Journal of Musculoskeletal Trauma

The Surgical Treatment of displaced Acetabular Fracture: Sang Hong Lee, Kyung Ho Kim, Pyong Ju; J Korean Soc Fract 2000;13(3):454-462. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.454

Abstract PDF: PURPOSE
To analysis clinical and radiological results of operative treatment of displaced acetabular fractures and establish the guideline for the operative treatment of displaced acetabular fracture with the analysis of the clinical and radiological results.
MATERIALS AND METHODS
A clinical analysis was performed on 36 patients with displaced acetabular fractures who had been operated on and followed for minimum 1 year period from January 1993 to December 1998. Clinical outcome was analyzed clinically by Harris hip scoring system and radiologically by Matta's roentgenographic grading system.
RESULTS
According to Letournel's classification, we had 25 elementary fractures(69%) and 12 associated fracture(31%). Among the elementary fractures, the posterior wall fracture was the most common type(17 cases, 47%) and both column fracture was the most common type among associated fractures(5 cases, 11%). Surgical approaches were 22 Kocher-Langenbeck, 8 extended iliofemoral, 3 triradiate transtrochanteric, 3 ilioinguinal. The mean duration of follow up after the operation was 2.2 years (range, 1 to 7 years). Among thirty six patients who had followed up more than one year, the satisfactory results were achieved in 27 cases (75%) on clinical grade and 26 cases (72%) on radiographic grade. The complications were developed in 20 cases out of 36 cases including posttraumatic arthritis 7 cases, heterotopic ossification 4 cases.
CONCLUSION
In the majority of the displaced acetabular fractures, accurate open reduction and internal fixation was recommended. It seems that the satisfactory operative reduction of the fracture is the factor that correlates with a satisfactory clinical result according to our study. Therefore in the surgical treatment of the acetabuluar fractures, it is essential to achieve an anatomical reduction and firm fixation by fully understanding the pathologic anatomy and by choosing an appropriate approach and fixation device.

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Analysis of result of operative treatment for distal radius fracture: Jae Yul Choi, Kyung Chul Kim, Kyung Ho Kim; J Korean Soc Fract 2000;13(2):338-342. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.338

PURPOSE
: This study was performed to compare and analyze the result of operative treatment of each type of distal radius fracture.
MATERIALS AND METHODS
: From June 1995 to December 1998, operative treatment for 78 cases of distal radius fracture were performed. According to Fernandez classification of distal radius fracture, there were 31 Type III fractures, 28 Type I fractures. Mean follow up period was 23months and result was assessed according to scoring system of Sarmiento et al.
RESULT
: Excellent to good result were obtained 71.4% in Type I, 100% in Type II, 77.4% in Type III, 100% in Type IV, 50% in Type V.
CONCLUSION
: We obtained good result for Type I, II, III, IV with several operative method but complex method for Type V was not satisfactory.

Citations

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Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate
Jae-Cheon Sim, Sung-Sik Ha, Ki-Do Hong, Tae-Ho Kim, Min-Chul Sung
Journal of the Korean Fracture Society.2015; 28(1): 46. CrossRef
Comparison of Operative Management in Distal Radius Fractures Using 3.5 mm Versus 2.4 mm Volar Locking Compression Plates
Sung-Sik Ha, Tae-Ho Kim, Ki-Do Hong, Jae-Chun Sim, Jong Hyun Kim
Journal of the Korean Fracture Society.2011; 24(2): 156. CrossRef

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Treatment of Comminuted Supracondylar and Intercondylar Femoral Fractures with AO Dynamic Condylar Screw: Kyung Chul Kim, Jae Yeul Choi, Hwa jae Jeong, Bon Seep Koo, Kyung Ho Kim; J Korean Soc Fract 1999;12(2):253-258. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.253

Abstract PDF: Between 1990 and 1995, 22 comminuted supracondylar and intercondylar femoral fractures in 22 patients were treated with the AO dynamic condylar screw(DCS). Minimum twelve months of clinical and radiographic follow-up evaluation were available on all patients. All cases achieved clinical and radiographic bony union. Functional results were graded using a Schatzker and Lambert's criteria. Results were seen to be excellent to good to fair in 100% of A2 cases, 86% of C2 cases, 75% of A3 cases and 67% of C3 cases. The more comminuted fractures were found to have worse clinical results and more radiographic malunion. The ability to obtain good fixation in osteoporotic bone is distinct advantage of the DCS. The results of DCS fixation compare favorably with previous studies using other fixation devices in comminuted supracondylar and intercondylar femoral fractures

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Surgical Treatment of the Clavicular Nonunion: Chang Hyuk Choi, Kyung Ho Kim; J Korean Soc Fract 1997;10(3):501-508. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.501

Abstract PDF: Ten patients who had a clavicular nonunion were treated operatively at the Catholic University of Taegu Hyosung, with semitubular plate and small LC-DCP from 1987 to 1996. The most common mechanism of the initial fracture was direct injury in eight cases and the most prevalent location of the nonunion was in the middle third in eight cases also. The purpose of this study is to evaluate the functional and radiological results of the treatment of the clavicular nonunion with the technique of semitubular plate and small LC-DCP and to verify the anatomical configuration and mechanism of the clavicular fracture. The results were as follows: 1. According to the comprehensive classification system, initial fracture type consisted of 8 cases of III-B, and 1 case in II-B and I-B alternatively. 2. Initial treatment was conservative in 8 cases, operative in 2 cases and the treatment of the nonunion was an operative technique with semitubular plate and LC-DCP in 5 cases alternatively. 3. Iliac bone graft was done in all cases and radiological union was achieved by 7.5 weeks with STP group, by 8 weeks with LC-DCP group. 4. The functional result by Weitzman classification was excellent in 4 cases, fair in 1 case with STP group and excellent in 3 cases, good in 1, and fair in 1 case with LC-DCP group. 5. LC-DCP was considered as a recommendable device because it could afford sufficient strength and reduce local osteoporosis of the bone.

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The Fractures of the Femoral Neck in Children: Ki Soo Kim, Seung Hee Ko, Chang Mun Seo, Yong Su Choi, Kyung Ho Kim, Dong Myung Lee; J Korean Soc Fract 1994;7(2):562-570. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.562

Abstract PDF: The femoral neck fracture in childhood is rare and occurred by severe trauma. Its treatment method and prognosis are different from adult, and(it was) difficult to treat due to frequent complication. So the femoral neck fractures in children are called as unsolved fracture. Eleven cases of childrens femoral neck fracture were treated by closed reduction and internal fixation using cancellous screws or Knowles pins at Kwang lu Christian Hospital from January 1986 to January 1992, and were analysed clinically and radiologically. According to classification of Delbet and Colona, the transcervical fracture were 6 cases and the cervicotrochanteric fracture f cases. 10 of the eleven cases were displaced fractures. Avascular necrosis was evident in 6 cases(54.5%) and all of them were displaced fracture initially. 2 cases of avascular necrosis were treated with Intertrochanteric varus osteotomy with angle blade plate.

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Department of Orthopedic Surgery, Kwang Ju Christian Hospital: Ki Soo Kim, Seung Hee Ko, Chang Moon Suh, Yong Soo Choi, Kyung Ho Kim, Dong Myung Lee, Yang Min Jung; J Korean Soc Fract 1994;7(2):553-561. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.553

Abstract PDF: The tibia, which is covered by subcutaneous tissue anteromdially, frequently sustain open comminuted fracture by trauma. The open fractures have higher risks of infection, nonunion, delayed union and joint stiffness. The authors reviewed 54 cases of open tibial fracture, treated at Kwang Ju Christian Hospital from January 1989 to December 1992. The results were as follows : 1. The most common cause of injury was traffic accident(41 case) and the average age of the patients was 32 years. 2. The radiographic union was obtained at 16.1 weeks in type I open fracture, 18.3 weeks in type III, 20.1 weeks in type IIIa,28.0 weeks in type IIIb, and 34.7 weeks in type IIIc open fracture. 3. The secondary operation was required frequently to obtain bone union in open type II, III fracture.

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