Journal of Musculoskeletal Trauma

Multiple Non-contiguous Spine Fractures with Concomitant Injuries: A Case Report: Soo Uk Chae, Yeung Jin Kim, Jung Hwan Yang, Ji Wan Lee, Jae In Park; J Korean Fract Soc 2011;24(3):267-270. Published online July 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.3.267

Abstract PDF: Multiple non-contiguous spinal fracture is a special type of multi-level spinal injury, which is rare but most frequently occur in motor vehicle accident or a falling from a height. We report five patients of multiple non-contiguous spinal fractures. All patients underwent segmental pedicle screws fixation without fusion for preserving facet joints and minimizing blood loss and operation time. We performed necessary operation for any concomitant injuries at the same day.

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Usefulness of Kyphoplasty in Sacral Insufficiency Fracture: A Case Report: Soo Uk Chae, Yeung Jin Kim, Jung Hwan Yang, Ji Wan Lee; J Korean Fract Soc 2011;24(2):174-177. Published online April 30, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.2.174

Kyphoplasty has recently attended as a potential treatment for sacral insufficiency fracture. We report a 85-years-old female patient with osteoporotic S1 insufficiency fracture with absence of trauma history treated with kyphoplasty which has no symptom improve with conservative treatment. Kyphoplasty is an effective and useful procedure in the treatment of the sacral insufficiency fracture, additionally reviewed of the literatures.

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Pelvic Insufficiency Fracture in Severe Osteoporosis Patient
Woong Chae Na, Sang Hong Lee, Sung Jung, Hyun Woong Jang, Suenghwan Jo
Hip & Pelvis.2017; 29(2): 120. CrossRef

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The Use of Fresh Frozen Allogenic Bone Graft in the Impacted Tibial Plateau Fractures: Yeung Jin Kim, Soo Uk Chae, Jung Hwan Yang, Ji Wan Lee, Dae Han Wi, Duk Hwa Choi; J Korean Fract Soc 2010;23(1):26-33. Published online January 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.1.26

Abstract PDF

PURPOSE
To assess the behaviour of fresh frozen cancellous allograft used for supporting the reconstructed articular surface in impacted tibial plateau fractures.
MATERIALS AND METHODS
Between May 2004 and May 2008, 13 cases of impacted tibial plateau fracture were evaluated retrospectively. All fractures were treated with open reduction-internal fixation after restoration of the tibial plateau surface and insertion of fresh frozen cancellous allograft chips for subchondral support. Mean age was 46.6 (31~65) years. Average follow-up period was 36 (13~58) months. The radiological and clinical result for every patient was assessed according to the modified Rasmussen's system and Lysholm's knee score.
RESULTS
According to last follow-up weight bearing A-P X-ray, the fresh frozen cancellous allograft incorporated soundly in all cases and no complications such as joint depression, fracture reduction loss, angular deformity, and malunion were found. The mean time to complete bone union was postoperative 10+/-0.7 weeks. The mean range of motion was 135 (115~145) degrees. The mean Rasmussen's radiological score at last follow up was 15.3 (10 cases: excellent, 3 cases: good). The mean Lysholm's knee score at last follow up was 88.2+/-4.3.
CONCLUSION
We concluded that fresh frozen cancellous allograft in impacted tibial plateau fractures showed good results in terms of bone union and functional improvement and was considered to be a good structural supporter.

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Autograft versus allograft reconstruction of acute tibial plateau fractures: a comparative study of complications and outcome
Abolfazl Bagherifard, Hassan Ghandhari, Mahmoud Jabalameli, Mohammad Rahbar, Hosseinali Hadi, Mehdi Moayedfar, Mohammadreza Minatour Sajadi, Alireza Karimpour
European Journal of Orthopaedic Surgery & Traumatology.2017; 27(5): 665. CrossRef
Treatment of Tibial Plateau Fractures Using a Locking Plate and Minimally Invasive Percutaneous Osteosynthesis Technique
Hee-Gon Park, Dae-Hee Lee, Kyung Joon Lee
Journal of the Korean Fracture Society.2012; 25(2): 110. CrossRef

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Hybrid External Fixation and Limited Internal Fixation for Severe Open Tibial Shaft Fractures: Hong Jun Han, Soo Uk Chae, Ul Oh Jeung; J Korean Soc Fract 2003;16(1):52-58. Published online January 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.1.52

Abstract PDF: PURPOSE
To evaluate the radiographic and clinical results of severe open tibial shaft fracture treated by hybrid external fixation and limited internal fixation.
MATERIALS AND METHODS
We reviewed 25 patients open tibial shaft fracture(> or =Gustillo classification type II) which were treated with hybrid external fixation(AnyFixR) that was invented by authors and limited internal fixation between June 1998 to June 2001. 20 males and 5 females were minimum follow up period of 12 months(12-27 months). The mean age was 45 old years(11-72 old years). The results were based on the assessment radiographical analysis with duration of bony union, delayed union including of states of nonunion and malunion, clinical analysis with pain, joint range of motion, wound infection and skin & soft tissue coverage. All fractures were classified according to the Gustilo classification, there were 6 cases of type II, 9 cases of type IIIa and 10 cases of type IIIb. The cause of injury, there were 18 cases of motor vehicle accident, 5 cases of direct trauma and 2 cases of fall from height.
RESULTS
In twenty-five cases, fifteen had union, the average time of bone union was 6.8 months and additional bone graft without change of external fixator performed in ten cases, but one case have failed and then change of intramedullary nail with bone graft. In the group of bone graft, bone union was completed at mean 8.7 months. According to the clinical analysis, no pain in the fracture site, in complications, there were 2 cases of mild joint range of motion that has acceptable result and 2 cases of wound infection were treated with effective antibiotics theraphy and wound dressing. Five cases need to coverage of the open wound, 3 cases were flap operation and each case were muscle transfer, skin graft without change of external fixator.
CONCLUSION
The use of hybrid external fixation and limited internal fixation in severe open tibial shaft fracture to be successful for the stabilization of fracture and subsequent plastic and/or orthopaedic procedure for muscle and skin coverage, bone grafting are more easily accomplished without change of external fixator.

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Operative Treatment of Intraarticular Calcaneal Fractures Combined with Multiple Injuries using Closed Reduction and Cannulated Screw Fixation: Dae Moo Shim, Tae Kyun Kim, Soo Uk Chae, Seok Hyun Kweon; J Korean Soc Fract 2002;15(4):439-445. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.439

Abstract PDF: PURPOSE
To evaluate the radiological and clinical results of closed reduction and cannulated screw percutaneous fixation of intraarticular calcaneal fractures combined with multiple injuries.
MATERIALS AND METHODS
We reviewed 15 cases of 13 patients intraarticular calcaneal fractures combined with multiple injuries which were treated with closed reduction and cannulated screw percutaneous fixation between June 1998 to June 2001 and minimum follow up period of 12 months(12-27 months). The results were based on the assessment criteria of Salama and the analysis of Bohler 's angle, states of subtalar joint and deformities of calcaneus. Based on the Sanders classification, there were 2 cases(13%) of type I, 9 cases(60%) of type II and 4 cases(27%) of type III.
RESULTS
The preoperative Bohler 's angles were between 5 degrees to 35 degrees, postoperative Bohler 's angles were between 15 degrees to 45 degrees and the last follow up Bohler 's angles were between 15 degrees to 40 degrees . The postoperative complication of subtalar arthritis were developed in 5 cases and deformities of calcaneus were developed in 4 cases. Based on the assessment criteria of Salama, the functional results were excellent in 2 cases, good in 8 cases, fair in 3 cases, and poor in 2 cases.
CONCLUSION
The closed reduction and cannulated screw percutaneous fixation of intraarticular calcaneal fractures combined with multiple injuries was thought to be a useful method of treatment at the state of not delayed operating time and not position changing.

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Treatment of the Humeral Shaft Fracture with the Intramedullary Nail: Byung Chang Lee, Chul Hong Chun, Soo Uk Chae; J Korean Soc Fract 1998;11(1):129-135. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.129

Abstract PDF: Interlocking nailing has been increasingly used to treat humeral shaft fractures with the improvement in intramedullary device design and surgical technique. We reviewed the clinical results in twenty nine patients who had intramedullary nailing for the treatment of humeral shaft fractures from May, 1992 to July, 1995 in wonkwang university hospital. there were 8 polytrauma patients; 6 were osteoporotic elderly patients; 10 were comminuted fractures; 2 were segmental fractures; 1 was nonunion; 1 was pathologic fracture; 1 was bilateral humeral fractrure. Trueflex, Seidel and Uniflex nail were selected 13, 8 and 8 cases respectively. According to AO classification, simple, wedge and complex fractures were 14, 7 and 8 cases respectively. The result of this study were as follows : sound bony union were observed in twenty three cases, but six nonunions treated by additional operations such as bone graft, modified dual onlay bone graft or OR/IF with bone graft were occurred. Nonunion was occurred mainly in simple and wedge type of AO classification. Distraction of fracture site occurred mainly in simple type of AO classification was related with nonunion. Chronic shoulder symptoms were observed in six cases, and proximal nail protrusion and injury to rotator cuff were considered as its possible cause. Other omplications were one postoperative radial nerve palsy and metal breakage.

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