Journal of Musculoskeletal Trauma

Operative Treatment of Fracture of the Body of the Scapula: Moon Gu Choi, Hyoung Min Kim, Youn Soo Kim, Kee Haeng Lee, Chang Hoon Chung, Kwang Yeol Lee; J Korean Soc Fract 1999;12(3):698-703. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.698

Abstract PDF: PURPOSE
Although fracture of the body of the scapula have been treated successfully by conservative treatment but residual deformity was high and related to the residual symptom. Authors had done open reduction and internal fixation with wiring in the case of severe displacement of the fracture fragment of the body of scapula and analyzed that results. MATERIAL AND METHODS: Authors treated 18 cases of fracture of the body of the scapula in 17 patients from October, 1985 to June, 1996. Conservatively treated group was 12 cases which has less than 2cm displacement and operatively treated group was 6 cases which has more than 2cm displacement of the fracture fragment. Internal fixation was done with wiring. All cases was followed up average 1 year 9 months(from 13 months to 8 year 8 months) and evaluated by McGinnis assessment system.
RESULTS
All cases united within ten weeks. Five cases in the operatively treated six cases got anatomic reduction and stable fixation with wiring and had no operation related complication. Operatively treated group has average 2.83 associated injury and conservatively treated group has average 1.87 Neurovascular complication compromised the results.
CONCLUSION
Operative treatment of the fracture of the scapular body can reduce the residual deformity and residual symptom in the severely displaced case and facilitate early rehabilitation.

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Operative Treatment of the Condylnr Fractures of the Femur: Moon Gu Choi, Youn Soo Kim, Kee Haeng Lee, Chang Hoon Chung, Hyoung Min Kim, Joong Hyuk Kwon; J Korean Soc Fract 1999;12(3):523-528. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.523

Abstract PDF: PURPOSE
To evaluate the results of the the condylar fracture of the femur treated by open reduction and cancellous screw fixation. METERIALS AND METHODS: From April, 1994 to October, 1998, 9 cases of the condylar fracture of the femur were open reduced and internally fixed with cancellous screw. According to AO classification, B2 type, B3 type and C2 type were all three cases each. All intraarticular fragment of the 9 cases were fixed with cancellous screws fixation after open reduction. Additionally 2 cases were fixed with dynamic condylar screw and 1 case was fixed with supracondylar nail. Authors followed up from shortest one year one month to longist three year four month(average 2 years) and evaluated them by using the method of Schatzker and Lamberts.
RESULTS
Seven of 9 cases had reduced anatomically, and remained 2 case which were delayed to operation cannot reduced anatomically. In all case stable fixation of the intraarticular fragment was obtained by cancellous screw fixation without perioperative complication. Schatzker and Lamberts assesment shows excellent in four, good in one, fair in three and failure in one case. CONCLUSTION: In case of the condylar fracture of the femur, early and relatively simple screw fixation can obtain anotomical reduction and prevent complication caused by incongruent joint surface.

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Meniscal Incision to Approach for Lateral Tibial Plateau Fractures: Moon Gu Choi, Kee Haeng Lee, Chang Hoon Chung, Hyoung Min Kim, Hyun Jun Song; J Korean Soc Fract 1997;10(1):53-58. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.53

Abstract PDF: Exposure to the posterolateral comer of the tibial condyle was difficult due to narrow joint space and meniscus. From 1995. 1. to 1996. 4., the authors operatively reduced and internally fixed 9 cases of lateral tibial plateau fractures using lateral meniscal incision with minimal detatchment and retraction to improve visualization posterior aspect of articular cartilage Eight of the 9 cases were studied with three dimentional computerised tomogram and 1 case with roentgenographic tomogram to evaluate the shape, site and degree of comminution of the fracture fragments. ROM exercise was started at 4 weeks postopratively, manipulation under anesthesia were done in 3 cases at 12 weeks postoperatively. The follow up period was 13 months(from 8M to 1yr 11M). The results were obtained as follows, 1. Seven cases were split depression type, one was pure depression type and one was bicondylar type. 2. Articular depression were posterolateral aspect in 8 cases, and lateral aspect in one case. The degree of depression was average 15mm(range from 6mm to 22mm). 3. Six of the 9 cases had peripheral tear of the lateral meniscus. 4. Second look arthroscopy shows that the incision site of the meniscus were thinned but completely healed in 3 cases. 5. The ROM of the knee joint were 0 - over 135 in seven cases, 0 - 90 in one case, 30 - 60 in one case. This meniscal incision approach was one of the effective methods that provides exposure of the entire articula surface of the lateral tibial condyle easily to allow accureate eduction.

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Causes and Treament of Nonunion of the Femur Shaft: Moon Gu Choi, Hyoung Min Kim, Youn Soo Kim, Kee Haeng Lee, Hong Hua Song, Young Joo Park; J Korean Soc Fract 1996;9(1):81-87. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.81

Abstract PDF: The causes of nonunion of the femur shaft could be divided as fracture itself and iatrogenic. And also the methods of treatment are controversial. From Dec. 1988 to Jan. 1995. We analyzed 21 cases of nonunion of the femur shaft. The period of follow up was from 1 year to 4 year 7 month (average time 2 years). The causes of the nonunion were fracture itself in 1 case, inadequate fixation in 17 cases, and early weight bearing in 3 cases. Seventeen of 21 were plate fixation cases and 4 or 21 were intramedullary-nailing cases. Metallic failures were seen in 15 cases. Cancellous bone graft was done in all cases. Cancellous bone graft only without other additional fixation were done in two cases, plate fixation were done in 8 cases, and intramedullary nailing were done in 11 cases. Additional narrow plate fixations were done in 9 cases, which 3 cases were done with plate fixation and 6 cases were done with intramedullary nailing. Partial weight bearing were done 2.5 months in which case cancellous bone graft only, plate fixation and intramedullary nailing cases, were done 2 months in the case of narrow additional plate with intramedullary nailing. Authors concluded that stable internal fixation was very important and additional narrow plate fixation was good alternative method in the treatment of nonunion of the femur shaft.

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