Journal of Musculoskeletal Trauma

Delayed Rupture of the Extensor Pollicis Longus due to Fracture of the distal radius: A Case Report: Soo Jae Yim, Yeon Cheol Jeong, Seung Ryeol Yoon, Joong Geun Choi, You Sung Suh, Soo Kyun Rah; J Korean Soc Fract 1999;12(1):162-165. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.162

After distal radius fracture, delayed rupture of extensor pollicis longus is rare. It is known that delayed rupture of extensor pollicis longus tendon result from undisplaced distal radius fracture. We have experienced a case of rupture of the extensor pollicis longus tendon after undisplaced distal radius fracture, and treated with palmaris longus tendon graft. the result were satisfactory without complications.

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Extensor Pollicis Longus Rupture after Distal Radius Fracture
Nam-Young Cho, Chang-Young Seo, Myung-Sun Kim, Ha-Sung Kim, Keun-Bae Lee
Journal of the Korean Fracture Society.2012; 25(1): 52. CrossRef
Flexor Pollicis Longus Tendon Rupture as a Complication of a Closed Distal Radius Fracture - A Case Report -
Do-Young Kim, Eun-Min Seo, Woo-Dong Nam, Seung-Jae Park, Sang-Soo Lee
Journal of the Korean Fracture Society.2011; 24(2): 191. CrossRef

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Clinical Analysis of Avascular Necrosis of the Femoral Head following femoral Neck Fracture: You Sung Suh, Kyung Dae Min, Byung Joon Shin, Byung Ill Lee, Yeon Ill Kim, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1998;11(2):304-312. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.304

Abstract PDF: Post-traumatic avascular necrosis is a notorious complication of intracapsular fractures of the femoral neck, whether or not the fracture unites. The incidence of avascular necrosis of the femoral head following femoral neck fractures has been reported variably ranged from 7% to 84%. The purposes of this study are to analysis the clinical features of avascular necrosis of the femoral head following femoral neck fractures and to define causative factors of posttraumatic avascular necrosis. From May 1986 to May 1995, sixty-eight patients with intracapsular femoral neck fracture were operated on osteosynthesis in soonchunhyang University Hospital; we analysed retrospectively with follow-up more than two years, post-traumatic avascular necrosis(AVN) was developed in 13 patients(AVN group) and united forty-six patients were included non-avascular necrosis group, nine patients were excluded due to nonunion. Comparative study was performed between these two groups. The results were as follows: 1. The avascular necrosis of the femoral head following femoral neck fractures treated with osteosynthesis was noted in 13 cases (19%) 2. The eleven cases of 13 cases showed segmental collapse of the femoral head within 2 years. 3. Among the causative factors, age and sex, delay before operation and fixation device have no statistical significance(p>0.05) but type of fracture, initial displacement and quality of reduction showed to be statistical correlation(p<0.05). In conclusion, adequate reuction and internal fixation for the femoral neck fracture may essential to minimize avascular necrosis following osteosynthesis.

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Traumatic Refracture : Report of 3 cases: Byung Ill Lee, Young Hoon Cho, Jae Eung Yoo, Soo Kyun Rah; J Korean Soc Fract 1997;10(4):940-944. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.940

Abstract PDF: Traumatic refracture refers to a recurrence of a fracture by a major trauma, after it had gained complete union from an earlier rracture through internal fixation. We report 3 cases of our experience in this relatively rare injury of long bone.

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A Clinical Study of rmmediate Internal Fixation(within 24 Hrs) in Open Fractures of The Long Bones: Yoon Sik Kim, Jae Eung Yoo, Chi Soo Sohn, Jong Seouk Park, Hee Kwon, Joon Min Song, Soo Kyun Rah; J Korean Soc Fract 1996;9(3):593-604. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.593

Abstract PDF: The major goals in the treatment of open fractures of the long bones are to prevent infection, avoid malunion or nonunion, achieve bone union, and restore limb and patient function as soon and as fully as possible. The treatment modalities adopted in open fractures still remains controversial, especially in Gustilo-Anderson Type III. It has been the fear of infection that has lead to the traditionally accepted opinion that immediate internal fixation of open fractures is contraindicated but, nowadays, it is no longer tabooed. Owing to the early meticulous wound debridment and irrigation, and the use of bactericidal antibiotics, the infection rate reduced remarkably. Fifty-five cases of open long bone fractures treated by immediate internal fixation within 24 hours from inury were reviewed, which were treated at the Department of Orthopedic Surgery, Soonchunhyang University hospital for nine and half years from June, 1985 to January, 1995. The results were as follow: 1, There were 20 Type II , 19 Type III A, 10 Type IIIB and 5 Type IIIC open fractures treated by immediate internal fixation within 24 hours following to Gustilo-Andersons classification. 2. The most common causes of open fractures were traffic accident(84%). 3. The associated injuries of the patients treated by immediate infernal fixation were in sequence.:26 multitraumatized patient, 5 arterial injuries, 5 musculotendinous injuries, 3 major joint dislocations and so forth. 4. Normal bony union was achieved in 41 patients(73.2%), Delayed bony union was in 7 patient(12.5%) and nonunion in 8 patients(14.5%). 5. Primary wound healing was achieved in 40 patients(71.4%), superficial to moderate infection were in 5 patients(9%), deep to osteomyelitis in 11 patients(19.6%). 6. According to the subtypes of open fractures, deep to osteomyelitis were 80% in Type IIIC, 30% in Type IIIB, 10.6% in Type IIIA and 10% in Type II.

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Simultaneous Asymmetric Bilateral Traumatic Hip Dislocation: A Cases Report: Byung Ill Lee, Bo Weon Jeong, Jae Eung Yoo, You Sung Suh, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1996;9(1):225-228. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.225

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Hip dislocation represents 2 to 5% of all joint dislocations. Bilaterat dislocation of the hip joints is reported about 1.25% of all cases fo hip dislocations and therefore 0.025 to 0.050% of all joint dislocations. Dislocations in which one hip dislocates anteriorly and the other posteriorly are even rarer. Of all traumatic bilateral hip dislocations, bilateral simultaneous anterior and posterior dislocations in 40% of cases. This paper is a case report of a traumatic bilateral anterior and posterior dislocation of hips in a 24 year-old man injured by motor vehicle accident as a passenger. The patient was treated by means of closed reduction, traction and physical therapy. We report such a case.

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Traumatic Bilateral Anterior Hip Dislocation: A Case Report
Sung-Taek Jung, Hyun-Jong Kim, Myung-Sun Kim, Young-Jin Kim, Sang-Kwan Cho
Journal of the Korean Fracture Society.2008; 21(1): 62. CrossRef

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Treatment of the Ipsilateral fracture of Femur and Tibia in Children: Jong Seok Park, Yoon Sik Kim, Hee Kwon, Jun Min Song, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1996;9(1):129-136. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.129

Abstract PDF: Sixteen cases of fracture of the femur and tibia on the same leg in children below 16 year age were treated in Soonchunyang Univ. Hospital during the period 1988-1993. We studied all of these patients, classified by LettsNew classification of pediatric floating knee, retrospectively with analysis of treatment and results. The results were as follows; 1. Among the 16 cases,14 cases were male(88%), and 10 cases(63%) were at their first decade and 6 cases(37%) were at second decades. 2. The main cause of injury was traffic accident;15 cases(94%). 3. The most common concomitant injury was fracture in other site;5 cases(31%). 4. Among the 9 cases of conservative treatment, limping and leg length inequality were occurred in 6 cases(61%), and malunion in 5 cases(56fo). 5. Among the 7 cases of operative treatment, limping was occurred in 1 cases(14%), leg length inequality was in 2 cases(29%), and malunion in 3 cases(43%). 6. Among the 10 cases at first decade, limping was occurred in the 6 cases(75%) out of 8 cases of conservative treatment, but it was not occurred in 2 cases of operative treatment. According to the results, we suggest that at least one fracture should be rigidly fixed in all cases.

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Clinical Comparison in Intramedullary Fixation to Plate Fixation on Treatment of the Both Forearm Bone Fractures: Seog Yeong Jeong, Ung Moon, Soo Jae Yim, Seung Ryeol Yoon, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1995;8(4):893-901. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.893

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The diaphyseal fractures of radius and ulnar have many problems like nonunion, malunion and functional disturbance with conservative treatment. Therefore, open anatomical reduction and rigid internal fixation have been widely used. The plate fixation has been employed in most both forearm bone fractures and the intramedullary pinning usually used in cases of the open fractures, comminuted types, multiple fractures or poor general conditions. Seventeen patients were treated with semitubular plate and eighteen cases by the closed or open reduction and intramedullary fixation with Rush pin(the operation methods were decised alternatively) were followed up more than one year at Soonchunhyang Gumi Hospital from June 1988 to Nov. 1992 and the results were compared and analyzed clinically. 1. Those two groups were demographically similar. 2. The operation time was 65 minites in Rush pin group, 85.6 minutes in plate group and the blood loss was 37.1cc in Rush pin group,85.3cc in plate group. 3. The immobilization period and the radiologic bone union time did not differentiate two groups significantly. 4. In plated group, one nonunion and one radius refracture after union(plate removed state) were occurred. 5. Between the two operatio methods selected alternatively, immobilization period, radiologic bone union and functional results were not different significantly, but the Rush pinning method was preferred due to simple operation technique, small operation scars, short operation time, a little blood ioss, a few complications.

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Comparison of Locking versus Dynamic Compression Plates for Treatment of Diaphyseal Forearm Fracture
Yong Chan Lee, Hong Je Kang
Journal of the Korean Society for Surgery of the Hand.2015; 20(4): 168. CrossRef
Pediatric Forearm Bone Fractures Treated with Flexible Intramedullary Nail
Suk Kyu Choo, Jin Hwan Kim, Hyung Keun Oh, Dong Hyun Kim
Journal of the Korean Fracture Society.2007; 20(2): 190. CrossRef

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Posterior Hip Dislocation with Femoral Head and Neck Fracture: Yoo Sung Seo, Hyung Suk Choi, Soo Jae Yim, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1995;8(4):784-791. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.784

Abstract PDF: Posterior hip dislocation with femoral head and neck fracture(Pipkin type III) was considered as a rare injury, However, the advance of high speed motor vehicle accidental injury has contributed to its increased incidence and the choice of treatment is still controversial. Mechanism of injury was considered as a kind of secondary trauma of inversion or internal rotation force with hip joint was flexed position state. Three cases of posterior hip dislocation with femoral head and neck fracture(Pipkin type III)have been experienced and follow up still now at Soon Chun Hyang University hospital. The results were evaluated by Thomson Epsteins clinicoradiologic criteria and Harris hip score and follow up radiologic findings. As a results of this study, we are more prefer primary open reduction and rigid internal fixation than primary joint replacement arthroplasty due to be occured in young age group. And futher evaluation should be needed.

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A Clinical Analysis on Treatment of Tibial Fractures Using Ex-Fi-Re External Fixator: Soo Kyun Rah, Dae Ik Kim, Chang Uk Choi; J Korean Soc Fract 1995;8(2):354-360. Published online April 30, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.2.354

Abstract PDF: Since Malgaigne described a external fixators in 1853, it were widely used for open and communited fractures. Modern external fixators such as modified Hoffman, Denham and of hofix external fixators are commonly applied because it could obtain rigid fixation and compression of fracture site. Most of external fixators used only as a fixator after reduction, however new extemal fixator(Ex-F-Re) by Osteo is consists of two units, which are the correction and fixation units. This device is possible to manipulate fracture fragments under the complete control of stability and to obtain more rigid fixation and compression of fracture site. Among the 16 cases of tibial fractures treated with Ex-Fi-Re external fixator device from June 1992 to June 1993, 14 casrs had minimum 1 year follow up and the following results were obtained. 1. Among 14 cases,7 were open fractures,4 were closed periarticular communited fractures and 3 were infected nonunion of tibia. 2. Among 11 cases of fracture and 3 cases of infected nonunion, nonunion was happened in each one case. 3. Average bony union period was 24.4 weeks in fracture group and 44 weeks in infected nonunion group. 4. Ex-Fi-Re external fixator was very rigid fixator, easy to use, and possible to manipulate fracture fragments under the complete control of stability.

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Treatment of Intertrochanteric Fractures of Femur in Elderly Patients over 65 Years Old: Yoo Seong Seo, Hyung Suk Choi, Sang Gi Kim, Byung Joon Shin, Soo Kyun Rah, Chang Uk Choi; J Korean Soc Fract 1995;8(1):54-60. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.54

Abstract PDF: The ipsilateral femur fracture after hip arthroplasty is rare, but serious complication. And its treatment is difficult and controversial. We experienced 6 patients who had the hip arthroplasty complicated by an ipsilateral femur fracture in postoperative period at the Department of Orthopaedic Surgery, Soonchunhyang Univesity from February 1990 to December 1993. The Type 1 fracture was 1 case, and 2 Type IV-A, and 1 Type IV-3, and 2 Type V according to AAOS classification. Bony union and satisfactory clinical results were achieved in all 6 cases.

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Treatment of the Fractures of the Humeral Shaft with the Interlocking Nail: Jong Seok Park, Yo Sub Wee, Moon Ryul Park, Joon Min Song, Jae Uk Kwon, Soo Kyun Rah; J Korean Soc Fract 1995;8(1):167-172. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.167

Abstract PDF: The humeral shaft fracture was managed by conservative treatment conventionally. But recently tendency of surgical treatment has been increased. The use of closed intramedullary interlocking nail was recently applied to humeral shaft fracture. The retrospective review was undertaken of 17 patients with humeral shaft fractures treated with the use of closed intramedullary nail during the period of April,1992 to Februaty,1994. The findings are as follows. 1. All were treated with closed nailing and static licking was performed. 2. The union was achieved in 16 cases(94%) and average union time was 2.5 minths. 3. There was one radial nerve injury by initial trauma. But there was no post operative radial nerve injury. 4. According to the range of motion scale by Brumback. there were excellent result in 11 cases. good result in 4 cases, poor result in 2 cases.

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Total Dislocation of talus: A Case Report: Chang Uk Choi, Soo Kyun Rah, Byung Il Iee, Yoo Seong Seo, Jong Seok Park; J Korean Soc Fract 1990;3(2):259-261. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.259

Abstract PDF: Total dislocation of talus is a rare injury which induce high complication rate. The mechanism of this dislocation results from excessive inversion and eversion. The authors experienced one case of open total dislocation of talus and treated by open reduction and followed by subsequent total talectomy due to infection. So We report this case with review of literature.

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