Journal of Musculoskeletal Trauma

Irreducible Open Dorsal Dislocation of the Proximal Interphalangeal Joint: A Case Report: Youn Tae Roh, Il Jung Park, Hyoung Min Kim, Jae Young Lee, Sung Lim You, Youn Soo Kim; J Korean Fract Soc 2015;28(1):65-70. Published online January 31, 2015; DOI: https://doi.org/10.12671/jkfs.2015.28.1.65

Abstract PDF: Dorsal dislocation of the proximal interphalangeal joint is a common injury in the orthopedic department. In most cases, the joint is reduced simply by closed manipulation. However, in rare cases, the joint is not reducible by closed manipulation, therefore, surgery is required. We report on a case of irreducible open dorsal dislocation of the proximal interphalangeal joint which was surgically treated. Because the flexor tendon interposed between the head of the proximal phalanx and the base of the middle phalanx, we could reduce the joint only after repositioning of the flexor tendon.

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Free Vascularized Fibular Grafts for Treatment of Infected Nonunion of the Tibia: Hyoung Min Kim, Il Jung Park, Youn Soo Kim, Kee Haeng Lee, Chan Woong Moon, In Ho Jeong, Changhoon Jeong; J Korean Fract Soc 2006;19(2):163-169. Published online April 30, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.2.163

PURPOSE
To analyze the result of free vascularized fibular grafting for treatment of infected nonunion of the tibia with radical bone and soft tissue defect.
MATERIALS AND METHODS
17 patients with infected nonunion of the tibia who underwent a reconstruction using free vascularized fibular grafting were reviewed retrospectively. The mean follow-up period was 70.3 months. We analyzed the results radiographically which included the time of bone union, the amount of hypertrophy of grafted bone and complications.
RESULTS
The average length of bone defect was 8.8 cm (5~15 cm), and the average length of fibular graft was 14.1 cm (10~17.5 cm). Bony union was achieved in 11 of 17 cases and the average time of bone union was 5.2 months (4~6 months). There were 6 cases of nonunion. All nonunions developed at the proximal end of graft in patients who underwent fixation using pin and external fixator. Union was eventually achieved in all cases in 6.0 months (5~8 months) after the cancellous bone graft and plate internal fixation. Hypertrophy of grafted bones with more than 20% developed only in 4 cases out of 17. There were 3 cases of stress fracture, however there was no recurrence of infection or serious donor site morbidity.
CONCLUSION
Free vascularized fibula grafting is one of the most effective reconstruction options for the infected nonunion of the tibia with radical bone and soft tissue defect. Strong internal fixation using plate and screws is required to reduce the rate of nonunion and stress fracture of grafted fibulas.

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Treatment Strategy of Infected Nonunion
Hyoung-Keun Oh
Journal of the Korean Fracture Society.2017; 30(1): 52. CrossRef

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Treatment of Subtrochanteric Fractures with Compression Hip Screw: Kee Haeng Lee, Hyoung Min Kim, Youn Soo Kim, Chang Hoon Jeong, Il Jung Park, Ill Seok Park, Chan Woong Moon; J Korean Fract Soc 2006;19(1):1-5. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.1

Abstract

PURPOSE
To evaluate the effectiveness of the compression hip screw, we reviewed the clinical results of cases of femoral subtrochanteric fracture which were treated with compression hip screw.
MATERIALS AND METHODS
From May 1997 to June 2004, 20 cases of femoral subtrochanteric fracture, which were treated with compression hip screw and followed up more than 12 months, were reviewed. By the Seinsheimer's classification, there were 1 case of type IIa, 4 cases of type IIb, 2 cases of type IIIa and IIIb, 4 cases of type IV and 7 cases of V. We analyzed the treatment results by bony union time, range of motion, ambulation status and complications.
RESULTS
All 20 cases were gained bony union without serious complications and secondary operation. The average bony union time was 19.8 weeks. 17 of 20 cases were recovered pre-injury ambulatory status level.
CONCLUSION
The compression hip screw may be effective in treatment of the femoral subtrochanteric fracture with very narrow intramedullary canal, proximal femoral deformity, comminuted fracture with large butterfly fragment, long spiral fracture with medial cortical comminution and combined intertrochanteric fracture.

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The stabilising effect by a novel cable cerclage configuration in long cephalomedullary nailing of subtrochanteric fractures with a posteromedial wedge
Pavel Mukherjee, Jan Egil Brattgjerd, Sanyalak Niratisairak, Jan Rune Nilssen, Knut Strømsøe, Harald Steen
Clinical Biomechanics.2019; 68: 1. CrossRef
Factors Affecting Time to Bony Union of Femoral Subtrochanteric Fractures Treated with Intramedullary Devices
Jung-Yoon Choi, Yerl-Bo Sung, Jin-Hee Yoo, Sung-Jae Chung
Hip & Pelvis.2014; 26(2): 107. CrossRef

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Augmentation Plate Fixation for the Management of Long-bone Nonunion after Intramedullary Nailing: Kee Haeng Lee, Hyoung Min Kim, Chan Woong Moon, Youn Soo Kim, Won Sik Nam; J Korean Fract Soc 2004;17(3):265-270. Published online July 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.3.265

Abstract PDF

PURPOSE
The aims of this study were to determine the effectiveness of the treatment using augmentation plate fixation for nonunion of long bone fracture after interlocking intramedullary nailing MATERIALS AND METHODS: Thirteen patients with nonunion of the long bone fracture after interlocking intramedullary nailing who underwent augmentation plate fixation were evaluated; followed up for more than 1 years. We evaluated five patients with nonunion of the humerus, three of the tibia and five of the femur. Twelve of thirteen patients were carried out autogenous cancellous bone graft and augmentation plate fixation was performed without removal of intramedullary nail for all patients.
RESULTS
For the cause of nonunion, seven patients were by iatrogenic factors such as insecure fixaton and six patients were by fracture itself such as severe comminution and open fracture. Bone union was achieved in thirteen patients all and the average bony union time was 4.2 months (ranged from 3 to 5.5 months) for the humerus, 6.4 months (ranged from 4 to 8.5 months) for the tibia and 7.3 months (ranged from 5.5 to 9 months) for the femur. There were no complications such as reoperation, infection or plate failure.
CONCLUSION
TAugmentation plate fixation is effective treatment option for the management of long bone fracture nonunion after intramedullary nailing.

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Augmentation Plate Fixation for the Treatment of Femoral and Tibial Nonunion After Intramedullary Nailing
Ali Birjandinejad, Mohammad H. Ebrahimzadeh, Hosein Ahmadzadeh-Chabock
Orthopedics.2009; 32(6): 409. CrossRef
The Comparison of LC-DCP versus LCP Fixation in the Plate Augmentation for the Nonunion of Femur Shaft Fractures after Intramedullary Nail Fixation
Se Dong Kim, Oog Jin Sohn, Byung Hoon Kwack
Journal of the Korean Fracture Society.2008; 21(2): 117. CrossRef

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Bone scintigraphy after multiple pinning of femoral neck fractures: Kee Haeng Lee, Youn Soo Kim, Chang Hoon Jeong, Suk Ku Han, Hyoung Min Kim, Jun Seok Kim; J Korean Soc Fract 2001;14(4):567-574. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.567

Abstract PDF: PURPOSE
To determine the value of bone scintigraphy in predicting avascular necrosis following femoral neck fracture, and to analyze of relationship between pintract sign (increased radioactivity along the pins) and avascular necrosis after multiple pinning of femoral neck fracture.
MATERIALS AND METHODS
We analyzed 20 femoral neck fractures, which were fixed with cannulated screws(14 cases) or Knowles pins(6 cases). The follow-up period was longer than 18 months, and bone scintigraphy was carried out at postoperative 3 weeks, 3 months interval to 1 year, 6 months interval to 2 years, and then every 1 year.
RESULTS
There were 14 cases with positive pin-tract sign and increased uptake of femoral head on bone scintigraphy performed at the postoperative 3 weeks, and I case with positive pin-tract sign and partially decreased uptake of femoral head. None of them developed avascular necrosis. There was I case with negative pin-tract sign and partially decreased uptake of femoral head, which showed increased uptake later and didn't develop avascular necrosis. There were 4 cases with negative pin-tract sign and generally decreased uptake of the femoral head, and all of them developed avascular necrosis.
CONCLUSION
Bone scintigraphy is a useful method predicting the avascular necrosis following femoral neck fracture, and pin-tract sign may be an early postoperative sign indicating that there is little possibility of development of avascular necrosis.

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Operative Treatment of Fracture of the Body of the Scapula: Moon Gu Choi, Hyoung Min Kim, Youn Soo Kim, Kee Haeng Lee, Chang Hoon Chung, Kwang Yeol Lee; J Korean Soc Fract 1999;12(3):698-703. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.698

Abstract PDF: PURPOSE
Although fracture of the body of the scapula have been treated successfully by conservative treatment but residual deformity was high and related to the residual symptom. Authors had done open reduction and internal fixation with wiring in the case of severe displacement of the fracture fragment of the body of scapula and analyzed that results. MATERIAL AND METHODS: Authors treated 18 cases of fracture of the body of the scapula in 17 patients from October, 1985 to June, 1996. Conservatively treated group was 12 cases which has less than 2cm displacement and operatively treated group was 6 cases which has more than 2cm displacement of the fracture fragment. Internal fixation was done with wiring. All cases was followed up average 1 year 9 months(from 13 months to 8 year 8 months) and evaluated by McGinnis assessment system.
RESULTS
All cases united within ten weeks. Five cases in the operatively treated six cases got anatomic reduction and stable fixation with wiring and had no operation related complication. Operatively treated group has average 2.83 associated injury and conservatively treated group has average 1.87 Neurovascular complication compromised the results.
CONCLUSION
Operative treatment of the fracture of the scapular body can reduce the residual deformity and residual symptom in the severely displaced case and facilitate early rehabilitation.

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Operative Treatment of the Condylnr Fractures of the Femur: Moon Gu Choi, Youn Soo Kim, Kee Haeng Lee, Chang Hoon Chung, Hyoung Min Kim, Joong Hyuk Kwon; J Korean Soc Fract 1999;12(3):523-528. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.523

Abstract PDF: PURPOSE
To evaluate the results of the the condylar fracture of the femur treated by open reduction and cancellous screw fixation. METERIALS AND METHODS: From April, 1994 to October, 1998, 9 cases of the condylar fracture of the femur were open reduced and internally fixed with cancellous screw. According to AO classification, B2 type, B3 type and C2 type were all three cases each. All intraarticular fragment of the 9 cases were fixed with cancellous screws fixation after open reduction. Additionally 2 cases were fixed with dynamic condylar screw and 1 case was fixed with supracondylar nail. Authors followed up from shortest one year one month to longist three year four month(average 2 years) and evaluated them by using the method of Schatzker and Lamberts.
RESULTS
Seven of 9 cases had reduced anatomically, and remained 2 case which were delayed to operation cannot reduced anatomically. In all case stable fixation of the intraarticular fragment was obtained by cancellous screw fixation without perioperative complication. Schatzker and Lamberts assesment shows excellent in four, good in one, fair in three and failure in one case. CONCLUSTION: In case of the condylar fracture of the femur, early and relatively simple screw fixation can obtain anotomical reduction and prevent complication caused by incongruent joint surface.

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Causes and Treament of Nonunion of the Femur Shaft: Moon Gu Choi, Hyoung Min Kim, Youn Soo Kim, Kee Haeng Lee, Hong Hua Song, Young Joo Park; J Korean Soc Fract 1996;9(1):81-87. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.81

Abstract PDF: The causes of nonunion of the femur shaft could be divided as fracture itself and iatrogenic. And also the methods of treatment are controversial. From Dec. 1988 to Jan. 1995. We analyzed 21 cases of nonunion of the femur shaft. The period of follow up was from 1 year to 4 year 7 month (average time 2 years). The causes of the nonunion were fracture itself in 1 case, inadequate fixation in 17 cases, and early weight bearing in 3 cases. Seventeen of 21 were plate fixation cases and 4 or 21 were intramedullary-nailing cases. Metallic failures were seen in 15 cases. Cancellous bone graft was done in all cases. Cancellous bone graft only without other additional fixation were done in two cases, plate fixation were done in 8 cases, and intramedullary nailing were done in 11 cases. Additional narrow plate fixations were done in 9 cases, which 3 cases were done with plate fixation and 6 cases were done with intramedullary nailing. Partial weight bearing were done 2.5 months in which case cancellous bone graft only, plate fixation and intramedullary nailing cases, were done 2 months in the case of narrow additional plate with intramedullary nailing. Authors concluded that stable internal fixation was very important and additional narrow plate fixation was good alternative method in the treatment of nonunion of the femur shaft.

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Operative Treatment of Intra-articular Calcaneal Fractures by Posterior Approaeh: Youn Soo Kim, Ckoong Seo Park, In Tak Chu, Hyoung Min Kim, Jae Duk Ryu; J Korean Soc Fract 1992;5(2):191-198. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.191

Abstract PDF: In contrast to the extra-articular calcaneal fractures, the treatment of intra-articular fractures is very difficult and the final result is not always satisfactory, because it has not only difficulties in the identification of the exact fracture pattern and an anatomical reduction of the fracture fragments, but also no principle of ideal treatment. Today, numerous controversies remain regarding the treatment of intra-articular calcaneal fractures, which include the need of reduction, the method of reduction, the surgical approach. the method of fixation, and the need of bone graft. We propose the posterior approach and longitudinal buttress screw fixation for the treatment of intra-articular calcaneal fractures. The posterior approach allows excellent visualization of the posterior facet of subtalar joint, and the longitudinal screw buttresses the posterior facrt fracture fragment of calcaneus. From Dec. 1990 to May 1992, 17 intra-articular calcaneal fractures out of 15 patients were treated by our surgical method and followed up (average, 9.2 months) in 12 cases out of 10 patients (2 bilateral cases). Seven cases were tongue type fractures and five were joint do- pression type. Operations were performed 5 to 15 days after accident(average, 92 days). Bone graft was performed only 3 cases. At last follow-up, there was no pain in 8 cases. intermittant dull pain in 3, and resting pain in 1. The Bohlers angle at post-accident and last follow-up were 5.9 and 30.7 in tongue type : 10.6 and 32.6 in joint depression type. The reduction of the fracturr fragments was maintained well and secondary deformities were not developed in all cases. Based on these findings in this study, most of the intra-articular calcaneal fractures can be reduced anatomically by posterior approach, and fracture fragment maintained by longitudinal buttress screw fixation.

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Treatment of acute acromioclavicular dislocation with percutaneous pinning: Hyoung Min Kim, Choong Seo Park, Youn Soo Kim, Jae Duk Ryu; J Korean Soc Fract 1992;5(1):28-36. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.28

Abstract PDF: No abstract available.

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