Journal of Musculoskeletal Trauma

Comparison of degrees of Depression Between Simple X-ray and MRI in Tibial Plateau Fracture: S W Suh, H C Lim, C Y Huh, W N Moon, D Park, M P Hong; J Korean Soc Fract 2002;15(2):146-151. Published online April 30, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.2.146

PURPOSE
The purpose is to analyze the efficacy of the MR images in the diagnosis and the treatment of the tibial plateau fracture, by comparing the amount of depression in the plain radiograph and in the MR images.
MATERIALS AND METHODS
Both the MRI and the plain radiograph were performed in 14 patients from 1997 to March 2001. The Schatzker-fracture type and the amount of joint depression were measured and compared in the plain radiograph and the MR images.
RESULT
In the Schatzker's classification, both type I and II were largest in number. The average amount of joint depression was measured as 1.8 mm by plain radiograph and 5.5 mm by MRI, so the difference was measured as 3.7 mm.
CONCLUSION
In some cases the joint depressions were more than 3 mm by measuring in the MRI, even though the amount of joint depressions were much less by measuring in the plain radiograph. After measuring with MRI, the indication of the surgery may be expanded. In conclusion, as MRI in the tibial palteau fractures can give precise information of the amount and the position, it may help the prediction of the surgical indication and prognosis.

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Investigation Records of Each Tools Including ‘Nine Classical Acupuncture’ in Korean Classical Historical Books and Medical Books: A Study Based on an Electronic Database in Korea
Hongmin Chu, Jaehoon Choi, Hyocheong Chae, Joohyun Lee, Myungseok Ryu
Journal of Korean Medical Society of Acupotomology.2022; 6(1): 8. CrossRef

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A Comparision of Treatment of Broad DCP and Narrow DCP Fixation of the Humerus Shaft Fractures: S W Suh, I J Chae, W N Moon, J H Park, J S Hong, I C Choi; J Korean Soc Fract 2002;15(1):52-58. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.52

Abstract PDF

We compared the clinical and radiologic outcomes between broad DCP and narrow DCP for humeral shaft fractures requiring operative intervention. Authors analyzed 21 cases of the humeral shaft fracture in adults treated between May 1993 to August 1998. 12 patients were treated with broad DCP fixation, and 9 another patients were treated with narrow DCP fixation. Average follow-up time was two year and seven months( at least 2years). There was no difference in terms of average time to nuion in both groups(p>0.05). In the broad DCP group, clinical union was accomplished at 8.5weeks and the mean radiological union at 14.6weeks, while in narrow DCP group, the clinical union at 8.7weeks and the radiological union at 15.3weeks. In our study, narrow DCP fixation is preferred for the humeral shaft fracture requiring internal fixation, without wide soft tissue dissection.

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New mini-invasive posterior approach for humerus plating
Mohamed Ali
European Orthopaedics and Traumatology.2015; 6(3): 189. CrossRef

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Bone Union Rates in Open Phalangeal Fracture of Hand: S W Suh, S H Lee, J G Oh, D Park, K S Kim, C J Kim; J Korean Soc Fract 1996;9(3):782-787. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.782

Abstract PDF: This review was undertaken to analyze the rate of bone union according to accuracy of reduction, methods of fixation, timimg of wound closure and to determine if immediate wound closure increases the infection rate. The materials used in this study included 49 cases of open digital fractures of hand which had been treated at Ansan Hospital, Korea University, College of Medicine from January, 1988 to May, 1995. Of the 38 patients, male were 34(89.5%) and female were 4(10.5%). The average age at operation was 31.9(ranging from 18 to 56 years). On terms of sites of injury within digits, proximal phalanx injured in 18 cases, mid-phalanx16 cases, distal phalanx 20 cases. As a fixatives, K-wire was used in 36 cases(73.5%), mini-plate 8 cases(16.3%), splint immobilization in 5 cases(10.2%). Average time to bone union for K-wire fixation was 12.8 weeks, miniplate was 13.6 weeks, splint immobilization 13.2 weeks. On terms of accuracy of reduction, width of gap between fragments were measured, cases with width of gap less than 2mm were 28 cases(57.6%), cases more than 2mm were 21 cases(42.4%). Bone union periods according to the accuracy of reduction are as follows: cases with width of gap less than 2mm was 11.4 weeks, more than 2mm-15.7 weeks, apposition more than 2/3-12.6 weeks, less than 2/3-16 weeks. Degree of soft tissue injuries was classified based on modified Gustillo-Andersons classification. One case belonged to type I injury, 15 cases to type II and 33 cases to type III. Bone union periods for type I, II was 12.9 weeks in average, and 13.8 weeks for type III.

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