Journal of Musculoskeletal Trauma

Original Article

Treatment of Scaphoid Nonunions with Autogenous Cancellous Bone Grafting Combined with Threaded K-wire Fixation: Yong Ho Kang, Hyung Gyu Kim, Seung Ju Jeon, Nam Heun Kim; J Korean Fract Soc 2005;18(3):317-324. Published online July 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.3.317

Abstract PDF: PURPOSE
To evaluate the results of surgical treatment of autogenous cancellous bone grafting combined with threaded K-wire fixation for scaphoid nonunions.
MATERIALS AND METHODS
We retrospectively reviewed the 13 patients with scaphoid nonunion, which was follow up at least 12 months from March 1999 to June 2003. According to the Mayo classification, two cases were type P (proximal third), eight cases were type W (waist) and three cases were type D (distal third). According to the Russe classification, eight cases showed horizontal oblique type, another two cases were transverse, and last three belonged to vertical oblique type. We assessed the radiologic bony union, correction of humpback deformity and lateral intrascaphoid angle and degenerative change of radioscaphoid joint, clinical results were evaluated using assessment of Maudsley.
RESULTS
Radiologic union was obtained in all cases, mean time of union was 15.4 weeks (13~17.4 weeks), and there was no radiological evidence of postoperative humpback deformity, intercarpal instability, proximal osteonecrosis and degenerative changes. According to assessment of Maudsley, there were 7 excellent cases, 4 good cases, 1 fair case and 1 poor case among these 13 cases. The final clinical results were 11 excellent cases, 2 good case in the aspect of wrist pain and tenderness. All range of motion was satisfactory to patients except 4 cases (3 fair, 1 poor) and every patients could return to work except 1 poor case.
CONCLUSION
The surgical treatment using a autogenous cancellous bone grafting combined with threaded K-wire fixation for scaphoid nonunion was a relatively straightforward technique, which provides simplicity, and high union rate.

101 View
0 Download

Case Report

3 Cases of Open Comminuted Fracture of the Ankle with the Loss of the Lateral Malleolus: Hui Wan Park, Jun Sub Jahng, Koon Soon Kang, Yong Ho Kang; J Korean Soc Fract 1989;2(2):206-210. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.206

Abstract PDF: The importance of fixation of the medial malleolus was stressed in the treatment of ankle joint fractures in the early 60s; later more attention was paid to the effects of the treatment of the lateral malleolus. Fibular integrity is essential in stabilizing of the ankle joint. Loss of lateral malleolus may result in separation of inferior tibiofibular joint, ankle instability and talus displacement. Eventually this leads to traumatic arthritis. The authors experienced 3 cases of loss of lateral malleolus which were treated at Yongdong Severance hospital, Yonsei University College of Medicine. The results were obtained as follows; total loss of lateral malleolus leads to adductioin instability of talus and slightly lateral talar shift, and partial loss of lateral malleolus leads to no lateral talar shift. But the results are obtained for short term and long term follow up is needed.

84 View
0 Download

First
Prev
Page of 1
Next
Last

Search