Journal of Musculoskeletal Trauma

Total Hip Arthroplasty after Acetabular Fracture: Acute Phase and Delayed Phase: Hwan Hee Lee, Se Won Lee, Weon Yoo Kim; J Korean Fract Soc 2019;32(4):232-239. Published online October 31, 2019; DOI: https://doi.org/10.12671/jkfs.2019.32.4.232

The incidence of acetabular fractures in the elderly has increased because of the increasing elderly population. To determine the treatment plan for acetabular fractures, the patient's age, gait ability, presence or absence of osteoporosis and osteoarthritis, underlying disease, and fracture pattern should be considered. The application of total hip arthroplasty for acetabular fractures with the proper indications can be expected to have a good prognosis. In this paper, the application of total hip arthroplasty as a treatment method for acetabular fractures is divided into acute and delayed phases.

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Effect of Korean Medicine Treatments for Pain Reduction in Patients with Hip Fracture : A Retrospective Observational Study
Nam Hoon Kim, Min Seok Oh
Journal of Physiology & Pathology in Korean Medicine.2020; 34(5): 263. CrossRef

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Surgical Correction and Osteosynthesis for Cranial Displaced Pelvic Nonunion: Technical Note and Two Cases Report Regarding Anterior Correction and Osteosynthesis Following Posterior Release: Kwang Cheon Choi, Ji Yoon Ha, Weon Yoo Kim; J Korean Fract Soc 2014;27(2):151-156. Published online April 30, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.2.151

Abstract PDF: Nonunion of an unstable pelvic fracture with cranial displacement pelvic surgery is technically difficult due to a large amount of bleeding and the risk of nerve damage. In addition, surgical correction of leg length discrepancy by reduction of a dislocated sacroiliac joint is in high demand. Nevertheless, when a patient is strongly disabled by a pelvic deformity, surgical correction may be necessary. Two patients with pelvic deformity were treated successfully by surgical correction and osteosynthesis.

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Treatment of Distal Femoral Fractures Using Polyaxial Locking Plate: Sang Eun Park, Hyun Taek Kang, Young Yul Kim, Jae Jung Jeong, Jung U Lee, Weon Yoo Kim; J Korean Fract Soc 2011;24(4):321-327. Published online October 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.4.321

Abstract PDF

PURPOSE
To report the clinical outcome of polyaxial locking plate (Noncontact bridging (NCB) plate (Zimmer, Warsaw, Indiana)) for the treatment of distal femur fracture with minimal invasive percutaneous periosteal osteosynthsis (MIPPO) technique.
MATERIALS AND METHODS
Between February 2008 to April 2010, twenty six patients (11 men, 15 women), twenty eight cases diagnosed as distal femoral fractures are enrolled in this retrospective study. The mean age of the patients was 63 years (34 to 85) and the mean follow-up was 20.3 months (12 to 32). According to the AO/ASIF classification, 15 fractures were type A, 1 type B and 9 type C. And there were 3 periprsthetic fractures around knee. The analysis of the clinical and radiologic outcome were performed by Sanders functional evaluation scale and radiologic follow up after operation, respectively.
RESULTS
Among 28 cases, 25 cases united without additional operation. According to Sanders functional evaluation scale, there were 11 excellent, 9 good, 4 fair, 2 poor. As complications, there were 1 knee stiffness, 1 delayed union, 1 implant failure with refracture, 1 implant loosening. Three patients except one knee stiffness, underwent a second LISS plating using NCB plate and and bone grafting, resulting in a satisfactory final outcome.
CONCLUSION
Internal fixation using polyaxial locking plate with MIPO technique may be one of the most effective methods for the treatment of distal femoral fractures.

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Usefulness of Reduction and Internal Fixation Using a 2.4 mm Hand Plating System in Type AO 33-A3 Distal Femur Fracture: Technical Note
Bong-Ju Lee, Ja-Yeong Yoon, Seungha Woo
Journal of the Korean Fracture Society.2023; 36(1): 25. CrossRef
Incidence of nonunion after surgery of distal femoral fractures using contemporary fixation device: a meta‐analysis
Byung-Ho Yoon, In Keun Park, Youngwoo Kim, Hyoung-Keun Oh, Suk Kyu Choo, Yerl-Bo Sung
Archives of Orthopaedic and Trauma Surgery.2021; 141(2): 225. CrossRef

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Medial Transposition of Radial Nerve in Distal Humerus Shaft Fracture: A Report of Six Cases: Sang Uk Lee, Weon Yoo Kim, Soo Hwan Kang, Yong Soo Park, Seung Koo Rhee; J Korean Fract Soc 2008;21(3):240-243. Published online July 31, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.3.240

Abstract PDF

Sometimes serious tension occurs in the radial nerve when doing internal fixation for distal humerus shaft fracture or neurorrhaphy for radial nerve injury. Medial transposition of radial nerve on fracture site can avoid direct radial nerve injury by fracture fragment, radial nerve tension by plating for distal humerus shaft fracture, and also safe from neural tension during neurorrhaphy of damaged radial nerve. We reported here total 6 cases of backward transposition of radial nerve including 2 cases of radial nerve injury associated with humerus fracture and 4 cases of comminuted fracture of humerus shaft.

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Transhumeral Anterior Radial Nerve Transposition to Simplify Anticipated Future Humeral Reconstruction
David A. Muzykewicz, Reid A. Abrams
The Journal of Hand Surgery.2017; 42(7): 578.e1. CrossRef
Transfracture medial transposition of the radial nerve associated with plate fixation of the humerus
Ali Hassan Chamseddine, Amer Abdallah, Hadi Zein, Assad Taha
International Orthopaedics.2017; 41(7): 1463. CrossRef
Trans-fracture transposition of the radial nerve during the open approach of humeral shaft fractures
Ali H. Chamseddine, Hadi K. Zein, Abdullah A. Alasiry, Nader A. Mansour, Ali M. Bazzal
European Journal of Orthopaedic Surgery & Traumatology.2013; 23(6): 725. CrossRef
Humerus Shaft Fractures in Leisure Sport 'Flyfish Riding' - 4 Cases Report -
Bong Gun Lee, Ki Chul Park, Youn Ho Choi, Woo Sung Jung, Kyu Tae Hwang
Journal of the Korean Fracture Society.2012; 25(4): 327. CrossRef

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Testicular Necrosis after Ilioinguinal Approach for Pelvic Nonunion: A Case Report: Sang Eun Park, Young Yul Kim, Jong Hun Ji, Chang Whan Han, Weon Yoo Kim; J Korean Fract Soc 2006;19(4):490-493. Published online October 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.4.490

Abstract

Pelvic nonunion is very difficult to treat. According to the nonunion site, anterior or posterior surgical approach should be used selectively. And if the nonunion site is located in both anterior and posterior, both anterior and posterior surgical approach should be used. We report a case of testicular necrosis after ilioinguinal approach used as a anterior approach to pelvis to treat pelvic nonunion developed as a result of unstable pelvic ring injury.

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Anatomical Study of Symphysis Pubis Using 3 Dimensional Computed Tomography in Koreans
Ji Wan Kim, Jung Min Park, Jae Suk Chang
Journal of the Korean Fracture Society.2013; 26(1): 32. CrossRef

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Lateral Submeniscal Approach in the Treatment of Tibial Condyle Fracture: Weon Yoo Kim, Jin Young Kim, Woo Sung Choi, Yong Hwan Kim, Bum Sung Lee, Young Mo Kim, Chang Whan Han; J Korean Soc Fract 2003;16(4):496-503. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.496

Abstract PDF: PURPOSE
To evaluate the radiologic and functional results of treatment in proximal tibial plateau fracture using lateral submeniscal approach, which is a relatively minimally invasive approach to tibial condylar articular surface.
MATERIALS AND METHODS
Twenty three cases of tibial plateau fracture which treated with submeniscal approach were analyzed with one year follow up. The results were evaluated by immediate postoperative radiographic and Hohl's clinical evaluation.
RESULTS
Tibial articular surface could be in operation field and the articular surface could be restored the anatomically by elevating the depressed articular surface and bone graft to the empty space. The postoperative radiography showed that most cases (91%) could be reduced adequately (within 2 mm). The clinical evaluation by Hohl's criteria revealed excellent 7 cases (30%), good 12 cases (52%), fair 3 cases (13%), and one poor case (4%).
CONCLUSION
Submeniscal approach can identify the articular surface and intraarticular soft tissues with minimal incision, and allows anatomical reduction, sufficient bone graft, rigid plate fixation and soft tissue treatment, therefore it is one of the good approach in treatment of proximal tibial plateau fracture.

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Anterior Approach and Volar T-plate fixation of Distal Radius Fracture: Woo Sung Choi, Weon Yoo Kim, Dong Won Choi, Yun Hack Shin, Jin Young Kim; J Korean Soc Fract 2003;16(2):244-252. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.244

Abstract PDF

PURPOSE
To analyze the radiologic and clinical results of open reduction and volar plating through anterior approach for distal radius fracture.
MATERIALS AND METHODS
We retrospectively analysed that 19 distal radius fracture, which would not be reduced by closed reduction or too comminuted to maintain reduction or articular surface incongruency, were treated by open reduction and volar plating through anterior approach. The results were evaluated by preoperative and immediate postoperative radiographics and clinical results were analysed using Green and O'Brien scoring system at final follow up.
RESULTS
All cases achieved anatomical articular surface reduction postoperatively. In terms of radiologic analysis, mean radial length (8.8 mm +/-4.8 mm vs. 11 mm +/-3 mm), radial inclination (15 degrees+/-5.7 degreesvs. 20degrees+/-5degrees), volar tilt (-11 degrees+/-13 degrees vs. 7 degrees+/-4 degrees) and ulnar plus variant (4 mm+/-3 mm vs. 0 mm+/-1 mm) were improved. The clinical evaluation revealed 9 excellent cases, 7 good cases, 2 fair cases and 1 poor case. The reduction loss and flexor pollicis longus rupture was occurred in one patient, who had severely displaced comminute fracture in initial injury.
CONCLUSION
Using volar plating, authors gain good radiologic and clinical results. But, additional external fixation is recommended to prevent further collapse in severly comminuted fractures.

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Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate
Jae-Cheon Sim, Sung-Sik Ha, Ki-Do Hong, Tae-Ho Kim, Min-Chul Sung
Journal of the Korean Fracture Society.2015; 28(1): 46. CrossRef

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Treatment of Pertrochanteric Fracture with Femoral Neck Fracture: Weon Yoo Kim, Chang Whan Han, Woo Sung Choi, Jong Hoon Ji, Chang Youn Moon, Jin Young Kim; J Korean Soc Fract 2002;15(3):307-311. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.307

Abstract PDF: OBJECTIVES
To establish the precise diagnosis of a comminuted pertrochanteric fracture with femoral neck fracture in a senile osteoporotic patient and report of a preliminary clinical results of early bipolar hemiarthroplasty. MATERIAL & METHODS: Consecutive seven cases of comminuted pertrochanteric fractures who were suspicious to have combination with femoral neck fracture were evaluated. All cases had routine radiographs and CT scans of proximal femur and performed with bipolar hemiarthroplasties. Observation of the retrieved femoral head to evaluate a fracture and recorded with photograph. Postoperative evaluation was done with Daubine & Postel clinical grading with medical recording and personal telephone. The clinical evaluation was focused on the recovery for preinjured walking distance.
RESULTS
All patients were proved to have combination with pertrochanteric fractures and femoral neck fractures. In addition, all patients were recovered to more than good in clinical grading and pre-injured walking distance.
CONCLUSION
To make a precise diagnosis of pertrochanteric fractures with femoral neck fracture it is recommended to perform the CT scan with prompt reading of the simple radiographs in suspicious case. An early bipolar hemiarthroplasty was also recommended to treat this kind of senile difficult fracture.

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Minimally invasive plate osteosynthesis of the periarticular tibial fracture: Jae Duk Ryu, Weon Yoo Kim, Jin Hyung Sung, Jin Il Park, Jin Young Kim; J Korean Soc Fract 2001;14(1):66-72. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.66

Abstract PDF: PURPOSE
To investigate the effective surgical method for the periarticular tibial fracture.
MATERIALS AND METHODS
A retrospective review was done on 27 cases with the periarticular tibial fracture who were treated by minimally invasive plate osteosynthesis(MIPO) between March, 1995 and December, 1998. The mean follow up period was 20.3 months(range: 14-42 months). Raiological bony union and clinical complications were analysed. Nineteen cases(70%) were proximal and remained 8 were distal. Five were open fractures and 15(56%) were communited.
RESULTS
Postoperatively if clinical(12.3 weeks) and radiolographic(14.7 weeks) signs of healing were present, and their concurrent injuries allowed, full weight bearing was initiated. In functional evaluation, proximal tibia fractures were excellent and good in 17 cases, fair in 2 cases and distal tibia fractures were good in 6 cases, fair in 1 case, poor in I case. Complications were occurred in 5 cases(19%)as superficial infection, rotational malunion, nonunion and knee joint stiffness.
CONCLUSION
It seems that the MIPO on patients with periarticular tibial fracture allows early motion of adjacent joint, shorten the interval of radiographic and clinical union and decrease the complications and it has excellent cosmetic effect. As a conclusion, we recommend that the MIPO should be considered as an appropriate operative treatment regimen in treating peritalar tibial fracture. But we have to pay attention to prebending a plate before application.

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Nerve injuries complicating Monteggia lesion: Jae Duk Ryu, Chang Hwan Han, Weon Yoo Kim, Jin Hyung Sung, Jin Ho Jung, Jin Young Kim; J Korean Soc Fract 2000;13(3):591-596. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.591

Abstract PDF: PURPOSE
Concerns on the Monteggia lesion was concentrated on the injuries to the bone parts and largely ignores the soft tissues and the nerves in particular. We reviewed injured nerve, treatment and prognosis in the Monteggia lesion associated with nerve injury.
MATERIALS AND METHODS
From January 1990 through November 1999, 26 patients with Monteggia lesions have been treated: six of these patients had associated with nerve injuries. The age of injured patients ranged from 9 to 67 years with an average of 25.5 years.
RESULTS
All could be classified as Type 1 of Bado(anterior dislocation of the radial head), and four injuries were open and two were closed. two patients had radial-nerve palsy and four patients had posterior interosseous-nerve palsy, one of them with associated ulnar-nerve palsy. The fifth patient demonstrated complete spontaneous recovery. One patient with posterior interosseous nerve injury was absence of spontaneous return of function within 12 weeks after injury, exploration and neurolysis was performed. Complete recovery of posterior interosseous nerve function occurred in 14 weeks after exploration.
CONCLUSION
Monteggia lesions can be reduced early with ease under general anesthesia and, if necessary, even under local anesthesia. Spontaneous recovery of nerve function may occur within 12 weeks; in the absence of electromyographic or clinical evidence of return of nerve function within 12 weeks, exploration and neurolysis is indicated.

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Autogenous bone marrow injection for the treatment of delayed union of the long bone: Jin Hyung Sung, Jae Duk Ryu, Weon Yoo Kim, Chang Hwan Han, Eui Young Ohm, Jin Young Kim; J Korean Soc Fract 1999;12(4):1071-1076. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.1071

Abstract PDF: It is known that the Salter-Harris type I and II fractures of the distal tibial epiphysis usually For resolving problems of delayed union and non-union of long bones, many efforts was made such as autogenous graft, allogenic or artificial bone graft and electrical stimulation, but there were many complications and not sufncient fracture healing process. The purpose of this study was to investigate the effect of autograft with bone marrow on the repair or bone formation of delayed union by the serial radiogram and clinical examination. We evaluated thirty nine patients which had been treated for long bone fracture, to whom bone marrow injection was made between 3 months and 13 months after adequate fixation(average.4.8months). After bone marrow injection, clinical follow up period was from 15 months to 35 months(average 26.7months). The age distribution was from 18 years to 84 years(average 42). A total of 100- 150cc of marrow was injected at the nonunion site immediately after aspiration under the C-arm. Of 39 cases, there were improved bone healing process of 30 cases(77%) by radiographically and clinically, Of 9 cases without improvement, 5 cases were due to loosening of external fixator, 2 cases was due to chronic osteomyelitis and other 2 cases was unknown origin. No serious complications were observed other than no improvement. Although percutaneous bone marrow injection does not promote healing more rapidly than would standard operative bone grafting, it has many distinct advantages over the latter. It is safe, easy, and time saving. It is economical and involves minimal trauma. It can be done under local anesthesia and avoids the risks of general anesthesia, infection and surgery. It can be done in cases which are not fit for open bone grafting because of poor condition of the skin.

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Result of 29 consecutive patients with the distal femiral fracture: Analysis of the result treated with AO DCS(dynamic condylar Screw) Supracondylar nail, May anatomical plate: Weon Yoo Kim, Jin Hyung Sung, Chong Hoon Park, Jeong Soo Park, Jin Yong Kim; J Korean Soc Fract 1996;9(1):68-75. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.68

Abstract PDF: Twenty-nine cases of the surgically treated distal femoral fracture were analyzed to compare internal fixatorw (AO DCS,Supracondylar nail, May anatomical plate),who were treated at Department of orthopaedic surgery, Taejon Saint Marys hospital from Jan. 1992 to Jun. 1994. The cases were classified according to AO classification and minmum 12 months(average:22.4 monthw) follow up. Following results were obtained: 1.Male was more common than female, age distrbution was between 16 and 77 years old(average 40.4), abd the most common cause of the fracture was traffic accident. 2.The most comon type C by AO classification(type A 11 cases, type B 1 case, type C 17 cases). 3.According to Schatzkers criteria in the clincal result, type A,B were better resykt than type C, and severe soft tissue damage, comminution and joint involvement lead to unsatisfactory results. 4.Supracondylar nail was inadequate implant due to inferior clinical result(1 excellent, 2 good and 3 poor). 5.DCS had more sateafactory result than other internal fixators(supracondylar nail, May anatomical plate). Based on the observations, the better results depend on the amount of initial trauma, early anatomical reduction, rigid internal fixation and exercise of the knee joint.

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