc 2011;24(1):33-40. Published online January 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.1.33

Abstract PDF

PURPOSE
To evaluate the outcome of minimally invasive osteosynthesis using locking compression plate for distal tibia fractures.
MATERIALS AND METHODS
Forty five patients (45 cases) who underwent minimally invasive osteosynthesis using locking compression plate for distal tibia fractures between January 2006 and June 2008, were followed for more than one year. The average duration of the follow-up was 30.5 months (12~54 months). The fracture types were as followed: 26 cases (58%) of extraarticular fractures, 19 cases (42%) of intraarticular fractures, and 16 cases (36%) of open fractures.
RESULTS
All patients achieved bone union at average of 21weeks (12~36 weeks). The average American Orthopedic Foot & Ankle Society ankle-hindfoot scales was 84.6 points (65~100 points) and range of ankle motion averaged at 46.5 degrees (20~60 degrees). Complications included 6 cases of superficial infection, 3 cases of malalignment and 5 cases of skin irritation by plate. There were no cases of deep infection, skin necrosis, shortening and metal breakage.
CONCLUSION
Minimally invasive osteosynthesis using locking compression plate for distal tibia fractures is considered to be an effective method with high healing rate, rapid functional recovery and low complication rate due to minimal disruption of bone and soft tissue biology and improved fixation strength.

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Anterolateral Minimally Invasive Plate Osteosynthesis of Distal Tibial Fractures Using an Anterolateral Locking Plate
Dongwhan Suh, Hwan Hee Lee, Young Hoon Han, Jae Jung Jeong
Journal of Korean Foot and Ankle Society.2020; 24(1): 19. CrossRef
Comparative Analysis of Minimally Invasive Plate Osteosynthesis and Intramedullary Nailing in the Treatment of the Distal Tibia Fractures
Ho-Min Lee, Young-Sung Kim, Jong-Pil Kim, Phil-Hyun Chung, Suk Kang, Kaung Suk Jo
Journal of the Korean Fracture Society.2018; 31(3): 94. CrossRef
Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures
Jung-Han Kim, Heui-Chul Gwak, Chang-Rack Lee, Yang-Hwan Jung
Journal of Korean Foot and Ankle Society.2015; 19(3): 86. CrossRef
Minimally Invasive Plate Osteosynthesis for Fractures of Distal Tibia
Tae Hun Kim, So Hak Chung
Kosin Medical Journal.2014; 29(1): 23. CrossRef

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Distal Tibia Fracture: Plate Osteosynthesis: Keun Bae Lee; J Korean Fract Soc 2009;22(4):306-313. Published online October 31, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.4.306

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No abstract available.

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Anterolateral Minimally Invasive Plate Osteosynthesis of Distal Tibial Fractures Using an Anterolateral Locking Plate
Dongwhan Suh, Hwan Hee Lee, Young Hoon Han, Jae Jung Jeong
Journal of Korean Foot and Ankle Society.2020; 24(1): 19. CrossRef
The Result of Using an Additional Mini-Locking Plate for Tibial Pilon Fractures
Suenghwan Jo, Jun Young Lee, Boseon Kim, Kang Hyeon Ryu
Journal of the Korean Fracture Society.2017; 30(2): 75. CrossRef
Minimally Invasive Plate Osteosynthesis for Fractures of Distal Tibia
Tae Hun Kim, So Hak Chung
Kosin Medical Journal.2014; 29(1): 23. CrossRef
Minimally Invasive Osteosynthesis with Locking Compression Plate for Distal Tibia Fractures
Sung-Kyu Kim, Keun-Bae Lee, Keun-Young Lim, Eun-Sun Moon
Journal of the Korean Fracture Society.2011; 24(1): 33. CrossRef

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Basic Principle of the Locking Compression Plate: Keun Bae Lee; J Korean Fract Soc 2008;21(3):261-265. Published online July 31, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.3.261

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No abstract available.

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CASE STUDY OF A DISTAL FEMUR TI6Al4V LOCKED COMPRESSION PLATE FAILURE SURFACE INVESTIGATION AND FINITE ELEMENT ANALYSIS
MURAT CAN, MEHMET AKIF OYMAK, SERDAR KOLUAÇIK, ERKAN BAHÇE, ÖMER FARUK UZUNYOL
Journal of Mechanics in Medicine and Biology.2024;[Epub] CrossRef
Evaluation of Mechanical Performance of Fibula Trauma Plate via EBM and SLM-Based Additive Manufacturing
Hyo-Bok Jeong, Sung-Jun Park
Journal of the Korean Society of Manufacturing Technology Engineers.2021; 30(2): 148. CrossRef
Mechanical and Physical Characteristics Analysis of Radius Trauma Plate by EBM Additive Manufacturing
Kwun-Mook Lim, Sung-Jun Park
Journal of the Korean Society of Manufacturing Technology Engineers.2020; 29(2): 147. CrossRef
Treatment of Femur Supracondylar Fracture with Locking Compression Plate
Seong Ho Bae, Seung Han Cha, Jeung Tak Suh
Journal of the Korean Fracture Society.2010; 23(3): 282. CrossRef

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Ankle Syndesmotic Injury: Keun Bae Lee; J Korean Fract Soc 2007;20(3):282-290. Published online July 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.3.282

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No abstract available.

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Radiologic consideration of acute ankle sprains: diagnostic imaging
Dong-Il Chun, Seung Lim Baek, Sung Hun Won
Arthroscopy and Orthopedic Sports Medicine.2024; 11(2): 39. CrossRef
Removal of broken syndesmotic screw with minimal bone defects in Korea: a case report
Min Gyu Kyung, Chulhee Park
Journal of Trauma and Injury.2023; 36(3): 265. CrossRef
Treatment of Ankle Fracture and Dislocation
Chan Kang
Journal of the Korean Fracture Society.2022; 35(1): 38. CrossRef
Isolated Syndesmotic Injury
Yong Tae Kim, Hyong Nyun Kim, Yong Wook Park
Journal of Korean Foot and Ankle Society.2016; 20(3): 100. CrossRef

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Comparison of the Surgical Treatment Results of Avulsion Fracture of the Anterior Cruciate Ligament between Children and Adults: Eun Kyoo Song, Sang Jin Park, Keun Bae Lee; J Korean Fract Soc 2007;20(2):196-201. Published online April 30, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.2.196

Abstract PDF: PURPOSE
To compare the clinical and radiological results after surgical treatments of the avulsion fractures of ACL between children and adults.
MATERIALS AND METHODS
40 cases (18 cases of children, 22 cases of adults), who underwent surgical treatments after avulsion fractures of the ACL and followed up more than one year, were enrolled. Fractures were classified by modified Meyers & McKeever criteria. Range of motion, LK score, Lachman test, Pivot-Shift test, quadriceps muscle atropy and TelosÂ® stress arthrometer were compared.
RESULTS
The types of fracture in children were categorized into 8 cases of type II, 10 cases of type III, and 2, 15, 5 cases of type II, III, IV each in adult group. Mean LK score showed significant difference between 99.3 points in children and 89.5 points in adults (p<0.05). In addition, accompanied injuries and the high degree of fracture leaded low LK score. However, there was no significant difference in range of motion, Lachman test and Pivot-Shift test. Anterior laxity by TelosÂ® device showed an average of 2.0 mm in children, 2.5 mm in adults (p>0.05).
CONCLUSION
Children group showed better treatment results of avulsion fracture of ACL. Higher incidence of type II fractures and less combined injuries considered to be factors for better results.

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The Treatment of Unstable Proximal Humerus Fracture Using Locking Plate: Eun Sun Moon, Myung Sun Kim, Kyung Soon Park, Jae Yoon Chung, Keun Bae Lee; J Korean Fract Soc 2006;19(2):193-200. Published online April 30, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.2.193

Abstract

PURPOSE
The purpose of this study was to determine the results of internal fixation with locking plate system for the unstable proximal humerus fracture.
MATERIALS AND METHODS
Sixteen cases of unstable proximal humerus fracture were treated using locking plate system between September 2004 and June 2005. Average age of the patients was 55.6 years (range, 22 to 78), male was four patients, female was twelve. The clinical outcomes were evaluated by using Neer's evaluation criteria and Constant socring system. We analyzed the radiological results by bony union time and Paavolainen method. All data was analyzed statistically.
RESULTS
According to Neer's evaluation ciriteria, eleven cases (69%) showed excellent or satisfactory results and according to Constant scoring system, twelve cases (75%) showed excellent or good result. Twelve cases (75%) showed good results by Paavolainen method. In all cases, bony union was obtained in average 12.8 weeks after operation. There were two complications; one screw irritation and one screw loosing.
CONCLUSION
The patients treated using locking proximal humerus plate could exercise earlier due to good initial stability. And the clinical and radiological results were relatively good. The treatment of unstable proximal humerus fracture with locking plate system was considered as a good method.

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Open Intramedullary Nail with Tension Band Sutures & Lock Sutures on Proximal Humeral Three-part Fracture
Jin-Oh Park, Jin-Young Park, Sung-Tae Lee, Hong-Keun Park
Journal of the Korean Fracture Society.2007; 20(1): 45. CrossRef

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Negative Pressure Wound Therapy for Traumatic Soft Tissue Defects: Keun Bae Lee, Jin Choi, Eun Sun Moon, Taek Rim Yoon, Keun Young Lim; J Korean Fract Soc 2006;19(1):67-71. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.67

Abstract

PURPOSE
To evaluate the negative pressure wound therapy for traumatic soft tissue defects by vacuum-assised closure (V.A.C.(R)).
MATERIALS AND METHODS
33 patients with traumatic soft tissue defects were treated by using V.A.C.(R) which removes edema fluid, eliminates an extrinsic cause of microcirculatory embarrassment and may directly stimulate cellular proliferation of reparative granulation tissue. We removed all necrotic tissue prior to application of the V.A.C.(R). The foam dressing was placed into direct contact with wound and was changed every 48~72 hours. The setting for vacuum pump was continuous pressure of 100 to 125 mm Hg. C-reactive protein was checked to evaluate wound infection. We measured wound size and total duration of treatment.
RESULTS
Mean duration of treatment was 25.2 days and mean decrease of wound size was 31.9%. The concentration of CRP after V.A.C.(R) therapy reduced by day 8 below 1.0 mg/dl and gradually decreased to normal level by day 10. All patients showed hastened wound healing by rapid formation of granulation tissue.
CONCLUSION
Negative pressure wound therapy is useful in patients with traumatic soft tissue defects, which reduces treatment duration and cost by rapid wound healing and effective infection control.

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Negative-Pressure Wound Therapy Using Modified Vacuum-Assisted Closure in Patients with Diabetic Foot Ulcers
Bong Jae Kim, Ji Hye Suk, A Ra Jo, Jong Kun Ha, Chan Woo Jung, Seong Oh Park, Hyung Taek Park, Mi Kyung Kim
Journal of Korean Diabetes.2011; 12(2): 122. CrossRef
Acute Management of Soft Tissue Defect in Open Fracture
Ki-Chul Park
Journal of the Korean Fracture Society.2010; 23(1): 155. CrossRef

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Radical Necrotic Bone Resection and Ilizarov Technique for Infected Nonunion of the Tibia: Keun Bae Lee, Byung Soo Kim, Sung Taek Jung, Eun Kyoo Song, Kyung Do Kang; J Korean Fract Soc 2005;18(4):405-409. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.405

Abstract PDF: PURPOSE
To evaluate the clinical results of radical necrotic bone resection and distraction osteogenesis for the treatment of infected nonunion of tibia using the Ilizarov technique.
MATERIALS AND METHODS
32 patients who were followed up at least 1 year after the treatment of infected nonunion of tibia from March 1995 to March 2001 were evaluated. Their mean age was 43 years and mean duration of follow-up was 37 months. The results were divided into bone results and functional results and analyzed by grading to excellent, good, fair, and poor.
RESULTS
The average amount of bone lengthening was 5.3 cm (range, 2~10 cm) and the average healing index was 61.5 days/cm (range, 52.7~70.4 days/cm). Bony union was obtained at average 10.3 months in all cases. The bone result was excellent in 9 cases, good 18, and fair 5. The functional result was excellent in 8 cases, good 16, fair 7, and poor 1 case.
CONCLUSION
Ilizarov technique is an effective method in the treatment of infected nonunion of tibia for early range of motion exercise, weight bearing and correction of limb shortening.

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The Fate of Large Butterfly Fragments in Femoral Shaft Comminuted Fractures Treated withClosed Interlocking Intramedullary Nailing: Keun Bae Lee, Jae Yoon Chung, Eun Sun Moon, Eun Kyoo Song, Kwang Cheul Jeong; J Korean Soc Fract 2002;15(4):504-510. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.504

Abstract PDF: PURPOSE
To evaluate the radiographic changes and union of large butterfly fragments after closed interlocking IM nailing for femoral shaft comminuted fractures.
MATERIALS AND METHODS
The objects of this study were 23 cases(15 males, 8 females) of femoral shaft comminuted fractures with butterfly fragments larger than 5cm and with the follow up period of 12 months or more from June 1995 to June 2000. We assessed the size, the degrees of displacement and angulation of the large butterfly fragments at preoperatively, one day, one month and three month postoperatively and evaluated the union at four month and six month postoperatively.
RESULTS
The size of the fragments was 8.4cm (5.0-13.0) in average. The distance between the fragment and shaft was 15.9cm preoperatively and 10.1, 7.7, 6.8cm at one day, one month and three month postoperatively. In 13 cases of angulation over 5 degrees, it changed from 19.6 degrees preoperatively to 13.9 degrees , 8.4 degrees , 5 . 9 degrees at one day, one month and three month postoperatively. There is no increase in angulation.The union was completed at 4 months in 13 cases (56.5%) and at 6 months in all except one case of delayed union, in which we did not do any further procedure until the union was achieved.
CONCLUSION
In femoral shaft comminuted fractures with displaced large butterfly fragments treated with closed interlocking IM nailing, the distance and angulation of fragments decreased gradually and even the fragments were inverted or largely displaced and angulated the fragments were united. So the caution must be given not to displace the fragments intraoperatively and to keep anatomical position of the fragments by active exercise and hydrostatic pressure of the muscles of thigh postoperatively. Then the open reduction and internal fixations of the fragments will not be necessary.

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Treatment of the Nonunion of Femur Shaft Fractures after Interlocking Intramedullary Nailing: Keun Bae Lee, Eun Sun Moon, Eun Kyoo Song, Jin Choi, Sung Taek Jung; J Korean Soc Fract 2002;15(4):497-503. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.497

Abstract PDF

PURPOSE
We analyzed the results of treatment for the nonunion of femur shaft fractures after interlocking intramedullary(IM) nail fixation. MATERIALS & METHODS: Thirty-three patients who underwent interlocking IM nailing due to femur shaft fractures from May, 1990 to July, 2000 and followed up for more than one year were evaluated retrospectively. Mean age at the time of operation was 40 years(Range, 19-68). 27 cases were men and 6 cases were women. By Weber and Brunner classification of the nonunion, hypervascular type were 10 cases(30%), avascular type 21cases(64%), mixed type 2 cases(6%). Infected type among the avascular type of nonunion were 5 cases(23%). Results were evaluated with bone union by treatment methods and complications.
RESULTS
According to the causes and types of nonunion, we performed IM nail exchange in seven cases, IM nail exchange and bone grafting in eleven cases, external fixation in five cases, compression plating and bone grafting in three cases, and only cancellous bone grafting in seven cases. Radiographical union was achieved in 19 weeks, 17 weeks, 20 weeks, 16 weeks and 15 weeks respectively. There 's no statistically significant difference between treatment methods. There are no cases of nonunion, malunion and infection.
CONCLUSION
The selection of appropriate treatment method by the cause and type of each nonunion is very important to achieve the bony union in the treatment for the nonunion of femur shaft fractures after interlocking intramedullary nailing.

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Results of Exchange Nailing in Hypertrophic Nonunion of Femoral Shaft Fracture Treated with Nailing
Suenghwan Jo, Gwang Chul Lee, Sang Hong Lee, Jun Young Lee, Dong Hwi Kim, Sung Hae Park, Young Min Cho
Journal of the Korean Fracture Society.2019; 32(2): 83. CrossRef

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Use of Cancellous Bone Allograft in the Treatment of Long bone Fractures: Keun Bae Lee, Taek Rim Yoon, Jae Yoon Chung, Sung Taek Jung, Jae Joon Lee; J Korean Soc Fract 2001;14(4):776-782. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.776

Abstract PDF

PURPOSE
The goal of our study was to evaluate the usefulness of frozen cancellous bone allograft in the treatment of long bone fractures that had bone defect and nonunion.
MATERIALS AND METHODS
22 cases of long bone fractures(femur and tibia) with severe comminution or bone defect and nonunion were treated by operation using frozen cancellous bone allograft from March 1998 through May 2000. Thirteen were male and nine were female. The average age was 55 years old (range, 17-76 years) and the mean duration of follow-up was 20.1 months(range, 10-37 months). Eleven cases were femoral fractures, 7 cases of tibial fractures, and 4 cases of nonunion. Allografts were achieved from the patients of femoral neck fracture or osteoarthritis of the hip, and cadaveric donors. The specimens were carefully evaluated based on medical history and laboratory examination about the acute or chronic infection, and bloodtransmitted diseases. The results were evaluated by clinically, such as infection, pain at fracture site, immunological rejection and by radiologically union or resorption of allografts.
RESULTS
Radiologically, bone union was obtained in 14 cases(63.6%) at 6 months after operation, in all except two cases(90.9%) at 9 months after operation. Clinically, pain at fracture site, infection, and immunologic rejection were not observed.
CONCLUSION
In the treatment of severe comminuted fracture or nonunion of long bones, cancellous allograft transplantation after strict donor selection and appropriate screening was a good substitution for autograft avoiding of donor site morbidity or limitation in quantity.

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Influence of Process Conditions on the Quality Characteristics of Beef-Bone Broth
Byung-Su Kim, Gye-Won Kim, Jae-Yong Shim
Food Engineering Progress.2014; 18(1): 15. CrossRef

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Ipsilateral Femoral Neck and Shaft Fracture: Secondary Avascular Necrosis of Femoral Head: Sung Taek Jung, Keun Bae Lee, Taek Lim Yoon, Sang Don Shim, Myung Seon Kim; J Korean Soc Fract 2001;14(4):609-615. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.609

Abstract PDF: PURPOSE
To evaluate the prognostic variables that influence the incidence of complication such as avascular necrosis of femoral head, nonunion of neck after the treatment of ipsilateral femoral neck and shaft fracture by the results and long term follow up. MATERIAL AND METHODS: We studied the 18 cases of 17 patients that could be follow up over 2 years among the patients received the treatment of ipsilateral femoral neck and shaft fracture from 1987 to 1998. The average follow up duration was 54.3 months (24-120) and all patients was men. The average age was 38.2 yrs(20-60). Fifteen cases of femoral neck fracture were treated with multiple pinning and 3 cases with the compression hip screw, 12 cases of femoral shaft fracture were treated with DCP, 5 cases by interlocking IM nailing and 1 case, open fracture, by external fixator. We evaluated the bone union and complication such as avascular necrosis of femoral head and nonunion.
RESULTS
For femoral neck fracture, resection arthroplasty was performed in 1 case and nonunion in 1 case. Bone union was obtained at average 4 months in 16 cases of femoral neck fracture, at 9 months in all cases of shaft fracture. The avascular necrosis of femoral head in 5 cases included 1 case of nonunion was found at minimal 20 months to maximal 59 months follows up.
DISCUSSION
All prognostic variables of the ipsilateral femoral neck and shaft fracture, that is the Garden stage, Pauwels classification, delayed time to operation. had no statistical correlation with complication. Whenever possible the patients should be followed for a minimum 5 years to rule out avascular necrosis of femoral head.

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Usefulness of Interlocking Compression Nail in Treatment of Femoral Shaft Stable Fracture: Keun Bae Lee, Sung Taek Jung, Eun Sun Moon, Eun Kyoo Song, Kwang Cheul Jeong; J Korean Soc Fract 2001;14(4):601-608. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.601

Abstract PDF: PURPOSE
The goal of our study was to evaluate the usefulness and results of the Interlocking Compression Nail in femoral shaft stable fractures.
MATERIALS AND METHODS
The 87 patients, 88 cases, who were underwent internal fixations with interlocking compression nail for the stable fracture of the femoral shaft were evaluated. The majority of the causes of injury was traffic accident and the majority of location of the fractures was middle one thirds. The classification of the fracture using Winquist-Hansen classification showed that grade 0 were 23 cases(26.1%), grade 1, 47 cases(53.4%) and grade 2, 18 cases(20.5%). We used ICnail(Osteo, Switzerland) that can actively compress the fracture gap, maximum 10mm.
RESULTS
We used active compression in 63 cases(71.6%) and the mean length of compression was 2.3mm(range 1-5mm). The bone union was seen in 63 cases(71.6%) at postoperative 4 months and in 87 cases(98.9%) at postoperative 6 months. There was one case of delayed union, but there were no nonunion, infection, leg length discrepancy, and angular or rotational deformity, disturbing the daily activity.
CONCLUSION
The interlocking compression nail can reduce the fracture gap easily and effectively using compression screw by active interfragmentary compression. Thereby promote fracture healing and postoperative stability at the fracture site can be obtained, so early weight bearing is possible. Especially, this is recommendable useful method for femoral shaft stable fracture.

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Surgical Treatment of Subtrochanteric Fracture with Compression Hip Screw: Taek Rim Yoon, Sung Man Rowe, Keun Bae Lee, Jae Il Oh; J Korean Soc Fract 2001;14(1):1-7. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.1

Abstract PDF: PURPOSE
The purpose of this study was to review the clinical results of 23 cases of subtrochanteric fractures which were treated with compression hip screw fixation and evaluation of the advantage of lateral position.
MATERIALS AND METHODS
From December 1993 to October 1999, 23 cases(l4 male, 9 female) of subtrochanteric fractures were treated with open reduction and internal fixation using compression hip screw. The mean age was 51.3 years(range, 18-89 years). All operations were done on the standard surgical table in lateral position, and additional fixation was done by supplementary screw fixation or cerclage wiring in 19 cases.
RESULTS
All patients (100%) went on to union on the average of 15 weeks (range l2-28 weeks). There were no complications, such as nonunion, malunion, or fixation loss. There was one delayed union which revealed radiographical bony union at postoperative 7 months.
CONCLUSION
Fixation with compression hip screw with or without additional fixation was thought to be a recommendable method of treatment for subtrochanteric fracture. The surgical procedure with the patient on lateral position enabled the surgeon to do interfragmentory fixation more safely and effectively with less disturbance of soft tissues attached to the fractured fragment.

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A Comparison of Reamed and Unreamed Interlocking Intramedullary Nailing for Closed Fractures of the Tibia Shaft: Keun Bae Lee, Sung Taek Jung, Dae Chang Joo, Jae Joon Lee; J Korean Soc Fract 2000;13(3):515-521. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.515

Abstract PDF

PURPOSE
To get a reliable clinical data of interlocking IM nailing, the authors compared the results of the reamed interlocking IM nailing(Reamed) with unreamed interlocking IM nailing(Unreamed) in only closed fractures of tibial shaft. MATERIAL AND METHODS: Each Reamed(n=40) and Unreamed group(n=31) was followed by twenty-nine(13-53) months and twenty-one(13-55) months. We analyzed the results and complications of the each group.
RESULTS
The average total duration of the procedures performed without reaming was 13 minutes shorter than that of the procedures done with reaming(p>0.05). Twenty-nine fractures(73%) that were treated with reaming and eighteen(58.1%) that were treated without reaming united at postoperative 4 months. But, thirty-eight(95%) and twenty-nine(93.5%) fractures united at postoperative 6 months respectively. There was only one nonunion, which developed without reaming. Delayed union occurred after two nailing procedures with reaming and after one without reaming. Malunion occurred after one nailing with reaming and after two without reaming. There were two superficial infection, which developed after nailing with reaming.
CONCLUSION
There was no significant differences in the clinical and radiological result between reamed and unreamed nailing for the treatment of closed tibial shaft fracture. But, the bone union rate was significantly higher in reamed group than unreamed group at postoperative 4 months.

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Anterior Knee Pain after Intramedullary Nailing for Tibial Shaft Fractures
Suk-Kyu Choo, Hyoung-Keun Oh, Hyun-Woo Choi, Jae-Gwang Song
Journal of the Korean Fracture Society.2011; 24(1): 28. CrossRef

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Ilizarov Method for Treatment of Tibia Nonunion Associated with Bone Defects: Sung Taek Jung, Keun Bae Lee, Eun Kyoo Song, Sung Nam Jung; J Korean Soc Fract 1999;12(4):932-939. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.932

Abstract PDF: PURPOSE
: This study was to evaluate the results and complications in gap nonunions of the tibia treated by Ilizarov method MATERIALS and METHODS : We reviewed 30 patients of tibial nonunions(23 atrophic, 7 hypertrophic) with bone loss(1-l3cm, mean 4.6cm) who were treated by Ilizarov technique. The causes of bone defect were open fracture with bone loss(15 cases) and infected nonunions(15 cases). Bone defects were closed by Ilizarov bone transport technique.
RESULTS
All patients had satisfactory union. The mean distraction-consolidation index (distraction-consolidation time/ distraction gap) was 1.3 months/cm. The younger patients and metaphyseal lengthening healed faster than the older patients and diaphyseal lengthening. Even though, we met with the numerous complicationt such as pain around the pin site, pin site infection and delayed union, we could successfully treat most of them.
CONCLUSION
: The application of Ilizarov techniques to nonunions of the tibia with bone defect was very effective, but correct technique and careful follow-up examination was required to avoid complications.

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Anatomical Plate Fixation for Distal Femur Fracture: Eun Sun Moon, Keun Bae Lee, Jong Wook Jeong; J Korean Soc Fract 1999;12(2):294-300. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.294

Abstract PDF

The fractures of the distal femur which involve supracondylar or intercondylar region are difficult to manage because occasionally, severe soft tissue damage, comminution, intra-articular extension of fracture and injury to the quadriceps mechanism lead to unsatisfactory results in many case. Recently, early anatomical reduction, rigid internal fixation and early exercise of the knee joint has been recommended. A clinical and radiological analysis was performed on 48 cases with fractures of distal femur who had been treated by anatomical plate and followed for minimum 1 year from April 1990 to July 1997. According to AO classification, 22 cases(45.8%) were type A, 1 case(2.1%) were type B and 25 cases(52.1%) were type C. The functional results by Sanders-Swiontkowski-Rosen-Helfet rating system were showed excellent in 15(31.3%), good in 17(35.4%), fair in 13(27.0%) and poor in 3 cases(6.3%). The overall results were seen to be excellent or to be good in 32 cases(66.7%) and results were worse in type C, old age, open fractures. The most common complication was limited range of motion of the knee under 90 degrees in 10 cases, including nonunion caused by loosening of screw in 1 case, metal failure in 1 case and shortening in 1 case. And other complications were delayed union in 4 cases and angular deformity in 2 cases. In conclusion, ideal indication for anatomical plating may be a metaphyseal fracture of distal femur with or without involvement of articular surface in young adult. Anatomical plate may be alternative one among the fixation devices for distal femur fractures.

Citations

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Surgical Treatment of AO/OTA 33-C Intra-Articular Distal Femoral Fractures through Parapatellar Approach
Suk Kyu Choo, Sung Tan Cho, Hyoung Keun Oh
Journal of the Korean Fracture Society.2022; 35(1): 1. CrossRef
Treatment of Femur Supracondylar Fracture with Locking Compression Plate
Seong Ho Bae, Seung Han Cha, Jeung Tak Suh
Journal of the Korean Fracture Society.2010; 23(3): 282. CrossRef
The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach
Sung-Sik Ha, Jae-Chun Sim, Ki-Do Hong, Jae-Young Kim, Kwang-Hee Park, Yoon-Ho Choi
Journal of the Korean Fracture Society.2009; 22(4): 246. CrossRef

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Ilizarov External Fixation for the Complications of Supracondylar Fracture of Femur: Report of two cases: Eun Kyo Song, Go Hun Chung, Keun Bae Lee; J Korean Soc Fract 1995;8(3):528-532. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.528

Abstract PDF: Two patients of nonunion of supracondylar fracture of femur with bone loss and angular deformity were treated by the Ilizarov external fixator. Large bone defect was closed by bone transport technique and angular deformity was corrected by means of hinges on the Ilizarov apparatus. The final results were satisfactory in two cases.

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