Journal of Musculoskeletal Trauma

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.

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.

Clinical analysis of supracondylar fracture of the humerus in children: Ki Soo Kim, Seung Hee Ko, Kwang Jun Kim, Hyeong Seong Kim, Sei In Oh, Jong Jun Park; J Korean Soc Fract 1993;6(2):331-337. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.331

A clinical study of the patellar fracture: Ki Soo Kim, Seung Hee Ko, Kwang Joon Kim, Hyung Sung Kim, In Gui Back, Dong Myung Lee; J Korean Soc Fract 1993;6(2):255-261. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.255

Treatment of Intertrochanterie fracture of the Femur with Ender Nails in the Elderly Patients: Seong Taek Kim, Ki Soo Kim, Yeub Kim, Seung Hee Koh, Yong Soo Choi, Sang Tae Park; J Korean Soc Fract 1992;5(2):300-308. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.300

Abstract PDF: The incidence of intertrochanteric fracture of the femur in the elderly patient has been increased progresslvely due to the prolongation of Korean average life span and improvement of the medical survice. The mortality. however, in these elderly patients is relatively high. Rigid internal fixation of intertrochanteric fracture with early mobilization of the patient has in recent years reduced the mortality and morbidity. From September 1984 to August 1991, the authors had treated with Ender nails for 126 cases of intertrochanteric fracture. From 109 cases followed more than six months, the clincal results were as follows. 1. The average age was 74.8 years. 2. 73 cases (67%) were unstable fractures and 36 cases (33%) were stable fractures by Evans classification. The most common type was type 3 (35.8%) by the Tronzo classification, A2 type(55.1%) by the AO classification. 3. The main indication were stable fracture, unstable fracture over 70 years old, high anesthe tic resk, severe osteoporosis and wound at greater trochanter. 4. Intraoperatlve complications were experienced in 37 cases(33.9%). The improper entry hole site was most common. 5. Postoperative complications occured in 57 cases(52.3%) and more frequently in unstable fractures(57.5%). The most common complication was knee joint pain in 45 cases (41.3%) 6. Recently, patients who had Ender nails with Knowles pins showed good results in the presence of severe osteoporosis or unstable fracture.

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