Journal of Musculoskeletal Trauma

Metal failure after compression plate fixation in femoral shaft fracture: Sung Ho Han, Bo Kyu Yang, Chi Hong Kim, Tae Won Ahn, Dong Hyun Kim; J Korean Soc Fract 1998;11(4):732-737. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.732

Abstract PDF: Intramedullary nailing is one of the most available method in the treatment of femoral shaft fracture. Recemtly compression plate is not widly used. Inapproriate technique using compression plate lead to metal failure. The purpose of this study is to analyz the clinical feature, cause and treatment of metal ailure in femoral shaft fracture. We analyzed 6 cases of metal failure from Jan. 1990. to Dec. 1996 and obtained the following results. 1. Type of fracture were Winquist-Hansen Type I in 1 case, Type-II 3 cases, Type III 2 cases. 2. The interval between initial poeration and metal failure was 11 months on average, ranging from one to twenty months. 3. Metal failure occurred as plate breakage in 4 cases, plate bending and loosening in 2 cases. 4. Cause of metal failure after compression plate fixation presumed to be comminuted fracture in 5 cases, early weight bearing in 3 cases, remaining bone defect in 4 cases, inadequate surgical technique in 4 cases and empty plate hole in 4 cases. 5. Treatment of metal failure after compression plate fixation were intramedullary nailing with bone graft in all cases. Accturate preoperative evaluation of fracture site, fracture pattern, and appropiate selection of metal device necessary for the prevention of metal failure.

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Treatment of the Tibial Condyle Fracture: Sung Ho Han, Bo Gyu Yang, Chi Hong Kim, Tae Won Ahn, Sun Tae Jeong; J Korean Soc Fract 1998;11(1):214-225. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.214

A fracture of the tibial condyle is an intra-articular fracture of a major weight bearing joint and loss of function result in high percentage disability of the extremity. The goal of tibial condyle fracture management is a stable, well-aligned, congruent joint, with a painless range of motion and function. The management of tibial condyle fractures remains controversal. Many authors have stated that anatomical restoration of the articular surface and stable internal fixation are essential for these goals to be attained, but good results have also been reported after the conservative treatment. So the method of treatment has to be selected in each individual cases. We evaluated the 35 tibial plateau fractures, 17 treated by conservative method and 18 treated by surgery, at an average follow up of 17 months. The results were obtained as follows; 1. The most common cause of injury was motor vehicle accident in 25 cases(71.5%). 2. According to Schatzker classification, the most common type was typeII in 12 3. Associated soft tissue injuries were in 19 cases(54.3%). Among these, meniscal injuries were most common(in 13 cases). 4. According to Hohl and Luck criteria, the clinical results were acceptable in 11 to 17 cases (64.7%) after non-operative methods and 14 of 18 cases(78%) after operative methods.

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Evaluation of the Patterns of Fractures and the Soft Tissue Injury Using MRI in Tibial Plateau Fractures
Ji-Yong Chun, Hee-Gon Park, Sung-Su Hwang
Journal of the Korean Fracture Society.2007; 20(4): 302. CrossRef

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Limited Internal Fixation of Pilon Fractures: Sung Ho Han, Bo Kyu Yang, Chi Hong Kim, Tae Won Ahn, Wu Jun Chu; J Korean Soc Fract 1997;10(3):485-491. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.485

Abstract PDF: Pilon fracture is relatively an uncommon fracture involving the distal tibial articular surface. As usually being combined with many complications, it is difficult to manage. Among many treatment options limited internal fixation of the tibia with long screws and multiple pins augmented with external fixation or casting provide adequate stabilization without soft tissue compromise. Fractures were defined as type II in 10 fractures and type III in 16 by Ruedi-Allgowers classification. 16 fractures, 6 type II and 10 type III, had limited internal fixation and cast application. 1 type III fracture had limited internal and external fixation. 9 fractures, 4 type II and 5 type III, were treated by rigid tibial plating during a period of 5 years(Mar. 1990- Fed. 1995). By Burwells and Charnleys radiological criteria and clinical grading system, limited internal fixation showed 67% satisfactory results in type II and 64% in type III fractures while rigid tibial plating showed 75% satisfactory results in type II and 60% in type III fractures. 4(44%) patients with rigid tibial plating, and 2(12%) patients with limited internal fixation had complications. Pilon fractures are high energy injuries with significant associated soft tissue damage. limited internal fixation offers good solution to this difficult fracture problem.

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Clinical Application of Wrist Arthrography after Trauma: Kwon Ick Ha, Sung Ho Han, Min Young Chung, Hee Joong Kim, Tae Won An; J Korean Soc Fract 1988;1(1):36-42. Published online November 30, 1988; DOI: https://doi.org/10.12671/jksf.1988.1.1.36

Abstract PDF: One of the greatest diagnostic challenges that faces both orthopedic surgeons and the radiologists is the patient with a subacute or chronic wrist injury who has no obvious clinical or radiographic abnormality to explain the pain. The wrist arthrography is used to evalute structures that can not be seen on plain radiography. These structures include the synovium, the intraarticular ligaments and the articular cartilage including the triangular fibrocartilage. The most inportant indication is persistent pain or limitation of motion after trauma. We think that the wrist arthrography is to be used widly. We collected and analized the results of wrist arthrographies performed in 33 patients with traumaic painful wrist.

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