Journal of Musculoskeletal Trauma

Comparative analysis of the surgical treatment in the fracture offemoral neck: Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Jin Rok Oh; J Korean Soc Fract 1991;4(2):215-226. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.215

Abstract PDF: No abstract available.

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Treatment of Extra-articular Proximal Tibial Fracture: Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Sang Kyum Lee; J Korean Soc Fract 1990;3(2):223-231. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.223

Abstract PDF: The management of extra-articular proximal tibial fracture remains controversy. Many reporters recognized that the proximal tibial facture are best treated by closed reduction and long leg cast, however delayed union with this method have frequently been documented in spite of anatomical characteristics of proximal tibia. Thirty patients of the fracture of extra-articular Froximal tibia were treated and managed at the Department of Orthopaedic Surgery, Ewha University Hospital from January, 1583 to December 1989. The following results were obtained: 1. According to Gerard classification, anterior long oblique & posterior long oblique fracture were 18 cases(60%) and 8 cases(27%) respectively. Delayed union developed in 9 cases(50%) of 18 cases anterior long oblique fracture and 2 cases(25%) of 8 cases posterior long oblique fracture. 2. All cases of deleyed union of tibia developed through or below the tuberosity. 3. Among 30 cases, the fractures were managed with closed method at 23 cases, open method at 7 cases, internal fixation at 12 cases without delayed union and external fixator at 10 cases. The all cases using external fixator resulted in delayed union. 4. Among 30 cases, 16 cases(53%) were open fracture, and the most common type was type IIIb. Delayed union developed in 8 cases(50%) of 9 cases(56%) type IIIb. 5. The 24 cases (80%) of fibular fracture were concurred with proximal tibial fracture, and delayed union developed in 10 cases (42% ) of 24 cases fibular fracture and one case of 6. cases without fibular fracture. In conclusion, many delayed unions were frequent. In our experience, in case of GradeIII open comminuted fractures, we used external fixation methods mostly, so delayed unions were developed. But after management of soft tissue injury, healing time were short with bone graft as soon as possible, We consider that in cases in which internal fixation was possible according to soft tissue injury, delated unions are prevented by internal fixation using plate and screws or retrograde flexible nails.

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Operative Treatment on Fracture of Distal Third of Femoral Shaft: Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Kang Deuk Koh; J Korean Soc Fract 1990;3(1):53-61. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.53

Abstract PDF: The fracture of distal third of femoral shaft difficult to choose method of treatment and timing of wt. bearing because of increrment of communited fracture, anatomic characteristics and complication such as metal faulure, shortening and angulation. After analysis of 52 cases of fracture of distal third femoral shaft treated operatively in the Department of Orthopaedic Surgery, Ewha Womans University Hospital during 5.5yrs from. Jan. 1984 to June 1989 except pathologic fracture, the following results were obtained. 1. By Reis and Hirschberg classification, type I, II and III fracture wore seen in 16 patients (31%), 12 patients(23%) and 24 patients(46%) respectively. 2. The rate of complication was 29%(15 cases) with 46%(7 cases) of the complication related to the nature of the implant. 3. Among the 7 cases of metal faulure, four cases was caused by early wt. bearing and uncarefulness of patients in type III fracture.

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Acase of Fatigue Fracture of the Interlocking nail in the Treatment of Fracture of the Femoral Shaft: Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Roh; J Korean Soc Fract 1988;1(1):71-75. Published online November 30, 1988; DOI: https://doi.org/10.12671/jksf.1988.1.1.71

Abstract PDF: Closed intramedullary nailing with or without interlocking screws has been a widely accepted method for the fixation of fracture of the femora shaft. Certain complex fractures in which now are commonly treated by dynamic or static locking of the nail by using screws. Interlocking nail introduces the potential for high concentration of stress at both its proximal and its distal end. This paper describes a patient who had at fatigue fracture of the distal part of interlocking nail in the treament of fracture of the femoral shaft.

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