Journal of Musculoskeletal Trauma

Original Articles

A Clinical Study about Postoperative Wound Complications In Liver Cirrhotic Patients: Seung Woo Suh, Seok Hyun Lee, Jun Kyu Moon, Young Jin Roh, Chang Woo Seok; J Korean Soc Fract 2003;16(4):577-584. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.577

Abstract PDF: PURPOSE
This study undertaken to evaluate the postoperative wound complications between Child class A liver cirrosis patients and Child class B liver cirrhosis patients.
MATERIALS AND METHODS
In a retrospective study from 1998 to 2003, fifteen patients who underwent surgical intervention for fractures were evaluated the period of wound healing, hopital day, infection, wound complications (swelling, hematoma formation, wound discharge).
RESULTS
The cases of wound complication are 6/15 (40%), in which Child class A LC patients are two (14%), and Child class B LC patients are four (50%). The cases of wound Infection are 2/15 (13%), in which Child class A LC patient is one (14%), and Child class B LC patient is one (12.5%). The average of hospital day is 28 days.
CONCLUSION
The clinical results of postoperative complications is associated with Child classification, but the ralationship between postoperative wound infection and Child classification is not observed. We thought that careful wound management needs in liver cirrhosis patients.

Causative Factor for Cubitus Varus Deformity in Severely Displaced Supracondylar Fractures of the Humerus in Children : s Rotational Deformity of Distal Fragment Needed to be Acurately Reduced?: Seung Woo Suh, Jeong Ho Park, Jong Gun Oh, Seung Ju Chun, Jeong Ro Yoon, Seok Hyun Lee; J Korean Soc Fract 1997;10(3):712-717. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.712

Abstract PDF: We reviewed retrospectively 53 cases of supracondylar fracture of humerus in children which were severely displaced(Gartland type III). All patients were treated with closed reduction and percutaneous pinning. Purpose of this study is to evaluate the residual effect of incompletely reduced fragment, especially of rotation of distal fragment(represented by fish-tail sign) on clinical relults. The quality of reduction was determined by carrying angle, varus tilting, existence of fish-tail sign and medial displacement. Of the 53 elbows, fish tail signs only presented in twelve cases(50.0%), medial tilting combined with fish tail in five(20.8%) and medial displacements in seven cases(29.2%). Final results by Flynn et al. were as follows; Excellent was in 40 cases(15.9%), Good in 6(11.3%), Fair in 1(1.8%), poor in 6(11.3%). Six cases of poor outcomes resulted from cubitus varus deformed elbow, of which cubitus varus deformity developed in 5 cases of medial tilted distal fragment, one developed in medially displaced fragment, and cases presented with fish tail sign(rotation of distal fragment) had no contribution to cubitus varus deformity yielding acceptable clinical results. In conclusion, even though the quantification of fish tail sign is needed, fish tail sign only presenting on fluorscopy might be acceptable in operative room.

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