Journal of Musculoskeletal Trauma

Spontaneous Intramuscular Hematoma associated with Acute Compartment Syndrome after Treatment of Low Molecular Weight Heparin: A Report of Two Cases: Keun Woo Kim, Woo Dong Nam, Kee Hyung Rhyu, Byung Ryul Cho, Yong Hoon Kim, Soo Ik Awe; J Korean Fract Soc 2006;19(1):89-92. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.89

Abstract: Low-molecular-weight heparin (LMWH) has been considered superior to unfractionated heparin in several facets such as more effective anticoagulant, more predictable bioavailability, and less bleeding complications. We report two cases of LMWH, enoxaparin-induced spontaneous intramuscular hematoma with compartment syndrome of the lower extremity in patients with cardiac problems. The patients were treated with enoxaparin (LMWH) as bridging anticoagulation before use of warfarin due to cardiac problems. At the average 3 days of enoxaparin treatment, large and painful swelling was noticed in the lower extremities without intramuscular injection or trauma. The patients were diagnosed as having compartment syndrome with large intramuscular hematoma by CT. The patients underwent immediate fasciotomy and hematoma evacuation, and recovered without any complications.

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Fracture of the Os Peroneum with Rupture of the Peroneus Longus Tendon: A Case Report: Yong Hoon Kim, Keun Woo Kim, Hak Jin Min, Eui Seong Yoon, Hee Oh Kim, Jae Seong Suh; J Korean Soc Fract 2001;14(4):685-688. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.685

Os peroneum is one of the normal sesamoids in the foot and it can be insertion of peroneus longus tendon. We report a case of as peroneum fracture with complete tear of peroneus longus tendon. This case was finally diagnosed in operation and treated by suture with peroneus brevis tendon and short leg cast.

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Painful Os Peroneum Syndrome Presenting as Lateral Plantar Foot Pain
Seon Jeong Oh, Young Hoon Kim, Sun Ki Kim, Min-Wook Kim
Annals of Rehabilitation Medicine.2012; 36(1): 163. CrossRef

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Treatment by Composite Fixation of Fractures in Osteoporotic Patients Aged over 60Years: Keun Woo Kim, Yong Hoon Kim, Hak Jin Min, Ui Seoung Yoon, Hee Oh Kim, Young Joon Ahn, Yoon Jong Kim, Ki Chan Yoo, Sang Rim Kim; J Korean Soc Fract 2001;14(1):121-127. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.121

Abstract PDF: PURPOSE
This study summarizes the satisfactory results obtained using a composite fixation method for the surgical treatment of long bone fractures in elderly patients with osteoporosis.
MATERIALS AND METHODS
We reviewed 10 cases of long bone fractures, that were treated by composite fixation, involving patients over 60 years of age that presented with radiological osteoporosis. Composite fixation was applied incorporating, traditional plate and screw fixation in conjunction with bone graft, plate or intramedullary bone cement at four cases of humeral shaft fractures, three cases of femur supracondylar fractures, two cases of femur shaft fractures, and one case of tibia shaft fracture. Results were evaluated in methods of ambulation, range of motion, bony union and complications.
RESULTS
Satisfactory ambulation and range of motion was observed in all cases, which showed bony union without early implant failure. No re-operation were necessary due to nonunion. No medical complication was noted.
CONCLUSION
The results shows that the composite fixation method provided a stable reduction and a rigid fixation, which facilitated bony union, and allowed elderly patients with osteoporosis an early range of motion and mobility after the surgical treatment of long bone fractures.

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Radial Head Dislocation With Ipsilateral Radial Shaft Fracture: A Case Report: Keun Woo Kim, Yong Hoon Kim, Hak Jin Min, Ui Seoung Yoon, Hee Oh Kim, Jae Hee Kim; J Korean Soc Fract 2000;13(3):570-575. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.570

Abstract PDF

Radial head dislocation with ipsilateral radial shaft fracture is one of the reportable trauma case with very low incidence. Only 4 cases of this type injury have been reported worldwide. In 3 cases of them, good results were achieved after early closed reduction of the radial head, followed by internal fixation of the radial shaft. In the a u t h o r s'case, the patient received the same method of treatment mentioned at the previous successful 3 cases. But after that, he suffered from repeated dislocations and finally nonunion of the fracture. At last, the authors could obtain bony union and stable elbow joint after radial head resection and osteosynthesis using autologous cancellous bone graft, but resulted in limitation of motion. We report the case and the experience of treatment.

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Delayed radial head dislocation after radial shaft fracture fixation: a case report and review of the literature
Jiyong Yang, Jie Zhang, Zhengzhong Yang
BMC Surgery.2022;[Epub] CrossRef

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Periprosthetic Femur Fracture due to Unrecognized Surgical Instrument Left in the Medullary Canal : A case report: Ui Seoung Yoon, Keun Woo Kim, Yong Hoon Kim, Hak Jin Min, Kook Hyeung Cho, Min Sup Lee, Sang Rim Kim; J Korean Soc Fract 2000;13(2):334-337. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.334

Abstract PDF: Postoperative periprosthetic fracture of the femur after hip arthroplasty is a serious complication that can be difficult to treat. Moreover, it has become more common in recent years, as the cases of hip arthroplasty and revisonal hip arthroplasty increase. We have experienced a postoperative periprosthetic fracture of th femur probably caused by a surgical instrument left in the medullary canal during hip arthroplasty. We report this case with reference to other related articles.

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The Treatment of the Hip fracture in the Dementia Patients: Ui Seoung Yoon, Keun Woo Kim, Yong Hoon Kim, Hak Jin Min, Kook Hyoung Cho, Sang Lim Kim, Hyong Tack Choi; J Korean Soc Fract 1999;12(4):767-772. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.767

Abstract PDF

PURPOSE
: The goal of treatment in elderly patients with hip fractures is restoration of function to preoperative ambulatory statuf as early as possible. The dementia patients who live in the asylum for the old need longer rehabilitation program for restoration of function, especially walking ability. The authors compare the modalities of the treatment for the hip fracture in the view point of walking ability.
MATERIALS and METHODS
: The twenty-eight dementia patients were operated due to hip fracture. Femur neck fractures were 7 cases, and femur intertrochanteric fractures were 21 cases. The authors analyze these patient on the recovery of walking ability. One patient who died immediately after operation was excluded in thil study. The patients were divided into two groups. Of 27 patients, 13 patients were treated with osteosynthesis(Group I), and remaining 14 patients were treated with hemidrthroplasy(Group II).
RESULTS
Fixation loss was treated with hemiarthroplasty in two case of osteosynthesis. The dislocation was treated with open reduction in one cafe of hemiarthioplasty. In the group I, the walking abilities were significantly different between the preoperative(3.85) and the postoperative at 2 weeks(2.46), at 2 months(2.73) and at the final follow-up(2.55)(P<0.05). In the group II, the walking abilities were not significantly different between the preoperative (2.57) and the postoperative at 2 weeks(2.14), at 2 months(2.36) and at the final follow- up(2.29)(P>0.05).
CONCLUSION
: Although there is no difference between two groups in final walking ability, The group treated with endoprosthesis showed earlier recovery of safting ability.

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CORR Insights®: What Are the Risk Factors for Dislocation of Hip Bipolar Hemiarthroplasty Through the Anterolateral Approach? A Nested Case-control Study
Eckart Mayr
Clinical Orthopaedics & Related Research.2016; 474(12): 2630. CrossRef
Risk Factors Associated with Dislocation after Bipolar Hemiarthroplasty in Elderly Patients with Femoral Neck Fracture
Yeesuk Kim, Joon-Kuk Kim, Il-Han Joo, Kyu-Tae Hwang, Young-Ho Kim
Hip & Pelvis.2016; 28(2): 104. CrossRef

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Fracture of the Coracoid Process Associated with Acromioclavicular Dislocation: Ui Seoung Yoon, Yong Hoon Kim, Keun Woo Kim, Hak Jin Min, Kook Hyeung Cho, Ki Seung Kum, Il Myung Kim; J Korean Soc Fract 1997;10(3):640-644. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.640

Abstract PDF: Acromioclavicular dislocation with a concomitant coracoid process fracture occurs infrequently, as only several cases have been reported in the literature. This injury usually occurs in the second or third decade of life. The mechanism of injury were sports, motor vehicle and direct trauma. An axillary lateral radiograph of the shoulder often is needed to detect this fracture. The authors present two cases of coracoid process fracture associated with acromioclavicular dislocation. Satisfactory function with minimal residual cosmetic deformity may be achieved by nonoperative measures. Also surgical treatment can produce good result in complete third acromioclavicular separation combined with the significantly displaced coracoid fracture.

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Fracture of Femur Neck Associated with Technical Errors in Closed Intramedullary Nailing of the Femur: Yong Hoon Kim, Ki Chan Ahn, Sung Suk Seo, Young Chang Kim, Jang Suk Choi, Young Gu Lee; J Korean Soc Fract 1997;10(1):73-78. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.73

Abstract PDF: Closed intramedullary nailing has become increasingly popular in the management of fracture of the femur because of a high rate of union and a low rate of complications. Since the development, it has been widely used in more applicable level of femoral shaft fracture. Therefore, complications of intramedullary nailing was rarely seen, especially rare in case of fractures of the femoral neck associated with technical errors. The three cases of femoral neck fracture with technical errors during intramedullary nailing for treatment of femoral shaft fracture in Paik Hospital, Pusan from April 1994 to July 1995 are reported herein to document that this complication can occur. Three cases of the femoral neck fracture were treated by closed reduction and internal fixation with Knowles pin.

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Femur Neck Fracture during Closed Nailing of Femur Shaft Fracture: Keun Woe Kim, Ui Seong Yoon, Yong Hoon Kim, Hak Jin Min, Jin Sup Yeom, Young Ho Lee; J Korean Soc Fract 1996;9(4):936-942. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.936

Abstract PDF

Closed intramedullary nailing has become increasingly popular in the management of fractures of the femur because of a high rate of union, a low rate of infection, and excellent return of function. But it requires good availability of equipment and surgeons skill and experience. Iatrogenic femur neck fracture can occur as a complication of closed intramedullary nailing of femur shaft fracture. The authors report five cases of this complication and analyze these five cases in the viewpoint of causal technical errors and suggest some technical points to avoid this complication.

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Some Series of Honey-Comb Spaces
Elena Barbieri, Alberto Cavicchioli, Fulvia Spaggiari
Rocky Mountain Journal of Mathematics.2009;[Epub] CrossRef

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Analsis of the Distal Tibial Physeal and Epiphyseal Injury: In Ho Choi, Choon Ki Lee, Duk Yong Lee, Se Il Suk, Song Choi, Yong Hoon Kim, Suk Kee Tae, Seong Il Kim; J Korean Soc Fract 1989;2(2):164-173. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.164

Abstract PDF: We have reviewed 21 cases of physeal and epiphyseal fracture of the distal tibia including one case of juvenile Tillaux fracture and four cases of triplane fracture. The patterns of fracture were correlated with the mechanism of injury using the modified Lauge-Hansen method and sysemic classification of the triplane frature was proposed. Treatment included closed reduction and cast(9 cases), closed reduction and percutaneous pin fixation(4 cases), and open reduction(8 cases). Two of the nine patients treated by means of closed reduction and cast had ankle joint incongruity or progressive varus deformity requiring corrective ost eotomy. These two patients had either Salter-Harris Type III ro Type IV fracture after supination-inversion injury. In one patient, who had 100 per cent displacement of the distal tibial epiphysis and degloving injury of the ankle, premature physeal arrest developed after open reduction and internal fixaion for Salter-Harris Type Tyre I fracture. If there are triagular metaphseal ledge along with the juvenile Tillaux fracture-like vertical epiphyseal fracture line on the antero-posterior view and Salter-Harris Type II or Type IV frature on the lateral view, a certain type of triplane fracture is strongly suggested. Plain radiographs, however, could not accurately demontrate the detailed configuration of the triplane fracture, instead computerized axial tomography was very helpful us to analyse the true dimensions of the triplane fracture. We agree that displace Salter-Harri Type III or Type IV and transitional fractures with a fracture gap of more than two millimeters in the weight-bearing portion of the epiphysis regure open reduction.

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