Journal of Musculoskeletal Trauma

Results of Asian Type Gamma 3 Nail in Treatment of Trochanteric Fractures: Bing Zhe Huang, Yong Wook Park, Jin Su Park, Kyu Cheol Noh, Soung Yon Kim, Kook Jin Chung, Hong Kyun Kim, Hyong Nyun Kim, Yong Hyun Yoon, Ji Hyo Hwang; J Korean Fract Soc 2014;27(3):213-221. Published online July 31, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.3.213

PURPOSE
This study was conducted in order to demonstrate the radiologic and clinical results of using the Asian type gamma 3 nail in treatment of trochanteric fractures.
MATERIALS AND METHODS
Patients underwent operations with gamma 3 nails between August 2010 and August 2012. For the radiologic evaluation, we analyzed bone quality, fracture pattern, reduction quality, union period, and position of lag screw (tip-apex distance, Cleveland index). For the clinical evaluation, we analyzed mobility score of Palmer and Parker and Jensen's functional score.
RESULTS
The mean union was taken at 17.4 weeks (14-25 weeks). Two cases (4.3%) underwent reoperation due to cutting out of the hip screws. The clinical outcomes of Parker and Palmer's average mobility score changed from 7.3 to 5.8 (79%), Jensen's functional score was 1.3 to 1.8 (72%).
CONCLUSION
We achieved excellent clinical and radiological outcomes; therefore, Asian type gamma 3 nail is effective in treatment of trochanteric fractures of the femur in Korea.

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Clinical and radiological outcome of the Chimaera short nailing system in inter- and subtrochanteric fractures
Aurélien Traverso, Trieu-Hoai-Nam Ngo, Guillem Fernandez Gil, Xavier Lannes, Sylvain Steinmetz, Kevin Moerenhout
Injury.2023; 54(3): 970. CrossRef

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Operative Treatment of Bilateral Tibial Tuberosity Fractures in Adolescent: A Case Report: Hong Kyun Kim, Jung Han Yoo, Yong Wook Park, Jin Soo Park, Kyu Cheol Noh, Kook Jin Chung, Keun Jong Jang, Ji Hyo Hwang; J Korean Fract Soc 2010;23(3):317-320. Published online July 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.3.317

Abstract PDF: Bilateral avulsion fractures of the tibial tubercles are extremely rare. There is no case report about this in Korean literature. We present simultaneous bilateral tibial tuberosity fractures in 14-year-old adolescent male fell on the ground during running. These fractures were managed by open reduction and screw fixation. We gained complete union and removed metal after 6 months. Functional results were excellent 6 month after surgical treatment.

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Internal fixation with K-wires for the clavicular shaft fractures in young women: Do Young Kim, Yong Wook Park, Gun Il Im, Chang Kyun Lim, Sang Soo Lee, Hyun Chul Park; J Korean Soc Fract 2002;15(4):545-550. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.545

Abstract PDF: PURPOSE
To know the advantages and disadvantages of this procedure by analyzing the results of internal fixation with K-wires for clavicular shaft fractures in young women.
MATERIALS AND METHODS
Twelve patients were followed for more than 1 year after the operation. All patients were female and average age was 28 years with average follow-up of 14 months. All cases were displaced fractures of the middle third with tenting of the skin and 2 cases were type 1 open fractures. After the operation, we investigated time to union, changes of K-wire, scar and disadvantages periodically.
RESULTS
There was no nonunion and time to union averaged 11.8 weeks. Migration and bending of the K-wires occured in one case. The length of surgical scar was about 4cm and the K-wires were easily removed under local anesthesia. But all patients complained of frequent radiographic evaluation, relatively long period of immobilization and irritation of the K-wires on medial part of the clavicle.
CONCLUSION
We think that internal fixation with the K-wires is one of the effective treatment options for the clavicular shaft fractures in young women.

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Arthroscopic Reduction and Percutaneous Cannulated Screw Fixation for Longitudinal Fractures of Patella: Jung Han Yoo, Yung Khee Chung, Yong Wook Park, Jin Sub Kim, Deuk Soo Jun, Ho Jin Lee; J Korean Soc Fract 2000;13(1):103-108. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.103

Abstract PDF: A variety of surgical modalities for fractures of patella have been described. We used arthroscopic reduction and percutaneous screw fixation for six cases of longitudinal fracture of patella. Ages of the patients ranged from 25 to 33 years. the postoperative regimen was one week long leg splint for reducing the pain, followed by continuous passive range of motion exercise of the knee including active one and quadriceps strengthening exercise until the full range of motion was gained, with progressive partial to full weight bearing with crutches. The follow-up period was from 12 to 54 monhts. Results were assessed subjectively and objectively with retrograde study. The full range of knee motion was recovered from 20 to 35 days postoperatively, The radiographic bone union was achieved from 31 to 42 days. And all patient had good results according to Lysholm and Gillquist scoring system. We had no experience of complication except one which is prominence of screw end. So, we believed that the arthroscopic reduction and percutaneous cannulated screw fixation for longitudinal fractures of patella is the useful surgical method.

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ankle and Tibitalocalcaneal Arthrodesis using Lateral Malleolus as Bone Graft: Yung Khee Chung, Jung Han Uoo, Yong Wook Park, Kang Il Lee; J Korean Soc Fract 1998;11(4):918-923. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.918

Abstract PDF: A variety of surgical approaches and bone grafting techniques for ankle and tibiotalocalcaneal arthrodesis have been described. Wed used transfibular approach and lateral malleolus was used for bone graft. This permitted excellent visualization of the ankle and subtalar joint so that the fusion can readily be achieved under th direct visualization. And also we didn't need to prepare the additional bone graft from another site. Ten ankle fusions and two tibiotalocalcaneal fusions were carried out and reviewed. The average age of the patients was 43 years(range, 27 - 58 years). The average follow-up was 27.8 months(range, 24 - 34 months). We evaluated the clinical and radiological results, and complications. All cases were satisfied and fused. But we experienced one minor complication that was posteroplantar heel pain caused by prominence of cannulated screw head. So, we suggest that this procedure has benefit for ankle or tibiotalocalcaneal fusion.

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Interlocking Intramedullary Nail Fixation for Tibiotalocalcaneal Fusion(2 cases): Young Ki Chung, Jung Han Yoo, Sung Il Shin, Yong Wook Park, Dong Cheol Pyo; J Korean Soc Fract 1997;10(4):860-865. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.860

Abstract PDF: Multiple fixation techniques for tibiotalocalcaneal arthrodesis have been introduced. The interlocking intramedullary nailing for tibiotalocalcaneal osteoarthritis with osteoporosis permits excellent internal fixation. We had two retrograde interlocking intramedullary nail fixation for tibiotalocalcaneal arthrodesis. One patient is chronic infectious osteoarthritis of the ankle and subtalar joints. And the other is non-union of the distal tibia with arthrofibrosis of the ankle and subtalar joints. Two patients also had osteoporosis due to long immobilization. The follow up period were 12 and 22 months respectively. The leg and foot is aesthetically pleasing and the musculature around the ankle and foot is maintained in the normal balanced position after the tibiotalocalcaneal fusion. So, we believed that the interlocking intramedullary nailing is an excellent treatment method for tibio talocalcaneal arthritis with osteoporosis.

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Retrieval of a Broken Intramedullary Nail after Refracture of Femoral Shaft: A case report: Yung Khee Chung, Jung Han Yoo, Yong Wook Park, Ji Dong Lee; J Korean Soc Fract 1997;10(2):401-404. Published online April 30, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.2.401

Abstract PDF: As the use of intramedullary nail fixation for the long bone fracture has been increased over recent years, so has the rate of reported complications involving intramedullary nail devices. One of the most common complication is fatigue fracture of an intramedullary nail itself if there is delayed union or nonunion of the fracture. The retrieval of the distal segment of broken intramedullary nail had proved to be particularly troublesome. The authors experienced one case of the retrieval of a broken intramedullary nail after refracture of femoral shaft, using the closed method and report this case with review of literatures.

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Operative Treatment of Comminuted Fraeture of the Patella: Yung Khee Chung, Jung Han Yoo, Yong Wook Park, Gyu Cheol Roh; J Korean Soc Fract 1996;9(4):970-976. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.970

Abstract PDF

The patella, lying within the quadriceps tendon mechanism and subcutaneous in position, is susceptible to the effects of both direct and indirect trauma. Patella fractures are intra-articular injuries and have a significant effect on knee function. The tension band wiring technique is widely used for treating fractures of the patella and is often the treatment of choice. We reviewed tweenty nine cases of cemminuted fracture of the patella treated with surgical methods from Jan. 1989 to Mar. 1995 and fellowed up more than one year, from the department of of hopedic surgiry, Kangnam Sacred Heart Hospital, Hallym University. The results were as follows: 1. According to the classincation of Bostman, there were 6 cases(20.7%) of type 1.16(55.2%) of II A, 5(17.2%) of II B and 2(6.9%) of III. 2. Of tweenty nine cases, tweenty six(89.7%) were treated by modified tension band wiring with cerclage wiring (MTBW with CW) and three(10.3%) by partial patellectomy with cerclage wiring(PP with CW). 3. Among tweenty six cases treated with MTBW with CW. tweenty one cases(76.9%) revealed a good or exellent result according to the Cincinnati rating system. 4. Especially, among 5 cases of type II B & 2 cases of type III comminuted fracture treated with MTBW with CW, 5 cases(73.4%) revealed good result. We concluded that the use of modified tension band wiring with cerclage wiring for the comminuted fracture of patella has been shown to be a satisfactory method.

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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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A Clinical Experience of Surgical Treatment for Type C of AO Classification of Supracondylar Fractures of the Femur: Yung Khee Chung, Jung Han Yoo, Myung Ryool Park, Baek Yong Song, Yong Wook Park, Jun Tae Kim; J Korean Soc Fract 1995;8(1):22-30. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.22

Abstract PDF: The treatment of supracondylar fractures of the femur remains many problem because of its complications. Particularly, the type C fracture of AO classification causes the traumatic arthritis, limitation of motion, shortening, as well as angular deformity, especially varus. In the past, there has been a reluctance toward treatment of supracondylar fractures of the frmur with internal fixation. But, recently, a trend toward internal fixation has become evident and good results has been reported by several authors. We studied 9 cases of type C of AO classification of supracondylar fracture of the femur at our hospital from January,1989 to February, 1993. The longest follow up was 49 months and the shortest was 12 months, the average being 22.2 months And the results were as follows 1. Age distribution was between 29 and 60 years old, and the ratio between male and females was 5:4. The most common cause of injury was traffic accident. 2. Seven patients were associated with injuries of other parts and the most frequent associated fracture was patellar fracture and the most common associated injury was cerebral contusion. 3. The average time of clincal union was 22 weeks in operative treatment and 13 weeks in conserv alive treatment. 4. In type C AO classification, 6 out of 9 cases treated by anatomical reduction and early motion achieved good to excellent results(50%), but all type C3 fractures is healed in slightly varus position. 5. In conclusion, type C3 of the supracondylar fracture of femur should be reduced to the neutral or slightly valgus position, or the ends of distal cancellous screws should be penetrated the medial femoral cortex because of progressing varus deformity after operation.

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