Journal of Musculoskeletal Trauma

Original Articles

Tibial Condyle Fracture Treated by Osteosynthesis with a Buttress Plate: Duck Yun Cho, Sung Jin Kim, Gun Yeon, Young Yoo Kim, Sung Joon Im, Chun Hee Won; J Korean Soc Fract 2000;13(4):868-876. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.868

Abstract PDF: PURPOSE
We analyzed the anatomical results of operative treatment in acetabular fractures according to fracture pattern and surgeon's experience. MATERIAL AND METHODS: From December, 1993 to December, 1999, 100 cases of acetabular fractures operated by single surgeon were analyzed. Fracture configuration was classified by Letournel's method. The anatomical results were classified by Matt' s criteria and Claude Martimeau score.
RESULTS
There were 36 elementary fractures(anterior column type: 4 cases, posterior wall type: 29 cases, transverse type: 3 cases) and 64 complex fractures(posterior wall and posterior column type: 4 cases, anterior and posterior hemitransverse type: 8 cases, transverse and posterior wall type: 16 cases, T type: 6 cases, both column type: 30 cases). According to Matta's criteria, all elementary fractures were seen anatomic or satisfactory results however, eleven cases of combined fracture were seen unsatisfactory results. Mean Claude Martimbeau's score was 6.1 point. Elementary fracture was 7.5 point and combined fracture was 5.4 point. Both column fracture was 4.4 point and it was the lowest point among the fractures. In both column fracture, the improvement of surgeon's skill made more good anatomical results. There were four cases of infection and 2 cases of nerve injury.
CONCLUSION
In operative treatment of acetabular fractures, complexity of fracture demands more appropriate surgical approach and skillful surgeon,

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Treatment of the Femoral Shaft Fracture by Interlocking Intramedullary Nailing: Sung Joon Im, Sung Jin Kim, Dae Sang Yoo, Ho Sik Sung; J Korean Soc Fract 1998;11(1):181-190. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.181

Abstract PDF: Femoral shaft fractures result from high energy trauma such as traffic accident or falls, and it is frequently accompanied by multiple fractures and several other organ injuries. Intramedullary nail is the effective device available for patient with appropriate fracture of the femoral shaft, and it may also prevent several complications, such as infections and delayed union that can be caused by periosteum and soft tissue injury. Rigid internal fixaton of the femoral shaft fracture with interlocking intramedullary nails presents a significant advance in the management of unst-able fractures and provides longitudinal and rotational stability as well as early joint motion and weight bearing. This procedure has been used with wide popularity because it is possible simultaneously to preserve the range of motion and to obtain the bone union. The purpose of this sutdy is to evaluate the differences of the functional results and duration of the bone union based on Winquist-Hansen classification. Also we analyzed the causes of the complications and results of the treatment. Forty one cases of the femoral shaft fractures were treated with interlocking intramedullary nailing during the period from January 1993 to June 1995 over 12 months follow up. The results were as follows: 1. Among 41 cases of the femoral shaft fractures, static nailings were used in 34 cases and 7 cases with dynamic nailings, then bone union was achieved at 18 weeks for static mode and 15 weeks for dynamic mode respectively. 2. Intraoperative complications were new fractures near the original fracture site(2 cases) and femur neck(1 case). 3. Postoperative complications were delayed union(4 cases), metal failre(1 case), limb shortening(1 case) and distal screw breakage(1 case). 4. Delayed union developed in 4 cases with static mode, but bone union was achieved at average of 22 weeks after changing to dynamic mode at 15 weeks. 5. Functional results were assessed by Karlstrom and Olerud criteria and 80% of the patients were in excellent and goood results.

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Case Report

A Clinical Study of Fracture of Neck of the Talus: 6 Cases Report: Kyung Ckul Kim, Sung Joon Im, Bo Seok Kong, Bo Hyeong Bang; J Korean Soc Fract 1992;5(2):365-371. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.365

Abstract PDF: The talus is a important bone because it supports and distributes the body forces above it. The fractures of the talus are not common but the talus is a bone with unique biomechanical features and vascular supply, so the complications with avascular necrosis and tramatic arthritis are frequent and resulting disabilities are so severe that the importance of proper management is emphasized. We analyzed 6 cases of fracture-dislocation of the talus, treated at Koryo General Hospital from 1987 to 1991. The follow up period was at least 12 months. The results were as follows ; 1. Of 6 cases, all were males and almost were 3rd and 4th decade. 2. The causes were traffic accident and fall from height. 3. Associated injuries were fracture of medial malleolus, tibia and Os calcis. 4. According to modified Hawkons classification, type I was 1 case, type II and type III were 2cases and type IV was 1 case. 5. 1 case in type II was treated conservatively, and 5 cases in other types were treated operatively. 6. Complications were skin infection and necrosis in 3 cases, failure of reduction in 2 cases, avascular necrosis in 3 cases and degenerative arthritis in 2 cases. 7. Complications wlth avascular necrosis and degenerative arthritis were treated with fusion of ankle and subtalar joint with external fixator.

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