Journal of Musculoskeletal Trauma

The Clinical Results in Compression Plate Fixation with Autogenous Cancellous Bone Graft for Humerus Diaphyseal Nonunion: Kwang Hyun Lee, Seong pil Lee, Hyung Jong Kim, Bong Geun Lee, Joo Hak Kim; J Korean Fract Soc 2004;17(2):90-94. Published online April 30, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.2.90

Abstract PDF: PURPOSE
A The purpose of this retrospective study was to evaluate the results of compression plating and autogenous iliac bone graft in the management of humeral diaphyseal nonunion.
MATERIALS AND METHODS
Twenty patients who underwent the surgical treatments between May. 1998 and May. 2002 were included in this study. Nine of them are males and the others are females. The average age of them, when they was on operation, was 45 years. The symptoms lasted 23 months on average. They have been followed up for 33 months at an average. Treatment of nonunion consisted of resecting the atrophic nonunion, shortening the bone, apposing bleeding diaphyseal surface. Rigid fixation was then achieved using a compression plate and autogenous bone graft.
RESULTS
Solid bony union was achieved in all patients. In one patient, the bone was not healed at the first operation of plating and autogenous bone graft, but achieved union after the use of intramedullary nailing. In another patient, because of infected nonunion, we achieved union after several surgical debridement and stabilization by internal fixation.
CONCLUSION
This study documents that compression plate fixation with autogenous cancellous bone graft is a viable option with predictable and satisfactory results for humerus diaphyseal nonunion.

Clinical Outcome of Surgical Treatment of Distal Humerus Intercondylar Fractures Through the Transolecranon Approach Combined with Anterior Transposition of the Ulnar Nerve: Kwang Hyun Lee, Seong Pil Lee, Kyu Tae Hwang, Joo Hak Kim; J Korean Fract Soc 2004;17(2):70-75. Published online April 30, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.2.70

Abstract PDF: PURPOSE
To analyze the clinical outcomes of surgical treatment of distal humerus intercondylar fractures through the transolecranon approach combined with anterior transposition of the ulnar nerve.
MATERIALS AND METHODS
Eight patients who had distal humerus intercondylar fractures were included in this study and underwent operative treatment through the transolecranon approach for sufficient operative field with anterior transposition of the ulnar nerve and fixed with reconstruction plate.
RESULTS
The results were evaluated using Riseborough and Radin rating criteria. Seven cases of eight cases were achieved good results with flexion contracture less than 30 degrees and forward flexion more than 115 degrees. However, one case was acheived poor result with 40 degrees of flexion contractue and 70 degrees of forward flexion. There were no the compressive ulnar neuropathy.
CONCLUSION
We found the transolecranon approach and anterior transposition of the ulnar nerve a viable option for surgical treatment of the distal humerus intercondylar fractures

The Problems on Removal of the tibial intramedullary nails: Tai Seung Kim, Seong Pil Lee, Khun Sung Whang; J Korean Soc Fract 1999;12(2):301-306. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.301

Abstract PDF: Closed intramedullary nailing with interlocking screws has been a widely accepted method for the fixation of fractures of the long bones. As a rule, the nail can be removed during the second year. Before the operation, solid healing of the fracture must be demonstrated by x-rays in two planes. When solid bone healing of the fracture has occurred, a connective tissue interface forms around the foreign body. This connective tissue can ossify later and make it difficult to remove the nail after it has been in place for a number of years. Theoretically, removal of the nail should be an uncomplicated procedure. Occasionally, one runs into problems, however, and every surgeon who has had enough experience with intramedullary nailing can remember cases in which removal of the nail was more difficult than its insertion. So, we tried to review our cases for problems on removal of the tibial nails and to discuss its etiologies.

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