Journal of Musculoskeletal Trauma

Ankle Fractures in Children: Classification and Treatment: Ha-Yong Kim, Yong-Han Cha, Woo-Suk Kim, Won-Sik Choy; J Korean Fract Soc 2021;34(2):87-95. Published online April 30, 2021; DOI: https://doi.org/10.12671/jkfs.2021.34.2.87

Abstract PDF: Pediatric ankle fractures are defined as damage to the metaphysis, epiphyseal plate, and epiphysis of the distal tibia and fibula. Although the injury mechanism could be similar, the fracture patterns and treatment of pediatric ankle fractures are different from those of adults. In children, growth plate injuries are more common with a force that would cause sprains in adults because the ligaments are stronger than the growth plate cartilage in children. In the adolescent period, unique fractures, called “transitional fractures”, occur while the physis is closed. For a diagnosis, plain images of the anteroposterior, lateral, and mortise views are essential. Stress radiographs, ultrasound, and magnetic resonance imaging can be used for suspected ligament injuries. The treatment goal is to restore the articular congruity, normal bony alignment, and preserve the epiphyseal plate to ensure normal growth. Pediatric ankle fractures frequently lead to premature physeal arrest, angular deformities, malunion, and posttraumatic arthritis even after anatomic reduction. Treating surgeons should follow-up children for a sufficient time and explain to the caregiver the possible complications before treatment.

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Sclerotherapy Using Abnobaviscum for the Extensive Recurrent Chronic Morel-Lavallée Lesions - A Case Report -: Joon-Kuk Kim, Ji-Won Jung, Ki-Chul Park; J Korean Fract Soc 2020;33(4):222-226. Published online October 31, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.4.222

The Morel-Lavallée lesion (MLL) is a closed soft-tissue degloving injury, resulting in characteristic hemo-lymphatic fluid collection between the fascia and subcutaneous layers. The MLL was managed routinely with drainage and compression bandages, but sclerotherapy can be used in patients with chronic lesions refractory to first-line therapy. This paper presents a case of extensive recurrent chronic MLL treated with sclerotherapy using Abnobaviscum, which has been used to treat adhesion in malignant pleural effusion.

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Seroma prevention with topical Abnobaviscum sclerotherapy following excision of giant cervical lipoma
Jun Ho Choi, Seung Yeon Choi, Jae Ha Hwang, Kwang Seog Kim, Sam Yong Lee
Archives of Craniofacial Surgery.2023; 24(1): 10. CrossRef

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Analysis of the Changes in Femoral Varus Bowing and the Factors Affecting Nonunion for the Treatment of Femoral Shaft Fractures over 60 Years Old Using Piriformis Fossa Insertion Intramedullary Nailing: Yonghan Cha, Chan Ho Park, Jun-Il Yoo, Jung-Taek Kim, WooSuk Kim, Ha-Yong Kim, Won-Sik Choy; J Korean Fract Soc 2020;33(2):65-71. Published online April 30, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.2.65

Abstract PDF

Purpose
This study examined the bony morphological changes to analyze the factors affecting bony union in the treatment of elderly femoral shaft fractures with varus bowing using piriformis fossa insertion intramedullary nailing.
Materials and Methods
This study included 26 patients over 60 years of age, who were admitted for femoral shaft fractures between January 2005 and December 2014 and treated with piriformis fossa insertion intramedullary nailing. Age, sex, height, weight, bone mineral density, injury mechanism, fracture type, diameter and length of the nail, postoperative lengthening of the femur, postoperative change in varus angle, contact between the lateral and anterior cortex, and the gap between the fracture line and the bony union were checked. The patients were divided into a varus group and nonvarus group, as well as a bone union group and nonunion group. Logistic regression analysis was performed to analyze the factors affecting nonunion.
Results
The patients were classified into 11 in the varus group and 15 in the non-varus group and 24 in the union group and 2 in the nonunion group. The varus group showed a larger increase in leg length and varus angle reduction than the non-varus group (p<0.05). The union group had more contact with the lateral cortical bone than that of the nonunion group (p<0.05). The factor affecting bone union in regression analysis was contact of the lateral cortical bone (p<0.05).
Conclusion
Treatment of a femoral shaft fracture in elderly patients with a varus deformity of the femur using piriformis fossa insertion intramedullary nail increases the length of the femur and decreases the varus deformity. For bony union, the most important thing during surgery is contact of the lateral cortical bone with the fracture site.

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Straight nail insertion through a laterally shifted entry for diaphyseal atypical femoral fractures with bowing: good indications and limitations of this technique
Seong-Eun Byun, Young-Ho Cho, Young-Kyun Lee, Jung-Wee Park, Seonguk Kim, Kyung-Hoi Koo, Young Soo Byun
International Orthopaedics.2021; 45(12): 3223. CrossRef

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Osteotomy Selection: Advantages, Disadvantages, and Indication: Ki Chul Park, Hyun Uk Kim, Young Sik Song; J Korean Fract Soc 2017;30(3):167-172. Published online July 31, 2017; DOI: https://doi.org/10.12671/jkfs.2017.30.3.167

Abstract PDF: Malunion causes not only cosmetic problems, but also degenerative osteoarthritis due to changes in the anatomical and mechanical axes. Corrective osteotomy may be required in some cases to prevent these complications. The corrective osteotomy is divided into two types: Straight and dome. The straight type is divided into open and closed wedge, in accordance with the correction method. Surgeons should understand the indication, surgical procedure, as well as the advantages and disadvantages of each osteotomy method. Deciding on the method of corrective osteotomy depends on the degree of angulation, soft tissue condition, approximate with joint, implant type, and the experience of the surgeon.

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Usefulness of Computed Tomography on Distal Tibia Intra-Articular Fracture Associated with Spiral Tibia Shaft Fracture: Seong Eun Byun, Sang June Lee, Uk Kim, Young Rak Choi, Soo Hong Han, Byong Guk Kim; J Korean Fract Soc 2016;29(2):114-120. Published online April 30, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.2.114

Abstract PDF

PURPOSE
The purpose of this study is to evaluate the usefulness of computed tomography (CT) for spiral tibia shaft fracture by analyzing associated distal tibia intra-articular fractures diagnosed by CT only which met the indication of surgical fixation and were fixed.
MATERIALS AND METHODS
Ninety-five spiral tibia shaft fractures with preoperative ankle plain radiographs and CT were analyzed retrospectively. The incidence and type of associated distal tibia articular fractures were evaluated by reviewing ankle plain radiography and CT. The number of fractures diagnosed by CT that correspond with the indication of fixation and that were actually fixed were analyzed.
RESULTS
Among 95 spiral tibia shaft fractures, 62 cases (65.3%) were associated with distal tibia intra-articular fracture. There were 37 cases of posterior malleolar fracture, 5 cases of avulsion fracture of the distal anterior tibiofibular ligament, 5 cases of medial malleolar fracture, and 15 cases of complex fracture. Among 52 posterior malleolar fractures including complex fracture, 20 cases were diagnosed by ankle plain radiograph. Of these 20 cases, 16 posterior malleolar fractures (80.0%) met the indication of surgical fixation, and 14 cases were actually fixed with a screw. Among 32 posterior malleolar fractures diagnosed by CT only, 26 cases (81.3%) met the indication of surgical fixation and 18 cases (56.3%) were fixed by screw.
CONCLUSION
Approximately 50% of associated fractures were diagnosed by CT only and more than 80% of associated posterior malleolar fractures met the indication of surgical fixation and among these fractures, 18 cases (56.3%) were actually fixed by screw. This result suggests that CT is useful in diagnosis and treatment of distal tibia intra-articular fracture associated with spiral tibia shaft fracture.

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Treatment of Distal Tibial Spiral Fractures Combined with Posterior Malleolar Fractures
Young Sung Kim, Ho Min Lee, Jong Pil Kim, Phil Hyun Chung, Soon Young Park
Journal of the Korean Orthopaedic Association.2021; 56(4): 317. CrossRef

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Analysis of Missed Fractures in Polytrauma Patients: Ki Chul Park, Hyun Uk Kim; J Korean Fract Soc 2014;27(4):281-286. Published online October 31, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.4.281

Abstract PDF: PURPOSE
The purpose of this study is to determine the frequency of missed fractures in severe multiple trauma patients and to analyze any differences in treatment plan, after whole body bone scan.
MATERIALS AND METHODS
From September 2012 to December 2013, 49 patients were confirmed to have multiple trauma with an injury severity score (ISS) of 16 or higher. Whole body bone scan was performed at an average of 15.7 days (7-25) after injury. Missed fractures were diagnosed according to physical examination and additional radiologic reports. Locations and patterns of missed fractures were analyzed. We evaluated any differences in treatment plan after the diagnosis of missed fractures.
RESULTS
Missed fractures were diagnosed in 14 patients (16 cases) on the whole body bone scan. The most frequent location was the knee (three cases), followed by rib, clavicle, carpal bone, and foot. Seven cases were occult fractures, five cases were undisplaced fractures and four cases were displaced fractures. Conservative treatment was administered in 15 patients and surgery was necessary in one patient.
CONCLUSION
Delayed or missed diagnosis of fractures occurred frequently in patients of multiple trauma with a high ISS. Whole body bone scan appears to be effective in finding missed fractures in the whole body. Definitive assessment should be supplemented after initial trauma care in order to reduce the rate of missed fractures.

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Periprosthetic Fracture after Proximal Humeral Intramedullary Nail, Treated by Functional Bracing: A Case Report: Jae Hyuk Shin, Ho Guen Chang, Young Woo Kim, Nam Kyou Rhee, Yong Bok Park, Yong Kuk Kim; J Korean Fract Soc 2011;24(2):185-190. Published online April 30, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.2.185

Abstract PDF

Periprosthetic fracture following a proximal humeral intramedullary (IM) nailing is rarely reported neither for its occurrence nor for its treatment. Proximal humeral IM nail (Acumed, LLC, Hillsboro, OR, USA) has been increasingly reported of its successful treatment outcomes, yet there is paucity of data describing its complications. Here we report a 26 year-old female patient, who sustained a proximal humerus fracture which was initially successfully treated by proximal humeral IM nail, and was complicated by a periprosthetic fracture distal to the nail tip at postoperative 4 months. Serial application of U-shaped coaptation splint, hanging cast, and functional bracing resulted in satisfactory clinical outcome. Periprosthetic fracture after proximal humerus IM nail can occur by a low energy injury, which need to reminded in treating young and sports-active patients.

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Locking compression plate fixation of periprosthetic distant humeral fracture after intramedullary nail for humeral shaft fracture: A case report
Mei-Ren Zhang, Kui Zhao, Jiang-Long Guo, Hai-Yun Chen
Trauma Case Reports.2022; 37: 100565. CrossRef
Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture
Hiren M. Divecha, Hans A. J. Marynissen
Case Reports in Orthopedics.2013; 2013: 1. CrossRef

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Biomechanical Efficacy of Various Anterior Spinal Fixation in Treatment of Thoraco-lumbar Spine Fracture: Ye Soo Park, Hyoung Jin Kim, Choong Hyeok Choi, Won Man Park, Yoon Hyuk Kim; J Korean Fract Soc 2007;20(1):70-75. Published online January 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.1.70

Abstract PDF

PURPOSE
To evaluate the biomechanical results according to various anterior spinal fixation methodology in the treatment of thoracolumbar spine fracture.
MATERIALS AND METHODS
The comparative analysis of fixation method was evaluated by three dimensional finite element model using the 1 mm reconstruction image of CT. Authors evaluated the flexion, extension, lateral bending, torsional stresses with 12 fixation methods for the compression and burst fracture.
RESULTS
In biomechanical analysis, stiffness of body-fixation device was more stable in two-rod system in compression fracture and was stable in one-rod, two-rod system in burst fracture, but two-rod system was showed over-increase of stiffness.
CONCLUSION
Authors recommend the usage of two-rod system in anterior fixation only and anterior one-rod system in anterior-posterior fixation.

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Lumbar Spine Fracture
Seung-Wook Back, Hyun-Joong Cho, Ye-Soo Park
Journal of the Korean Fracture Society.2011; 24(3): 277. CrossRef

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Superior Gluteal Artery Pseudoaneurysm without Pelvic Bone Fracture: A Case Report: Hyung Ku Yoon, Jae Hwa Kim, Man Deuk Kim, Hyung Kun Park, Soon Chul Lee; J Korean Fract Soc 2005;18(2):205-208. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.205

Abstract PDF: Pseudoaneurysm is defined as the aneurysmal cyst resulted from partial or total rupture of vessel membrane, and it can be caused by fracture, operation, laceration, blunt trauma, osteochondroma and so on. When the displaced pelvic bone fracture is diagnosed, the traumatic pseudoaneurysm, which is frequently related by the direct injury of vessel, is one of the common complications, and it can result the massive hemorrhage even death. In case of the displaced pelvic bone fracture, surgeon should check the hemoglobin level and vital sign carefully for the possibility of vascular injury. Authors report the rare case of superior gluteal artery pseudoaneurysm without pelvic bone fractrure.

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Bipolar Hemiarthroplasty of Displaced Femoral Neck Fractures in Pakinsonism Patients: Hyung Ku Yoon, Byung Kuk Kim, Dong Eun Shin, Sang Jun Song, Hyung Kun Park, Ji Hoon Chang; J Korean Fract Soc 2005;18(2):126-130. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.126

Abstract PDF

PURPOSE
To evaluate clinical outcome and functional result after cemented bipolar hemiarthroplasty of displaced neck fracture in parkinsonism patients.
MATERIALS AND METHODS
12 parkinsonism patients treated by cemented bipolar hemiarthroplasty of displaced femur neck fracture from August 1994 to October 2002 were evaluated. Posterolateral approach was performed. Preoperative and postoperative walking ability, activity of daily life and severity of parkinsonism were compared. The effects of parkinsonism on clinical outcome were analyzed retrospectively.
RESULTS
The median difference of walking ability was 1 (p=0.001) and that of ADL scale was -3 (p=0.0005). There was no significant change in the severity of parkinsonism (p=0.5), and the severity and duration of parkinsonism were not correlated with postoperative functional status. 7 cases of voiding difficulty, 5 of temporary delirium, and 2 of temporary respiratory insufficiency were noted as general complications. 2 cases of dislocation and 1 of infection were noted as orthopaedic complications.
CONCLUSION
In parkinsonism patient, walking ability was worsened, activity was more independent, but severity of parkinsonism was not changed after hemiarthroplasty of displaced femur neck fracture. Orthopaedic surgeons should bear in mind that functional outcome is poor and orthopaedic complication rate high in parkinsonism.

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Failure of Long Spinal Construct and Pseudarthrosis in a Patient with Parkinson Disease for the Treatment of Degenerative Lumbar Spinal Disorder: Case Report
Hong Kyun Kim, Hyun Woo Na, Kook Jin Chung
Journal of Korean Society of Spine Surgery.2014; 21(4): 174. CrossRef

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Pseudoaneurysm of Superficial Femoral Artery Following Proximal Femoral Nail Fixation: Hyung Ku Yoon, Byung Kuk Kim, Dong Eun Shin, Man Deuk Kim, Ji Hoon Chang; J Korean Fract Soc 2004;17(3):221-223. Published online July 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.3.221

Abstract PDF

Pseudoaneurysm of the femoral artery is a rare complication following the fixation of the fracture of proximal femur or protruded bony fragment and reports injuring on superficial femoral artery is very rare compared to deep femoral artery complicated by the insertion of distal interlocking screw. The chance of injuring superficial femoral artery may increase by deep insertion of drill bit or the repetitive arterial pulsation on prominent distal interlocking screw tip during the perioperative period. Authors experienced one case of injury on the superficial femoral artery postoperative 42 hours followed by the use of proximal femoral nail advocated by the AO group recently and would like to call attention upon the possibilities of vessel injury complicated with the use of the distal interlocking screw.

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Huge Pseudoaneurysm of Popliteal Artery Following Conservative Treatment of a Distal Femur Fracture: A Case Report
Won-Chul Cho, Chong Bin Park, Young-Jun Choi, Hyun-Il Lee, Hee-Jae Won, Jae-Kwang Hwang
Journal of the Korean Fracture Society.2016; 29(2): 137. CrossRef
Proximal femoral fractures and vascular injuries in adults: Incidence, aetiology and outcomes
Antonio Barquet, Andrés Gelink, Peter V. Giannoudis
Injury.2015; 46(12): 2297. CrossRef
Delayed Pseudoaneurysm of the Femoral Artery after Intramedullary Nailing of a Femur Shaft Fracture
Hyun Cheol Oh, Jae Wan Suh, Dae Kyung Kwak, Han Kook Yoon
Journal of the Korean Orthopaedic Association.2013; 48(3): 240. CrossRef
Diagnosis and Treatment for Delayed Pseudoaneurysm of Deep Femoral Artery - A Case Report -
Seok-Hyun Lee, Ji-Hyun Ahn
The Journal of the Korean Orthopaedic Association.2008; 43(1): 118. CrossRef

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Arthroscopic-Assisted Reduction and Internal Fixation of Patella Fractures: Sang Hun Ko, Sung Do Cho, Hwa Yeop Na, Woo Suk Kim, You Young Jeong, Chang Yeul Kwag, Bum Soo Kim; J Korean Soc Fract 2003;16(4):482-489. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.482

Abstract PDF

PURPOSE
The aim of this study is to report the clinical effectiveness of arthroscopic-assisted reduction and internal fixation of patella fractures.
MATERIALS AND METHODS
We analyzed fifteen patella fractures, which had been operated by using an arthroscopic-assisted technique from January, 2000 to April, 2003 at our hospital. After clinical follow-ups for at least 1 year, clinical analyses had been done by using the Cincinnati Knee Rating System Score, Lysholm Score Scale, and radiological findings.
RESULTS
In our study group, the Cincinnati Knee Rating System scores were from 80 to 100, with a mean of 89.9. The Lysholm Scoring Scale scores ranged from 81 to 100 with a mean of 90.8 for the same group. Radiologically, we obtained complete anatomical reduction of articular surfaces in 80 percent of cases. Arthroscopic-assisted reduction for patella fractures brought clinically satisfactory results that are accurate articular surface reduction, early recovery of motion range, knee joint stability and minimal soft tissue damage, etc.
CONCLUSION
The operative treatment for patella fractures using arthroscopic-assisted reduction is an effective alternative method to open reduction.

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Clinical Effectiveness of Korean Medical Rehabilitation Treatment after Patellar Fracture: A Report of 4 Cases
Ji-Hye Geum, Hyeon-Jun Woo, Jong-gyu Kim, Jung-Han Lee
Journal of Korean Medicine Rehabilitation.2020; 30(4): 203. CrossRef
Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture
Young Min Lee, Kook Jin Chung, Ji Hyo Hwang, Hong Kyun Kim, Yong Hyun Yoon
Journal of the Korean Fracture Society.2014; 27(3): 206. CrossRef

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Treatment of Type IIIB Open Tibial Shaft Fractures: Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Doo Koh, Jae Doo You, Jong Keon Oh, Young Seuk Kim; J Korean Soc Fract 1998;11(3):560-566. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.560

Abstract PDF

In general, severe open fractures of the tibial shaft have been treated initially with external fixation. However, despite many refinements in this technique, it has been associated with numerous complications, including problems at the sites of pins, non-union, delayed union, malunion, and infection. The purpose of this retrospective study is to analyze the results in a consecutive series of patients. There were 8 males and 2 females with an average age of the 44.9 years(range, 26-64 years). The mean follow up period was 23.2 nibtgs(range, 34-120 days). Free flap procedures were performed on all patients. The average time between removal of the fixator and intramedullary nailing was 16.5 days(range, 11-26 days). Indication of conversion to nailing was abscence of any serous discharge, reddness or local heating around pin-sites and normal renge of laboratory data. All 10 fractures had united with additional bone graft in 7 cases. The most frequent complications were delayed union in 7 cases and infection(superficial infection: 6 cases, osteomyelitis: 1 case) after IM nailing. We concluded that pin-tract infection is the major cause of infection after IM nail, but duration of external fixation and time interval(between removal of external fixator and nailing) are not isolated factors.

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Study on Instant Fish Cake Noodle Manufacturing Techniques Using Ultra-fine Powdered Kelp
Yoo-Jin Park, Se-Jong Kim, Myung-Ryun Han, Moon-Jeong Chang, Myung-Hwan Kim
Food Engineering Progress.2019; 23(3): 217. CrossRef
Treatment of Type IIIb Open Tibial Fractures
Seong Yeon Lim, Il Jae Lee, Jae Ho Joe, Hyung Keun Song
Journal of the Korean Fracture Society.2014; 27(4): 267. CrossRef

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Surgical Treatment of Displaced Acetabular Fractures - focused on Complications after open reduction -: Chung Nam Kang, Jong Oh Kim, Kong Uk Kim, Yeong Do Koh, Byeong Geun Kim; J Korean Soc Fract 1998;11(3):477-486. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.477

Abstract PDF: Management of displaced fractures of the acetabulum represents one of the greatest challenges in fracture surgery. The results had been proved to be successful after anatomical reduction and stable internal fixation. The purpose of this study is to analyze the clinical results and complications of open reduction of the displaced acetabular fractures to minimize the complications, and to present suggestions for the treatment of these fractures. We reviewed our experience with 23 displaced acetabular fractures which had been treated by open reduction to evaluate the clinical results and complications. The results were as follows; 1. The most common type of elementary fractures was posterior wall fractures according to Letournel's classification. 2. Excellent or good results were obtained in 88% among the satisfactory reduction group, and it means that accurate reduction was the most reliable factors contributing to successful clinical outcomes. 3. Complications were 1 deep infection, 2 ectopic bone formation, 1 intraarticular hardware, and 1 chondrolysis. 4. In the treatment of displaced acetabular fractures, careful initial assessment using radiograph, angiogram and 3-D CT, appropriate selection of surgical approach and accurate surgical clinical outcome and minimize the complication rate.

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Treatment of Open Segmental Fracture of the Tibia: Kyeong Soon Kim, Kyu Chul Shin, Dong Hyeuk Kim, Dong Heon Kim; J Korean Soc Fract 1998;11(1):205-213. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.205

Abstract PDF: Tibial segmental fractures are considered special type of lesion and pose many problems and the results often are unsatisfactory. We performed retrospective study of the 17 cases of open tibial segmental fracture which were treated from January 1990 to December 1995 and evaluated the efficacy of the external fixation and intramedullary nailing. The segmental fracture were classified according to the Melis classification and open fracture were classified according to the Gustilo-Anderson classification. After average follow-up of 16 months (range, 12 to 24 months), all of the fractures had healded except one. The results were as follows: 1. The average time of union was 22.5 weeks in the case of intramedullary nailing (Endernail; 26 weeks, Interlocking IM nailing; 21 weeks) and 31 weeks in the case of external fixation (Monofixator; 28 weeks, Ilizarov external fixator; 34 weeks). 2. Nonunion and osteomyelitis was developed in one case of Ilizarov external fixation and 5 cases of pin tract infection were also developed. Among 8 cases of external fixation group, 4 cases of delayed union and one case of malunion were developed. 3. In intramedullary nailing, delayed union was developed in 4 cases. 4. The functional results by Tile rating system were showed good in 6 cases, acceptable in 8 and poor 3. In concla\usion, intramedullary nailing provided better ressults thanexternal fixator in open segmantal tibial fractures, but we consider fixation device should be selected depending on the fracture type, degree of comminution and condition of the soft tissue.

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Treatment of Tibial Shaft Fractures by Intramedullary Nailing: Sung Kon Kim, Sung Woo Suh, Hyung Suk Kim; J Korean Soc Fract 1994;7(2):438-443. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.438

Abstract PDF: The incidence of the intertrochanteric fracture of the femur is increasing due to increased geriatric population. The primary goal in the treatment of an order patients with an intertrochanteric fracture is to obtain anatomical reduction and rigid fixation for the rapid mobilization, decreased mortality and restoration of function. Many devices were developed for this purpose, especially of compression hip screw had gained considerable acceptance. A retrospective study of clinical results of the 50 cases intertrochanteric fracture from March 1990 to January 1993 was performed. The result were as follows; 1. Average age is 58 years and sex distribution is 31 cases of male, 19 cases of female. 2. Common cause of injury are slip down and traffic accident. Affected side is Rt 32 cases and Lt 18 cases. 3. According to the classification (of Boyd-Graffin), there are 14 case of Type I, 31 cases of Type II 2 cases of type III,3 cases of Type IV. 4. Among 50 cases, complication is encountered in 8 cases angular deformity (4 cases), limitation of motion(3 cases), infection(1 case). 5. After treatment of intertrochanteric fracture ; Neck-shaft angle of non-displaced fracture and comminuted fracture was an average 2 degree varus angular deformity. Vertical displacement of non-displaced fracture was an average 4.5mm and comminuted fracture was 5.0 mm. Medial displacement of non-displaced fracture was an average 3.5mm and comminuted fracture was 4.5mm. 6. Satifactory results could be obtained by open reduction and internal fixation with compression hip screw.

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Treatment of Tibial Shaft Fractures by Intramedullary Nailing: Sung Kon Kim, Sung Woo Suh, Hyung Suk Kim; J Korean Soc Fract 1994;7(2):431-437. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.431

Abstract PDF: From March, 1989 to Sept. 1992, total of 31 cases of tibial shaft fracture have been admitted treated with intramedullary nailing at the Department of Orthopaedic Surgery, Ansan Hospital, Korea University. Among them, 13 cases which had been followed-up than 2years were analyzed and the results were as follows; 1. Among the 13 patients, 9 of them(69.2%) were male, the rest of 4(30.8%)were female. 2. Eight cases out of 13 were open fractures with Gustilo type I-4 cases, type II-2 cases, type III-2 cases and the remaining 5 were closed type. 3. Treatment offered were either interlocking intramedullary nailing(10 cases, 76.9%) or insertion of flexble nails(3 cases, 23.1%). 4. There were no cases with non-union and the average period of bone union was 21.6 weeks. 5. Delayed union and superficial infection occured in each three cases as a complication. 6. Intramedullary nailing could be used carefully in tibial shaft fracture even in the communicated & open fractures.

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Fracture of the lower extremity associated with vascular injury: Kwang Youn Seo, Young Wook Kim, Jin Hyuk Kim, Mong Lyong Shin; J Korean Soc Fract 1991;4(1):133-138. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.133

Abstract PDF: No abstract available.

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The Calcaneal Trabecular Pattern as an Index of Osteoporosis and the Role of Osteoporosis in Ankle Joint Fractures: Ju O Kim, Hong Jun Han, Young Suk Kim, Sang Soo Kim; J Korean Soc Fract 1989;2(1):101-106. Published online June 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.1.101

Abstract PDF: To provide another effective method of surveying osteoporosis, authors introduced the calcaneal trabecular pattern as an index of osteoporosis. We reviewed the roentgenograms of 144 patients with ankle or hip joint fracture. The trabecular pattern in the cacaneum(expressed as the calcaneal index) and that in the upper end of the femur(Singhs index) were well correlated, and both indices have a inverse correlation with age. The calcaneal index did not reveal any correlation with the type of ankle joint fractures, but it was estimated to provide useful information for ankle joint fractures in selection of treatment mode including fixation method and prediction of the prognosis.

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