Journal of Musculoskeletal Trauma

Impaction and Tension-Band Wiring Technique in Proximal Humerus Fractures Accompanying Severe Comminution of Surgical Neck: Sung Il Bin, Sung Jin Cho, Key Yong Kim; J Korean Soc Fract 1996;9(4):1054-1060. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.1054

Abstract PDF: Proximal humerus frartures occur most commonly in elderly people, especially with osteoporotic bone. But recently these fractures are also common in younger people due to the increased incidence of trafnc accidents or sports injuries. It is reported that displacement of major fracture fragments can be observed in about 20 percents of proximal humerus fractures and they need some form of surgical treatment. But when there is a sevfre comminution in the area of surgical neck which precludes anatomical reduction, it is almost impossible to obtain rigid fixation and to start an early motion. We reported ten cases of unstable proximal humerus fractures with severe comminution of surgical neck which preclude anatomical reduction and stable rxation and require impaction of the shaft fragment into the head and fixation with multiple pins and tension band wiring. After an arevage follow-up period of 30 months, we obtained the following results: 1. Nine cases out of 10 showed satisfactory results, excellent in 2 cases and good in 7 cases. But there was 1 case in poor. 2. In complications, 2 cases showed transient postoperative subluxation and 3 case showed moderate joint stiffness. But there was no avascular necrosis of humeral head.

Operative Treatment of Three Part Fraetures of the Proximal Humerus Following AO/ASIF Principle: Key Yong Kim, Choon Sung Lee, Sung Il Bin; J Korean Soc Fract 1992;5(2):342-347. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.342

Abstract PDF: The three part fractures of proximal humerus are not uncommon and the management is still under debate. For the good functional result, rigid internal or external fixation and early ROM exercise is mandatory. From Oct, 1989 to Oct, 1991, the results of treatment of 13 cases of proximal humerus 3-part fractures exclusively treated by internal fixation following the principles of the AO/ASIF group were analyzed at the Department of Orthopedic Surgery, Asan Medical Center. The results were as follows ; 1. The major cause of injury was traffic accident(9 out of 13 cases). 2. The associated injuries were brachlal plexopathy(1), rib fractures(1) and femur fractures (1). 3. The types of fractures were type B(7 cases), and type C(6 cases) according to AO/ASIF classification. 4. Open reduction and internal fixation was performed with T plate and tension band wiring, if necessary. 5. The excellent results were 4 cases and satisfactory results were 5 cases according to Neer criterla.

Operative treatment of the tibial pilon fractures following AO/ASIFprinciple: Key Yong Kim, Sung Il Bin, Won Hyeok Oh; J Korean Soc Fract 1992;5(1):129-137. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.129

Search