Journal of Musculoskeletal Trauma

Cubitus Varus Resulted from Fracture-Separation of the Distal Humeral Epiphysis: Sung Soo Kim, Sang Hwan Park, Kyoung Sik Hwang; J Korean Soc Fract 2001;14(4):769-775. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.769

Abstract PDF: PURPOSE
We tried to find the cause of cubitus varus after treatment of fracture separation of the distal humeral epiphysis.
MATERIALS AND METHODS
We reviewed 13 cases of fracture-separation of the distal humeral epiphysis. Five cases were treated by open reduction and K-wire fixation, 8 cases were treated by closed reduction and K-wire fixation. Six cases of cubitus varus were evaluated.
RESULTS
With the average 27 months(14-96 months) of follow-up, six of 13 cases showed cubitus varus postoperatively and mean carrying angle was -6.7 degrees(range -3~-15 degrees). None of these cases showed the progression of deformity after then. Among the six cases, five cases were treated with closed reduction, and one case with open reduction. Average age of the cubitus varus cases was 31 months (14-60 months). Among the six cases, four cases were Salter-Hams type I and two cases were type II.
CONCLUSION
Incomplete reduction seems to be the cause of cubitus varus in fracture-separation of the distal humeral epiphysis, so the anatomical reduction is important to prevent the cubitus varus.

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Treatment of Ipsilateral Femur and Tibia Fractures: Sung Keun Sohn, Kyung Taek Kim, Byeong Hwan Kim, Bum Ho Jung, Kyung Sik Hwang; J Korean Soc Fract 2000;13(4):837-846. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.837

PURPOSE
Searching for the most excellent outcome of ipsilateral fractures of femur and tibia according to the treatment methods and the combined injuries which occasionally neglected.
MATERIALS AND METHODS
We reviewed thirty cases of ipsilateral fractures of the femur and tibia, treated at the orthopaedic department of the Dong-A university hospital between February 1991 and May 1999. Children under 10 years old, treated by conservative methods were excluded in this study. Average follow-up period was 23.2 months(range, 5 to 44 months) and mean age was 34.7 years old(range, 16 to 58 years).
RESULTS
According to the measurement of the Karlstrom and Olerud, range of motion of the ipsilateral knee joint and bony union time, intramedullary nailing was the treatment of choice for both femur and tibia fracures except limited by open wound and fracture level and types(14 cases, 47%). The ipsilateral knee ligaments injury was the most common combined injury which neglected at initial trauma(8 cases, 27%).
CONCLUSION
By intramedullary nailing, the patients with ipsilateral fractures of femur and tibia could achieve early weight bearing ambulation and ipsilateral knee joint excercise, and showed the most excellent outcome. After fixation of both femur and tibia fractures, by physical examination and arthroscopic examination of ipsilateral knee joint we could detect and treat the ipsilateral knee ligaments injuries, which occasionally neglected.

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Ipsilateral Femoral Segmental and Tibial Fractures: A Case Report
Oog Jin Sohn, Chul Hyun Park, Sang Keun Bae
Journal of the Korean Fracture Society.2009; 22(3): 193. CrossRef

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Ankle Fracture with Syndesmosis Separation : Radiographic Landmark and Results of Trans-Syndesmotic Screw Fixation: Chong Kwan Kim, Byung Woo Ahn, Sang Guk Lee, Young Hwan Kim, Chae Ik Chung, Sik Hwang; J Korean Soc Fract 1999;12(4):948-955. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.948

Abstract PDF: In the treatment of ankle f1racture, anatomical reduction and restoration of ankle mortise is very important. But tranf-syndesmotic screw fixation for syndesmosis seperation is dependent on the condition in operation field. The purpose of this study is to analyse the radiographic and clinical relults. to evaluate the need for trans-syndesmotic screw fixaition, and to know the effectiveness of radiogrphic landmarks for diagnofis of the syndesmosis separation, retrospectively. The patients were divided into two groups. The Croup I(25cases) were treated with trant-syndetmotic screw and group II(42 cases) were treated without trans-syndesmotic screw fixation . The clinical results were excellent in 13, good 9 in group I and excellent in 19, good in 17 in group II. The radiographic results were excellent in 6, good in 8 in group I and excellent in 23, good 14 in group II. In the radiographic findings, the false negative result of tibiofibular overlap was 15.6%(M: 20.8%, F: 10.4%), tibiofibular clear space was 16.8%(M: 21.6%, F: 11.9%) and ratio of tibiofibular overlap to fibular width was 14.2%(M: 14.9%, F: 13.6%). There was no siginificant statsitical difference in the ratio of tibiofibular overlap to fibular width between male and female. We consider that the ratio of tibiofibular overlap to tibiofibular width are more reliable diagnostic criteria for syndemosis separation than the tibiofibular overlap and tibiofibular clear space. Trans-syndesmotic tcrew fixation is not alswaya required to maintain the integrity of the tibiofibular syndesmosis if the diastasis was satisfactorily reduced with rigid fixation.

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