Skip Navigation
Skip to contents

J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

Search
Advanced Search
OPEN ACCESS
mobile search button mobile menu button

Search

Page Path
HOME > Search
52 "Young Kim"
Filter
Filter
Article category
Keywords
More +
Publication year
More +
Authors
More +
Corrigendum
Corrigendum: Safety and Effectiveness of the Anchor Augmentation with Bone Cement on Osteoporotic Femoral Fracture: A Systematic Reviews
So Young Kim
J Korean Fract Soc 2024;37(1):69-69.   Published online January 31, 2024
DOI: https://doi.org/10.12671/jkfs.2024.37.1.69
PDF
  • 319 View
  • 2 Download
Close layer
Original Articles
Percutaneous Iliosacral Screw Fixation with Cement Augmentation in Osteoporotic Sacral Fracture
Cheol hwan Kim, Young yool Chung, Seung woo Shim, Sung nyun Baek, Choong young Kim
J Korean Fract Soc 2019;32(4):165-172.   Published online October 31, 2019
DOI: https://doi.org/10.12671/jkfs.2019.32.4.165
AbstractAbstract PDF
PURPOSE
The prevalence of osteoporotic sacral fractures is increasing. Traditionally, conservative treatment is the 1st option, but it can increase the risk of comorbidity in the elderly. To reduce the complications and allow early mobility, iliosacral screw fixation with cement augmentation will be one of the treatment options for patients with osteoporotic sacral fractures.
MATERIALS AND METHODS
This study reviewed 25 patients (30 cases) who had undergone percutaneous iliosacral screw fixation with cement augmentation for osteoporotic sacral fractures from July 2012 to December 2018 with a minimum follow up of six months. The clinical outcomes were assessed using the measures of pain (visual analogue scale [VAS] score), hospital stay and the date when weight-bearing started. All patients were evaluated radiologically for pull-out of screw, bone-union, and cement-leakage.
RESULTS
Bone union was achieved in 30 cases (100%). The mean duration of the hospital stay was 24 days (4–66 days); weight-bearing was performed on an average nine days after surgery. The VAS scores immediately (3.16) and three months after surgery (2.63) were lower than that of the preoperative VAS score (8.3) (p<0.05). No cases of cement-leakage or neurologic symptoms were encountered. Two patients (6.7%) experienced a pulling-out of the screw, but bone-union was accomplished without any additional procedures.
CONCLUSION
Percutaneous iliosacral fixation with cement augmentation will be an appropriate and safe surgical option for osteoporotic sacral fractures in the elderly in terms of early weight-bearing, pain reduction, and bone-union.

Citations

Citations to this article as recorded by  
  • Role of Augmentation in the Fixation of Osteoporotic Fractures
    Chinmoy Das, Partha Pratim Das
    Indian Journal of Orthopaedics.2025; 59(3): 294.     CrossRef
  • 799 View
  • 4 Download
  • 1 Crossref
Close layer
Safety and Effectiveness of the Anchor Augmentation with Bone Cement on Osteoporotic Femoral Fracture: A Systematic Reviews
So Young Kim
J Korean Fract Soc 2019;32(2):89-96.   Published online April 30, 2019
DOI: https://doi.org/10.12671/jkfs.2019.32.2.89
AbstractAbstract PDF
PURPOSE
This paper reviewed the safety and effectiveness of anchor augmentation with bone cement in osteoporotic femoral fractures.
MATERIALS AND METHODS
A systematic review was conducted by searching multiple databases including five Korean databases, Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library. Safety was assessed through the incidence of complication. The effectiveness was assessed through the failure rate of anchor fixation, improvement of function and radiological assessment (sliding distance of lag screw and cutout). The safety and effectiveness of anchor augmentation with bone cement were assessed by reviewing all articles reporting on the treatment. Two researchers carried out independently each stage from the literature search to data extraction. The tools of Scottish Intercollegiate Guidelines Networks were used to assess the quality of studies.
RESULTS
Six studies were considered eligible. The safety results revealed a small amount of cement leakage (1 case), but no other severe complications were encountered. Regarding the effectiveness, the failure rate of anchor fixation was 16.7% and the Harris's hip score showed no significant improvement. The sliding distance of the anchor was similar in the cement augmentation group and non-cement group but there was no cutout.
CONCLUSION
The results of the assessment suggest that the safety is acceptable, but further research will be needed to verify the effectiveness of the treatment.
  • 584 View
  • 5 Download
Close layer
Usefulness of the Additional K-Wire Fixation and Suture for Reinforce the Treatment of Distal Clavicle Fracture Using Modified Tension Band Wiring
Seung Bum Chae, Chang Hyuk Choi, Dong Young Kim
J Korean Fract Soc 2016;29(2):107-113.   Published online April 30, 2016
DOI: https://doi.org/10.12671/jkfs.2016.29.2.107
AbstractAbstract PDF
PURPOSE
We attempted to evaluate the clinical results of modified tension band wiring (MTBW) with additional K-wire fixation and suture for distal clavicle fracture.
MATERIALS AND METHODS
Fifty-nine patients with a distal clavicle fracture from May 2009 to December 2013 treated with MTBW were enrolled in this study. Their fracture types were type 2, 12; and type 3, 33; type 4, 8; and type 5, 6 according to Craig classification group II; average age was 47.2 years with a mean follow-up period of 27.9 months. The operations were performed within a mean of 3.1 days a fter t rauma. The c linical results were evaluated u sing University of California at Los Angeles scores (UCLA), American Shoulder and Elbow Surgeons scores (ASES) and Korean Shoulder Society scores (KSS) at 1 year after surgery.
RESULTS
Radiographic bone union was achieved at a mean of 3.7 months after the operation. In the last observation, their range of motion was forward flexion 159.0°, external rotation 59.8°, and internal rotation 4.3 points, and there were 2 cases of nonunion. Each average functional score was UCLA 31.3 points, KSS 91.6 points, and ASES 93.0 points.
CONCLUSION
For the surgical treatment of distal clavicle fractures, MTBW with additional K-wire fixation and suture is a useful technique allowing early range of motion exercises, minimizing soft tissue damage, and preserving the acromio-clavicular joint.

Citations

Citations to this article as recorded by  
  • Treatment Results for Unstable Distal Clavicle Fractures Using Hybrid Fixations with Finger Trap Wire and Plate
    Jeong-Seok Yu, Bong-Seok Yang, Byeong-Mun Park, O-Sang Kwon
    Journal of the Korean Orthopaedic Association.2022; 57(2): 135.     CrossRef
  • Comparison of Locking Compression Plate Superior Anterior Clavicle Plate with Suture Augmentation and Hook Plate for Treatment of Distal Clavicle Fractures
    Jun-Cheol Choi, Woo-Suk Song, Woo-Sung Kim, Jeong-Muk Kim, Chan-Woong Byun
    Archives of Hand and Microsurgery.2017; 22(4): 247.     CrossRef
  • 659 View
  • 6 Download
  • 2 Crossref
Close layer
Treatment and Prognosis of Femoral Insufficiency Fracture Associated with Prolonged Bisphosphonate Use
Ki Chan An, Dae Hyun Park, Guemin Gong, Ju Young Kim, Sang Bum Kim, Seung Yeob Sakong
J Korean Fract Soc 2014;27(1):10-16.   Published online January 31, 2014
DOI: https://doi.org/10.12671/jkfs.2014.27.1.10
AbstractAbstract PDF
PURPOSE
This study was conducted to investigate and identify an appropriate fracture treatment method by analyzing patients in whom a femoral incompetence fracture occurred after receiving a long-term bisphosphonate administration.
MATERIALS AND METHODS
The subjects of this study were 13 cases out of ten patients among those who had a history of receiving bisphosphonate for more than five years and had a fracture or an imminent fracture with a characteristic radiological finding in the femoral subtrochanteric region and the interfemoral region. The period of the drug administration, bone density, the existence of a prodromal symptom, and bilateral fracture were investigated.
RESULTS
In seven out of the 13 cases, the patients complained of painat the femoral and pelvic parts as a prodrome (53.8%), and three of them showed a bilateral fracture (30%). An imminent fracture with a prodrome was observed in six cases (46.2%); for three of these cases, a prophylactic fixture pexis was performed by inserting a metal nail into the medullary cavity, and in two out of these three, a complete fracture was found within 11 months on average (3 to 19 months). In the three prophylactic fixture pexis performed cases, no postoperative complications were found, and a radiological finding of concrescence was seen within one year after the operation. Among the nine operation performed cases after the fracture, non-union was found in two.
CONCLUSION
In the patients who have received bisphosphonate for a long periodof time, a prodome may be a useful indicator of a fracture in the femoral subtrochanteric region and the interfemoral region; therefore, a careful observation is necessary. A prophylactic internal fixation is recommended for patients with imminent fracture with a prodome since they have a high risk of a complete fracture is high in them.

Citations

Citations to this article as recorded by  
  • Subtrochanteric Fracture Reduction during Intramedullary Nailing: Technical Note
    Gyu Min Kong
    Journal of the Korean Fracture Society.2019; 32(2): 107.     CrossRef
  • 479 View
  • 0 Download
  • 1 Crossref
Close layer
Analysis of the Fixation Failure in Intertrochanteric Hip Fractures Treated with Hip Nailing
Jun Dong Chang, Tae Young Kim, Ji Hyo Hwang, Seul Ki Min, Je Hyun Yoo
J Korean Fract Soc 2012;25(3):169-176.   Published online July 31, 2012
DOI: https://doi.org/10.12671/jkfs.2012.25.3.169
AbstractAbstract PDF
PURPOSE
To analyze the patterns of and risk factors for fixation failure after hip nailing in intertrochanteric (IT) hip fractures.
MATERIALS AND METHODS
Fourteen patients who sustained a fixation failure after hip nailing for IT hip fractures were enrolled in this study. The mean age at the index surgery was 74.5 years and the mean time to the fixation failure was 6.6 weeks. All of the serial radiographs up to the fixation failure and pre-operative 3-D computed tomography were analyzed.
RESULTS
According to AO classification, there were 7 stable fractures and 7 unstable ones. Of the total of 14 cases, 10 showed a comminution of the greater trochanter tip and incomplete anatomical reduction of the medial and anterior cortex at the fracture site. Of the 10 cases with appropriate position of the lag screw within the femoral head, 9 showed a high pertrochanteric fracture (HPF) pattern. The mechanism of the fixation failure was rotation of the femoral head in 7 of 9 cases with HPF and varus collapse of the proximal fragment in 4 of the other 5 cases.
CONCLUSION
The HPF pattern, the comminution of the greater trochanter tip, and incomplete reduction of the medial and anterior cortex may be additional risk factors of fixation failure after treating IT hip fractures with hip nailing in.

Citations

Citations to this article as recorded by  
  • Unstable Intertrochanteric Fracture Treated with ITST: A Comparative Study between Groups with and without Comminution of Greater Trochanter
    Kyung-Sub Song, Sang-Ho Lee, Seong-Hun Jeong, Su-Keon Lee, Sung-Ha Hong
    Journal of the Korean Fracture Society.2014; 27(1): 36.     CrossRef
  • 1,556 View
  • 2 Download
  • 1 Crossref
Close layer
Case Reports
Checkrein Deformity by Incarcerated Posterior Tibial Tendon and Displaced Flexor Hallucis Longus Tendon following Ankle Dislocation: A Case Report
Su Young Bae, Hyung Jin Chung, Man Young Kim
J Korean Fract Soc 2011;24(3):271-276.   Published online July 31, 2011
DOI: https://doi.org/10.12671/jkfs.2011.24.3.271
AbstractAbstract PDF
We report a case of 20 year-old man who had unusual equinus and checkrein deformity following dislocation of his right ankle joint. He had been treated with distal tibiofibular screw fixation and external fixation. After removal of external fixator, he had suffered from progressive deformity of foot and ankle. Widening of distal tibiofibular joint and medial clear space was found on radiograph and it was revealed that posterior tibial tendon had been dislocated and incarcerated into the distal tibiofibular joint on MRI. We corrected the deformity with excision of incarcerated posterior tibial tendon, adhesiolysis and lengthening of flexor hallucis longus tendon, reconstruction of deltoid ligament and flexor digitorum longus tendon transfer.

Citations

Citations to this article as recorded by  
  • Management of Checkrein Deformity
    Min Gyu Kyung, Yun Jae Cho, Dong Yeon Lee
    Clinics in Orthopedic Surgery.2024; 16(1): 1.     CrossRef
  • A Neglected Extensor Hallucis Longus Tendon Rupture Caused by Arthritic Adhesion
    Sung Hun Won, Sung Hwan Kim, Young Koo Lee, Dong-Il Chun, Byung-Ryul Lee, Woo-Jong Kim
    Medicina.2023; 59(6): 1069.     CrossRef
  • The Checkrein Deformity of Extensor Hallucis Longus Tendon and Extensor Retinaculum Syndrome with Deep Peroneal Nerve Entrapment after Triplane Fracture: A Case Report
    Hyungon Gwak, Jungtae Ahn, Jae Hoon Lee
    Journal of Korean Foot and Ankle Society.2021; 25(3): 145.     CrossRef
  • Checkrein Deformity Due to Flexor Digitorum Longus Adhesion after Comminuted Calcaneus Fracture: A Case Report
    Jin Su Kim, Han Sang Lee, Ki Won Young, Keun Woo Lee, Hun Ki Cho, Sang Young Lee
    Journal of Korean Foot and Ankle Society.2015; 19(1): 35.     CrossRef
  • 490 View
  • 0 Download
  • 4 Crossref
Close layer
Flexor Pollicis Longus Tendon Rupture as a Complication of a Closed Distal Radius Fracture: A Case Report
Do Young Kim, Eun Min Seo, Woo Dong Nam, Seung Jae Park, Sang Soo Lee
J Korean Fract Soc 2011;24(2):191-194.   Published online April 30, 2011
DOI: https://doi.org/10.12671/jkfs.2011.24.2.191
AbstractAbstract PDF
There are few reported cases of flexor pollicis longus tendon (FPL) rupture complicating a closed distal radius fracture. We report a case of FPL tendon rupture complicating a closed distal radius fracture. A 24-year-old male presented with a severe right wrist pain. He had a closed distal radius fracture that was treated by closed manual reduction. Three days later, he complained forearm pain and limitation of thumb motion. The physical examination revealed loss of active interphalangeal joint flexion of thumb. He was taken to the operating room. Intraoperatively, the FPL was found to be discontinuous at the level of the radius fracture site. The FPL was repaired by a modified Kessler technique, and the fracture was repaired with a volar plate. Clinicians must be cautious in possibility of tendon injury complicating a closed distal radius fracture and assessing patients with distal radius fracture following closed reduction.

Citations

Citations to this article as recorded by  
  • Acute Rupture of Flexor Tendons as a Complication of Distal Radius Fracture
    Youn Moo Heo, Sang Bum Kim, Kwang Kyoun Kim, Doo Hyun Kim, Won Keun Park
    Journal of the Korean Orthopaedic Association.2015; 50(1): 60.     CrossRef
  • 587 View
  • 1 Download
  • 1 Crossref
Close layer
The 'beta-wire Technique' for the Fixation of Ulnar Styloid Process Fracture: Surgical Technique
Jee Hyoung Kim, Jin Hak Kim, Song Lee, Seung Jin Yang, Chang Wook Yoo, Tae Hwan Chun
J Korean Fract Soc 2010;23(1):104-108.   Published online January 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.1.104
AbstractAbstract PDF
For the fixation of ulnar styloid process fracture, we want to introduce the 'beta-wire technique', which is easy to learn and practice and thought to give a compressive force to the fracture site.

Citations

Citations to this article as recorded by  
  • Korean Medicine Treatments for the Angular Deformity of Wrist Fracture with Disuse Osteopenia: A Case Report
    Myung Jin Oh
    Korean Journal of Acupuncture.2018; 35(4): 234.     CrossRef
  • 506 View
  • 0 Download
  • 1 Crossref
Close layer
Original Articles
Percutaneous Kirschner Wire Fixation of Acute Mallet Fractures Percutaneousely Reduced by Towel Clip
Chung Soo Han, Duke Whan Chung, Bi O Jeong, Hyun Chul Park, Jin Young Kim, Cheol Hee Park, Jin Sung Park
J Korean Fract Soc 2009;22(4):283-287.   Published online October 31, 2009
DOI: https://doi.org/10.12671/jkfs.2009.22.4.283
AbstractAbstract PDF
PURPOSE
To analyze the treatment of clinical results of the percutaneous Kirschner wire fixation of acute mallet fractures percutaneousely reduced by towel clip. MATERIALS AND METHODS: From August 2005 to April 2009, we evaluated nine fingers in eight patients, more than three months follow up. The type of injury was a axial loading in seven cases and direct blow in two. The average follow-up period was 10.1 months (range: 3~41 months). The indication of operative treatment was the presence of large bony fragment or the palmar subluxation of the distal phalnx. RESULTS: The range of motion was 3.7degrees (0~10degrees) in extension lag and 76.7degrees (60~90degrees) of flexion of the distal interphalangeal joint. CONCLUSION: The percutaneous Kirschner wire fixation of acute mallet fractures percutaneousely reduced by towel clip is one of the easy and simple method to stabilizing of bony mallet fracture.

Citations

Citations to this article as recorded by  
  • Comparison of Surgical Outcomes of Percutaneous K-Wire Fixation in Bony Mallet Fingers with Use of Towel Clip versus 18-Gauge Needle
    Ho-Seung Jeon, Chan-Sam Moon, Seo-Goo Kang, Kyeong-Seop Song, Uk-Hyun Choi
    Journal of the Korean Society for Surgery of the Hand.2013; 18(1): 1.     CrossRef
  • 476 View
  • 2 Download
  • 1 Crossref
Close layer
The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach
Sung Sik Ha, Jae Chun Sim, Ki Do Hong, Jae Young Kim, Kwang Hee Park, Yoon Ho Choi
J Korean Fract Soc 2009;22(4):246-251.   Published online October 31, 2009
DOI: https://doi.org/10.12671/jkfs.2009.22.4.246
AbstractAbstract PDF
PURPOSE
To evaluate clinical and radiological results of surgical treatment of distal femur medial condyle fracture using lateral anatomical plate of opposite side through medial approach. MATERIALS AND METHODS: This study reviewed the results of 9 cases of distal femur medial condyle fracture treated with lateral anatomical plate of opposite side through medial approach from December 2005 to June 2007, after a follow up of more than 12 months. There were 2 males and 7 females with a mean age of 63.1 (57~72) years. The clinical results were evaluated using the Schatzker's criteria, and the radiographic results were evaluated using the bone union time. RESULTS: Using the Schatzker's criteria, 7 cases of the 9 patients (78%) showed exellent results. The mean time for bone union was 13.4 (11~15) weeks. There were 3 cases of pain on full weight bearing same as previous operative state by degenerative osteoarthritis. There weren't complications as joint stiffness, infection, varus & rotational deformity, malunion, nonunion, and metal failure. CONCLUSION: Plate fixation using medial approach provides the proper anatomical reduction and stronger fixation, and outcome good results.

Citations

Citations to this article as recorded by  
  • Medial Plating of Distal Femoral Fracture with Locking Compression Plate-Proximal Lateral Tibia: Cases' Report
    Se-Ang Jang, Young-Soo Byun, In-Ho Han, Dongju Shin
    Journal of the Korean Fracture Society.2016; 29(3): 206.     CrossRef
  • 1,085 View
  • 15 Download
  • 1 Crossref
Close layer
Operative Treatment with ITST in Femur Trochanteric Fracture
Ki Do Hong, Jae Chun Sim, Sung Sik Ha, Jae Young Kim, Jung Ho Kang, Kwang Hee Park
J Korean Fract Soc 2008;21(4):274-278.   Published online October 31, 2008
DOI: https://doi.org/10.12671/jkfs.2008.21.4.274
AbstractAbstract PDF
PURPOSE
To evaluate the clinical and radiographic results of treatment of trochanteric fracture with ITST (Intertrochanteric/ Subtrochanteric) nail.
MATERIALS AND METHODS
We reviewed the results of 40 cases of trochanteric fracture treated with ITST from January 2006 to May 2007, which could be followed up for more than 12 months. The cases include 13 males and 27 females, and the mean age is 75.6 years old. The clinical results were evaluated by Ceder mobility assessment, and the radiographic results were evaluated by the change of femoral neck-shaft angle and sliding of lag screw.
RESULTS
The mean bone union time is 13.5 weeks. Thirty four cases (85%) were recovered to pre-injury state of walking ability. The change of neck-shaft angle was an average of 5.21degrees and the sliding distance of lag screw was an average of 5.78 mm. Complications were occurred in 4 patients (10%).
CONCLUSION
The ITST nail were seen good results in treatment of trochanteric fracture and has relatively less complications than other internal fixator.

Citations

Citations to this article as recorded by  
  • Treatment of the Intertrochanteric Femoral Fracture with Proximal Femoral Nail: Nailing Using the Provisional K-wire Fixation
    Gu-Hee Jung
    Journal of the Korean Fracture Society.2011; 24(3): 223.     CrossRef
  • 537 View
  • 0 Download
  • 1 Crossref
Close layer
Comparison of Results in Two Operative Treatments for Clavicle Shaft Fractures in Adult: Comparison of Results between Open Reduction and Internal Fixation with the Plate and Percutaneous Reduction by Towel Clip and Intramedullary Fixation with Steinmann Pin
Sung Sik Ha, Jae Chun Sim, Ki Do Hong, Jae Young Kim, Jung Ho Kang, Kwang Hee Park
J Korean Fract Soc 2007;20(3):233-238.   Published online July 31, 2007
DOI: https://doi.org/10.12671/jkfs.2007.20.3.233
AbstractAbstract PDF
PURPOSE
To evaluate the results between open reduction and internal fixation with the plate and percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin for clavicle shaft fractures in adult.
MATERIALS AND METHODS
We have studied the results in 33 cases with the plate, 35 cases with the Steinmann pin among total 68 cases of clavicle shaft fracture. The patients were followed up over a period of at least 12 months. The final postoperative outcome was analyzed with the clinical outcomes using Kang's criteria, radiological union time and operation time.
RESULTS
The clinical outcome that was good or excellent according to the Kang's criteria showed a distribution of 88% in the group using the plate with 29 cases out of total 33 cases, 91% in the group using the Steinmann pin with 32 cases out of total 35 cases. The mean radiological union time was 8.9 weeks in the group using the plate, 9.1 weeks in the group using Steinmann pin. The mean operation time was 72 minutes in the group using the plate, whereas was 18 minutes in the group using Steinmann pin.
CONCLUSION
In the treatment of adult clavicle shaft fracture, two groups did not show a significant statistical difference in clinical and radiological outcomes. However, the operation time and postoperative functional recovery was significantly shorter and faster in the group using Steinmann pin. Additionally economic and cosmetic aspect was more satisfactory in the group using Steinmann pin.

Citations

Citations to this article as recorded by  
  • Anatomical Reduction of All Fracture Fragments and Fixation Using Inter-Fragmentary Screw and Plate in Comminuted and Displaced Clavicle Mid-Shaft Fracture
    Kyoung Hwan Koh, Min Soo Shon, Seung Won Lee, Jong Ho Kim, Jae Chul Yoo
    Journal of the Korean Fracture Society.2012; 25(4): 300.     CrossRef
  • Does Interfragmentary Cerclage Wire Fixation in Clavicle Shaft Fracture Interfere the Fracture Healing?
    Jae-Kwang Yum, Yong-Woon Shin, Hee-Sung Lee, Jae-Gu Park
    Journal of the Korean Fracture Society.2011; 24(2): 138.     CrossRef
  • 614 View
  • 1 Download
  • 2 Crossref
Close layer
Separation of the Symphysis Pubis during Childbirth
Dong Ju Shin, Young Soo Byun, Se Ang Chang, Ok Rang Park, Shin Yoon Kim, Dae Hee Hwang, Sung Rak Lee, Dong Young Kim
J Korean Fract Soc 2006;19(4):412-417.   Published online October 31, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.4.412
AbstractAbstract
PURPOSE
To evaluate the clinical features and incidence of separation of the symphysis pubis during childbirth, and to evaluate the risk factors of the lesion and the outcome of treatment.
MATERIALS AND METHODS
Seventy two cases of separation of symphysis pubis among 66,721 delivery between January 1992 and December 2004 was selected. The control group was composed of 498 cases without separation of symphysis pubis during childbirth. Several factors increasing the risk of this lesion were assessed using χ
  • 279 View
  • 0 Download
Close layer
Analysis of Affecting Factors of Fixation Failure of Femoral Neck Fractures Using Internal Fixation
Soo Jae Yim, Seung Han Woo, Min Young Kim, Jong Seok Park, Eung Ha Kim, Yoo Sung Seo, Byung Il Lee
J Korean Fract Soc 2006;19(3):297-302.   Published online July 31, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.3.297
AbstractAbstract
PURPOSE
To evaluate the factors which influence on the fixation failure after internal fixation using multiple cannulated screws in the patients with femoral neck fracture.
MATERIALS AND METHODS
Ninty-six patients (male: 63, female: 33) who underwent closed reduction and internal fixation of femoral neck fracture between Feb. 1994 and Jun. 2002 with use of multiple cannulated screws. The mean age was 68 years (17~90) and mean follow-up period was average 50 months (36 months~6 years). The fixation failure was defined by change in fracture position above 10 mm, change in each screws position above 5%, backing above 20 mm, or perforation of the head, respectively. They were evaluated with the age, gender, fracture type, accuracy of reduction, placement of screws, posterior comminution and also studied the risk factors which influenced nonunion and the development of avascular necrosis.
RESULTS
Twenty-four patients out of 96 patients had radiographic signs of fixation failure. The incidence of nonunion in the fixation failure group was 41% (10/24) and AVN was 33% (8/24). There were statistically significant correlations between fixation failure and nonunion and that posterior comminution, poor reduction and improper placement of the screws were the major factors contributing to nonunion.
CONCLUSION
In case of femoral neck fracture of internal fixation using multiple cannulated screws, posterior comminution, poor reduction and improper placement of the screws were the major factors contributing to nonunion and fixation failure.

Citations

Citations to this article as recorded by  
  • Clinical Results of Internal Fixation of Subcapital Femoral Neck Fractures
    Joon Soon Kang, Kyoung Ho Moon, Joong Sup Shin, Eun Ho Shin, Chi Hoon Ahn, Geon Hong Choi
    Clinics in Orthopedic Surgery.2016; 8(2): 146.     CrossRef
  • Internal Fixation for Femoral Neck Fracture in Patients between the Ages of Twenty and Forty Years
    Ui-Seoung Yoon, Jin-Soo Kim, Hak-Jin Min, Jae-Seong Seo, Jong-Pil Yoon, Joo-Young Chung
    Journal of the Korean Fracture Society.2010; 23(1): 1.     CrossRef
  • Factors Predicting Complications after Internal Fixation of Femoral Neck Fractures
    Tae-Ho Kim, Jong-Oh Kim, Sung-Sik Kang
    Journal of the Korean Fracture Society.2009; 22(2): 79.     CrossRef
  • 592 View
  • 0 Download
  • 3 Crossref
Close layer
Elbow Function and Complications after Internal Fixation for Fractures of the Distal Humerus
Hyug Soo Ahn, Young Ho Cho, Young Soo Byun, Do Yop Kwon, Seung Oh Nam, Dong Young Kim
J Korean Fract Soc 2006;19(1):56-61.   Published online January 31, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.1.56
AbstractAbstract
PURPOSE
To evaluate the functional results of the elbow and the complications after internal fixation for distal humeral fractures.
MATERIALS AND METHODS
We reviewed 38 distal humeral fractures; 12 type A, 7 type B and 19 type C by AO classification. There were six low columnar fractures in type A and nine in type C. Six type C fractures were open. The fracture healing and complications were assessed and the functional result was evaluated by rating system of Jupiter et al.
RESULTS
Type A fractures were healed in an average of 10.6 weeks, type B 7.7 weeks and type C 11.5 weeks. Ulnar neuropathy occurred in six cases, loss of fixation in two cases, nonunion in one case, heterotopic ossification in one case and traumatic arthritis in one case. The functional result showed excellent or good in 34 cases (89%) and fair or poor in 4 cases (11%). Open fractures showed significantly worse result than closed fractures.
CONCLUSION
To obtain the satisfactory results, stable fixation followed by early motion is required in most distal humeral fractures. Ulnar neuropathy occurs postoperatively in high incidence and the result of open fractures is worse than that of closed fractures.

Citations

Citations to this article as recorded by  
  • Comparison of Shoulder Range of Motion, Pain, Function, Scapular Position Between Breast Cancer Surgery and Shoulder Surgery Female Patients
    Min-ji Lee, Suhn-yeop Kim, Jae-kwang Shim
    Physical Therapy Korea.2015; 22(1): 9.     CrossRef
  • Minimally Invasive Plate Osteosynthesis for Humeral Proximal or Distal Shaft Fractures Using a 3.5/5.0 Metaphyseal Locking Plate
    Hyoung Keun Oh, Suk Kyu Choo, Jung Il Lee, Dong Hyun Seo
    Journal of the Korean Fracture Society.2012; 25(4): 305.     CrossRef
  • Nonunion of Humeral Intercondylar Comminuted Fracture Treated with Fibular Graft - A Case Report -
    Jin Rok Oh, Chang Ho Lee, Ki Yeon Kwon, Hoi Jeong Chung
    Journal of the Korean Fracture Society.2010; 23(1): 118.     CrossRef
  • Double Parallel Plates Fixation for Distal Humerus Fractures
    Young Hak Roh, Moon Sang Chung, Goo Hyun Baek, Young Ho Lee, Hyuk-Jin Lee, Joon Oh Lee, Kyu-Won Oh, Hyun Sik Gong
    Journal of the Korean Fracture Society.2010; 23(2): 194.     CrossRef
  • 473 View
  • 0 Download
  • 4 Crossref
Close layer
Result of Wolter Plate Fixation for the Treatment of Dislocation of Acromioclavicular Joint and Clinical Importance of Coracoclavicular Ligament Repair
Jang Suk Choi, Ki Young Kim, Kyong Chil Chung, Heui Chul Gwak, Dong Jun Ha, Kyoung Whan Kim
J Korean Fract Soc 2006;19(1):41-45.   Published online January 31, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.1.41
AbstractAbstract
PURPOSE
To evaluate the clinical result of the Wolter plate fixation for the acromioclavicular joint dislocation and the necessity of coracoclavicular ligament repair with the operation.
MATERIALS AND METHODS
Twenty three patients operated between January 2003 to September 2005 with over 6 months of follow-up period were studied. The Constant-Murley scoring system was administered on 6 months postoperatively and stress films were taken for the surveillance of acromioclavicular joint and coracoclavicular distance after plate removal. All patients were classified into two groups in that coracoclavicular ligament was repaired (10 cases) or not (13 cases) and the clinical indices described above were compared.
RESULTS
With the Wolter plate fixation for the acromioclavicular joint dislocations, 20 cases of Constant-Murley scores were more than 'good' except complicated 3 cases. The scores of the repaired group were 7 cases of excellent, 2 cases of good and 1 case of moderate to poor, and that of not-repaired group were 6 cases, 5 cases and 2 cases respectively. With mean coracoclavicular interspace on x-ray at postoperative 6 months, repaired group showed residual 9% of displacement from initial 194% but not-repaired group showed 28% from initial 188%. There's no statistically significant difference in clinical scores between two group (p=0.072) and neither was residual coracoclavicular interspace displacement (p=0.067).
CONCLUSION
Short term follow-up of Wolter plate fixation for the acromioclavicular dislocation showed acceptable clinical results and there was no statistically significant difference between two groups of repaired coracoclavicular ligaments and not repaired.
  • 235 View
  • 0 Download
Close layer
Case Report
Stress Fracture on the 4th Metatarsal Bone after Treatment of Stress Fracture on the 5th Metatarsal Bone: A Case Report
Kyung Tai Lee, Ki Won Yong, Jae Young Kim, Hui Dong Lee
J Korean Fract Soc 2004;17(3):261-264.   Published online July 31, 2004
DOI: https://doi.org/10.12671/jkfs.2004.17.3.261
AbstractAbstract PDF
A stress fracture that occurs in the player such as soccer player etc is localized most often in 5th metatarsal bone and has been reported frequently about it. But rarely stress fracture on other metatarsal bone has been reported. So we report a stress fracture on 4th metatarsal bone, that occurred after stress fracture on 5th metatarsal base which had been treated by bone graft and fixation with intramedullary compression screw, was successfully treated with non-weight bearing and custom molded shoes.
  • 356 View
  • 3 Download
Close layer
Original Articles
Nancy Nail Fixation for Femur Shaft Fracture in Children
Ki Do Hong, Sung Sik Ha, Nam Sik Chung, Jae Cheon Sim, Jae Young Kim
J Korean Soc Fract 2003;16(4):592-599.   Published online October 31, 2003
DOI: https://doi.org/10.12671/jksf.2003.16.4.592
AbstractAbstract PDF
PURPOSE
To investigate, the radiologically, the duration of bone union, angular formation, leg length discrepancy, other complications and mean hospital stay after Nancy nail fixation has been performed in children with femoral shaft fracture, and also to inquire into the clinical validity of such procedure. MATERIAL AND METHOD: Included in this study were 12 patients who had been treated with the Nancy nail fixation for the femoral shaft fracture and then followed up for a year or more. The age distribution ranged from 4 to 12 years with mean age 7.2 years. After the fracture was reduced under an imaging intensifier, 2 or 3 Nancy nails were pinned onto the medial and lateral femur distally.
RESULTS
The average duration for complete union was 9.9 weeks. Any angular formation over 5 degrees was notfound. Leg length discrepancy ranged from 2 mm shortening to 12 mm overgrowth with a mean value of 2.8 cm. In one case, with overgrowth over 10 mm or more, there was no gait disturbance. In all cases, There was neither infection, delayed union, nor any motion disturbance. A nail was moved distally in one case and skin irritation was evident in another case. The mean hospital stay was 17.3 days.
CONCLUSION
Nancy nail fixation in pediatric femoral shaft fracture relatively has less complications and is a safe surgical procedure. In addition, it helps in reducing hospital stay.

Citations

Citations to this article as recorded by  
  • Comparison of Flexible Intramedullary Nailing with External Fixation in Pediatric Femoral Shaft Fractures
    Do-Young Kim, Sung-Ryong Shin, Un-Seob Jeong, Yong-Wook Park, Sang-Soo Lee, Keun-Min Park
    The Journal of the Korean Orthopaedic Association.2008; 43(1): 30.     CrossRef
  • 825 View
  • 1 Download
  • 1 Crossref
Close layer
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
AbstractAbstract 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.
  • 291 View
  • 3 Download
Close layer
Meniscal Injuries with Tibial Plateau Fractures
Yong In, Won Jong Bahk, Oh Soo Kwon, Chae Gwan Kong, Ju Young Kim
J Korean Soc Fract 2003;16(4):490-495.   Published online October 31, 2003
DOI: https://doi.org/10.12671/jksf.2003.16.4.490
AbstractAbstract PDF
PURPOSE
The purpose of this study is to evaluate by arthroscopy the incidence of meniscal injury and the result of its treatment in fractures of the tibial plateau.
MATERIALS AND METHODS
From March 2000 to July 2002, twenty-three patients with tibial plateau fractures were examined and treated by arthroscopy before reduction of the fractures. Following the classification by Schatzker, there were 3 pure cleavage fractures (type I), 7 with cleavage and depression (type II), 4 with pure central depression (type III), one medial condyle fracture (type IV) and 8 with meta-diaphyseal fractures (type VI). Meniscal injuries were treated by meniscectomy or meniscal repair. Second look arthroscopy for patients treated with meniscal repair were performed at 6 months after operation or at time of the fixative removal.
RESULTS
Thirteen knees (56%) were found to have meniscal injuries. There were 11 lateral meniscal tears, eight of which were periphral and repaired. There were 3 complex lateral meniscal tears which required partial meniscectomy. The five medial meniscal tears were required all partial meniscectomy. Six of the eight patients who were repaired the meniscal tears evaluated by second look arthroscopy. Five patient showed complete healing and one showed incomplete healing.
CONCLUSION
Every effort should be made to repair the meniscal tears in tibial plateau fractures.
  • 427 View
  • 2 Download
Close layer
Interlocking Intramedullary Nailing for Treating Most Distal Tibial Fracture
In Heon Park, Kyung Won Song, Sung Il Shin, Jin Young Lee, Seung Yong Lee, Tae Hyoung Kim, Jeong Hun Cha
J Korean Soc Fract 2003;16(3):356-362.   Published online July 31, 2003
DOI: https://doi.org/10.12671/jksf.2003.16.3.356
AbstractAbstract PDF
PURPOSE
We analyzed the result of treatment for most distal extraarticular tibial fracture using interlocking intramedullary nail.
MATERIALS AND METHODS
From January 1999 to April 2002, 8 patients who had most distal tibial fracture were treated by interlocking intramedullary nailing. The duration of follow-up was more than 12 months. The mean age was 41.5 years old. There were 5 males and 3 females. During follow-up period, we evaluated the bone union, range of motion of knee and ankle joint and gait pattern.
RESULTS
The average distance from fracture line to ankle joint line was 1.1 cm. The bone union was achieved at average 18.6 weeks. At the last follow-up, there was no limited motion on knee. But at one case, ankle range of motion was limited from 5 degree extension to 35 degree flexion. There was no gait disturbance.
CONCLUSION
Interlocking intramedullary nailing can be recommendable and useful in the most distal tibial fractures.

Citations

Citations to this article as recorded by  
  • Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures
    Jung-Han Kim, Heui-Chul Gwak, Chang-Rack Lee, Yang-Hwan Jung
    Journal of Korean Foot and Ankle Society.2015; 19(3): 86.     CrossRef
  • Interlocking Intramedullary Nail in Distal Tibia Fracture
    Oog Jin Shon, Sung Min Chung
    Journal of the Korean Fracture Society.2007; 20(1): 13.     CrossRef
  • 502 View
  • 0 Download
  • 2 Crossref
Close layer
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
AbstractAbstract 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.

Citations

Citations to this article as recorded by  
  • Is dorsal cortex drilling necessary for distal radius fractures treated with a volar locking plate? A comparative study of near-cortex-only and far-cortex drilling
    Chul Hong Kim, Sung Yoon Jung, Hyeon Jun Kim, Si-Hyun Park
    Journal of Trauma and Injury.2025; 38(3): 248.     CrossRef
  • 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
  • 422 View
  • 0 Download
  • 2 Crossref
Close layer
Development of a Computer-assisted Surgery System for Screw Fixation of the Sacro-iliac Joint
Jin Sup Yeom, Won Sik Choy, Ha Yong Kim, Whoan Jeang Kim, Jong Won Kang, Yeongho Kim, Hyungmin Kim, Donghyun Seo, Seok Lee, Jae Bum Lee, Namkug Kim, Cheol Young Kim
J Korean Soc Fract 2003;16(1):1-7.   Published online January 31, 2003
DOI: https://doi.org/10.12671/jksf.2003.16.1.1
AbstractAbstract PDF
PURPOSE
The purposes of this study were to develop a computer-assisted surgery system for percutaneous screw fixation of the sacro-iliac joint and to evaluate its accuracy.
MATERIALS AND METHODS
We have developed a navigation system composed of an optical tracking device (Polaris, Northern Digital, Canada) and a personal computer. The registration error and target localization error at hybrid registration were measured using a phantom. The errors were measured 30 times for each. Sixteen 6.5 mm cannulated screws were inserted into four plastic bone models (Sawbones, USA), and the accuracy was evaluated.
RESULTS
The registration error was 0.76 +/-0.33 mm, and the target localization error was 1.43 +/-0.42 mm. All of the 16 screws were inserted well across the sacro-iliac joint, and there was neither penetration of the cortical bones nor collision between screws or washers.
CONCLUSION
The accuracy of the developed system was similar to existing ones, and its usefulness and helpfulness was proven with screw insertion into plastic bone models.
  • 311 View
  • 3 Download
Close layer
Minimal Open Reduction and Interlocking IM Nailing of Comminuted Humeral Shaft Fracture: Comparison between Plate Internal Fixation
Kyeong Jin Han, Soo Ik Awe, Tae Young Kim, Shin Young Khang
J Korean Soc Fract 2002;15(4):573-580.   Published online October 31, 2002
DOI: https://doi.org/10.12671/jksf.2002.15.4.573
AbstractAbstract PDF
PURPOSE
We compared the functional and radiological results after the minimal open reduction and interlocking IM nailing and LC-DCP plate internal fixation for the comminuted humeral shaft fractures.
MATERIALS AND METHODS
Fourteen plates(LC-DCP) and eighteen interlocking IM nail(AO unreamed IM nail) were applied after open reduction for 32 comminuted fractures of the humeral shaft between March 1997 and December 2001. They were followed up for a minimum 9 months after surgery and the radiological and functional results were evaluated.
RESULTS
The average fracture healing time was 13.2 weeks and union rate was 85.7% for plate internal fixation. The average fracture healing time was 12.4 weeks and union rate was 94,4% for interlocking IM nail. The average functional scores according to American Shoulder and Elbow Surgeon 's (ASES) shoulder score(Total 52 points) was 44 points for plate internal fixation and 47 points for interlocking IM nailing respectively.
CONCLUSION
Minimal open reduction and interlocking IM nailing is better method with good functional and radiological results than plate internal fixation for the comminuted humeral shaft fractures.
  • 361 View
  • 0 Download
Close layer
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
AbstractAbstract 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.
  • 250 View
  • 0 Download
Close layer
The Treatment Of Humeral Shaft Fracture With Rertograde Ao Unreamed Humeral Nail
Tae Woo Park, Sung Do Cho, Young Sun Cho, Bum Soo Kim, Sogu Lew, Moon Chan Kim, Ki Young Kim
J Korean Soc Fract 2002;15(3):398-403.   Published online July 31, 2002
DOI: https://doi.org/10.12671/jksf.2002.15.3.398
AbstractAbstract PDF
PURPOSE
To evaluate the results of the treatment of humeral shaft fractures using retrograde AO Unreamed Humeral Nail(UHN).
MATERIALS AND METHOD
From Apr. 1998 and Aug. 2001, 18 humeral shaft fractures were treated with retrograde AO UHN. All fractures were classified according to the AO classification. The results were analyzed by bony union time, range of motion and complication.
RESULTS
There were eleven cases of A3, two B2, one B3, four A2 humeral middle shaft fractures according to the AO classification. The mean bony union time was 12.2 weeks(range;9-16 weeks). All patients regained full range of motion of the shoulder joint and the elbow joint but 2 patients with intraopenatively ruptured capsule had transient elbow motion limitation. Complications were iatrogenic fractures at the entry portal in 2 patients(15%), transient shoulder pain in 4 patients(30.7%), nonunion in 1 patient(7.6%), required bone graft and internal fixation after removal of the nail at 13 months postoperatively.
CONCLUSION
The treatment of humeral shaft fracture with retrograde AO unreamed humeral nail is one of the good options to reduce the rate of non-union or delayed union by compression effect if the intraoperative errors is prevented.
  • 307 View
  • 0 Download
Close layer
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
AbstractAbstract 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.
  • 368 View
  • 0 Download
Close layer
The Posterior Plate for Distal Fibular Fixation
Beak Yong Song, Ho Yoon Kwak, Sang Wook Bae, Kyung Tai Lee, Nam Hong Choi, Jin Young Kim, Ho Jun Kim
J Korean Soc Fract 2001;14(1):79-84.   Published online January 31, 2001
DOI: https://doi.org/10.12671/jksf.2001.14.1.79
AbstractAbstract PDF
PURPOSE
To evaluate the clinical results between the posterior and lateral plate for distal fibular fixation in the bimalleolar, trimalleolar fracture and isolated lateral malleolar fractures with more than 3 mm of displacement.
MATERIALS AND METHODS
We reviewed 69 cases treated by open reduction and internal fixation with the posterior or lateral plate for distal fibular fractures in the bimalleolar, trimalleolar fractures and isolated lateral malleolar fractures with more than 3mm of displacement. The follow up period was more than 12 months.
RESULTS
In the posterior plate group, radiographically there were no intraarticular screw, loss of fixation, nonunion and malunion, but 2 cases of distal tibiofibular synostosis were developed. In physical examination, there were no wound complication, palpable screws, peroneal tendinitis and limitation of motion, but 2 patients who had distal tibiofibular synostosis complained of mild discomfort after walking.
CONCLUSION
The posterior plate for distal fibular fixation is thought to be a favorable method and can be recommended as the fixation modality of choice regardless of level of fracture, because of increased biomechanical stability and few complication.
  • 303 View
  • 0 Download
Close layer
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
AbstractAbstract 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.
  • 284 View
  • 0 Download
Close layer
Hybrid External Fixation for Periarticular or Segmental Fractures of Tibia
Hong Jun Han, Yeung Jin Kim, Jae Myoung Kim
J Korean Soc Fract 2001;14(1):44-51.   Published online January 31, 2001
DOI: https://doi.org/10.12671/jksf.2001.14.1.44
AbstractAbstract PDF
PURPOSE
To analyze the clinical outcomes of the hybrid external fixation which is more comfortable and simply appliable than Ilizarov fixator MATERIAL AND METHOD: 28-patients of periarticular or segmental tibia fracture from may 1998 to october 1999 were treated with hybrid external fixator (AnyFix®)that was invented by authors. It consists of two rings at epiphysis(full or 2/3 ring), 3 or 4 rods connecting 2 rings, K-wires, half pins, and specially designed push pins and crane pins which can be used as a reduction device and fixation pins. And it was used as a definitive modality. Joint exercise was started immediately after operation and partial weight bearing was permitted 4 weeks after initial application.
RESULT
The average time of bone union was 4.7 months, articular step-off of all cases were less than 1 mm. As a complication, there was no limitation of range of motion except one case of 10° dorsiflexion limitation of the ankle, and 1 case of deep wound infection. Clinical assesments of knee and ankle joint showed 14 cases of excellent, 9 cases of good, 3 cases of fair in total 26 cases of proximal or distal tibia fracture except 2 infected non-union.
CONCLUSION
Hybrid external fixation is effective method for periarticular or segmental tibia fracture and it gives simple applicability, firm stability and much less discomfort.
  • 277 View
  • 1 Download
Close layer
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
AbstractAbstract 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.
  • 342 View
  • 0 Download
Close layer
The Treatment of Danis-Weber Type B Fractures of the Distal Fibula by Multiple Kirschner Wires Fixation
Ho Yoon Kwak, Baik Young Song, Sang Wook Bae, Nam Hong Choi, Jin Young Kim
J Korean Soc Fract 2000;13(3):529-536.   Published online July 31, 2000
DOI: https://doi.org/10.12671/jksf.2000.13.3.529
AbstractAbstract PDF
PURPOSE
To evaluate the accuracy of reduction and stability of fixation according to different methods of internal fixation for the Danis-Weber classification type B fractures of the distal fibula. MATERIAL AND METHODS: Seventy-three cases with follow up of average 13 months were divided into three groups: plate fixation(Group I, 36), more than two lag screws fixation (Group II, 13) and multiple K wires fixation with less than one lag screw(Group III, 24). We measured the bimalleolar angle and axial displacement of the fracture ends for radiographic evaluation, and used the Meyer's classification for clinical evaluation.
RESULTS
There was significant difference of postoperative fibular shortening between group I(0.44mm) and III(0.17mm) on the anteroposterior view(p=0.003), but no difference of it on the lateral view. The changes of bimalleolar angle and the increment of fibular shortening showed no significant difference among three groups.
CONCLUSION
Multiple K wires fixation combined with less than one lag screw for Danis-Weber type B fractures of distal fibula demonstrated that it provides accurate reduction and stable internal fixation.

Citations

Citations to this article as recorded by  
  • Posterior Plating in Distal Fibular Fracture
    Choong-Hyeok Choi, Young-A Cho, Jae-Hoon Kim, Il-Hoon Sung
    Journal of the Korean Fracture Society.2007; 20(2): 161.     CrossRef
  • 484 View
  • 1 Download
  • 1 Crossref
Close layer
Breakage of Interlocking Screw after Intramedullary Nailing of Femoral Shaft Fracture
Gun Il Im, Cheol Won Hyun, Joo Ho Shin, Do Young Kim, Won Ho Cho
J Korean Soc Fract 2000;13(3):463-469.   Published online July 31, 2000
DOI: https://doi.org/10.12671/jksf.2000.13.3.463
AbstractAbstract PDF
PURPOSE
We analysed risk factors for failure of interlocking screws after femoral intramedullary nailing, and introduce tips for removing broken screw.
MATERIALS AND METHODS
Seventy-two closed femoral shaft fractures were treated with interlocking nail. We compared 7 patients in whom interlocking screw breakage occurred (Group I) with 65 patients without breakage of interlocking screw (Group II). Analytic parameters were age, weight, level of fracture, degree of comminution, nail diameter. We used Mann-Whitney U test & Chi-sqare test for statistical analysis.
RESULT
Upper one of distal interlocking screws was broken in 6 patients, both of distal screws were broken in one patient. All of the patients with broken screws had associated delayed union. The mean age of patients were 20 years in group I, 31 years in group II. The mean weight were 69.6 Kg in group I, 62.02kg in group II. Three patients had fractures in proximal half and four patients had fractures in distal half in group I. In group II, there were 25 proximal fractures and 40 distal fractures. There were 2 type I, 2 type II, 1 type III, 2 type IV fractures in group I, and 16 type I, 31 type II, 17 type III, 1 type IV fractures according to Winquist and Hansen classification. Nail diameters were 10mm in 4 patients, 11mm in 2 patients, 12mm in 1 patient for group I and 10mm in 8 patients, 11mm in 13 patients, 12mm in 25 patients, 13mm in 13 patients, and 14mm in 6 patients for group II. Age, weight, degree of comminution, nail diameter had statistically significant relation to the breakage of interlocking screw(p<0.05), but the level of fracture didn't(p>0.05). Broken screws were easily removed by advancing screw to medial compartment with S-pin and making short medial incision.
CONCLUSION
It is suggested from our study that combination of parameters may have contributed to the failure of interlocking screw ; narrower diameter nail for comminuted fracture in young, active patients with more body weight. Inserting two screws have advantage over one screw.
  • 381 View
  • 3 Download
Close layer
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
AbstractAbstract 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.
  • 275 View
  • 0 Download
Close layer
Comparative Analysis of Interlocking Nail and Anatomical Plate in the Treatment of Distal Tibial Fracture
Gun Il Im, Do Young Kim, Joo Ho Shin, Kang Seob Youn, Won Ho Cho
J Korean Soc Fract 1999;12(3):632-637.   Published online July 31, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.3.632
AbstractAbstract PDF
We studied 39 patients with distal tibial shaft fracture. Seventeen fractures(10 closed fractures and 7 open fractures: 5 type-I and 2 type II fractures, according to the classification of Gustilo et al.) were treated with interlocking nail, and 22 fractures(19 closed and 3 open fractures: 1 type I and 2 type II fractures) were treated with anatomical plate. The clinical results were analyzed according to treatment modality. All of the patients were followed up for more than 1 year. The average time to union was 18.1 weeks in the patients treated with interlocking nail and 23.7 weeks in the patients treated with anatomical plate. In the functional outcome(according to Klemm and Borner), twelve patients(70.6%) treated with interlocking nail showed excellent results and 10 patients(45.5%) treated with anatomical plate had excellent results. We concluded that more satisfactory results could be obtained with interlocking nail compared with anatomical plate in the treatment of the distal tibial fracture.

Citations

Citations to this article as recorded by  
  • Comparative Analysis of Minimally Invasive Plate Osteosynthesis and Intramedullary Nailing in the Treatment of the Distal Tibia Fractures
    Ho-Min Lee, Young-Sung Kim, Jong-Pil Kim, Phil-Hyun Chung, Suk Kang, Kaung Suk Jo
    Journal of the Korean Fracture Society.2018; 31(3): 94.     CrossRef
  • Comparative Analysis of Minimally Invasive Plate Osteosynthesis Using Periarticular Plate and Intramedullary Nailing in Distal Tibial Metaphyseal Fractures
    Gwang Chul Lee, Jun Young Lee, Sang Ho Ha, Hong Moon Sohn, Yi Kyu Park
    Journal of the Korean Fracture Society.2012; 25(1): 20.     CrossRef
  • Comparative Study Using of Treatment with Minimally Invasive Plate Osteosynthesis Using Periarticular Plate and Interlocking Intramedullary Nailing in Distal Tibia Fractures
    Chang Hwa Hong, Jong Seok Park, Sang Seon Lee, Soo Ik Awe, Woo Jong Kim, Ki Jin Jung
    Journal of the Korean Fracture Society.2010; 23(3): 296.     CrossRef
  • A Comparison between Minimally Invasive Plate Osteosynthesis & Interlocking Intramedullary Nailing in Distal Tibia Fractures
    Kee-Byung Lee, Si-Young Song, Duek-Joo Kwon, Yong-Beom Lee, Nam-Kyou Rhee, Jun-Ha Choi
    Journal of the Korean Fracture Society.2008; 21(4): 286.     CrossRef
  • 442 View
  • 0 Download
  • 4 Crossref
Close layer
Malailgnment Following Intramedullary Nailing of Tibial Shaft Fracture - s comparison between medial parapatellar approachand patellar tendon spltting approach -
Dong Ju Chae, Phil Hyun Chung, Tae Young Kim
J Korean Soc Fract 1998;11(4):849-857.   Published online October 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.4.849
AbstractAbstract PDF
Intramedullary nailing is often the treatment of choice in the management of fractures in the tibial diaphysis. One of the most frequent complications of tibial nailing is fracture malalignment leading to angulatory or rotational deformities. Access to the proximal tibia for intramedullary nailing of the tibial shaft fractures may be via a patallar tendon splitting or paratendinous exposure. Although the tendon splitting approach is more direct, the incidence of knee pain is significantly higher when this technique is used. In addition, several cases of heterotopic ossification have been reported following tendon splitting approaches. For these reasons an incision medial to the tendon is generally chosen. We reviewed 140 cases(131 patients) of tibial shaft fractures who were treated by use of the intramedullary nailing from 1994 to 1997 and made a comparison between the medial parapatellar approach and the patellar tendon splitting approach about degree of malalignment. We have noticed that there was significant difference in the number of tibias that were malaligned after tibial nailing with the medial parapatellar access and the tendon splitting approach. With the medial parapatellar approach, malalignment was seen in 13/42 tibiae(31.0%) of the fractures of tibial shaft, 11/12 tibiae of the proximal third fractures and 2/10 tibiae of the distal third fractures respectively. With the patellar tendon splitting approach, malalignment was seen in 8/98 tibiae(8.2%) of the fractures of the tibial shaft, 4/15 tibiae of the proximal third fractures, 1/45 of the middle third fractures and 3/38 tibiae of the distal third fractures respectively. We conclude that the tendon splitting approach may be better for intramedullary nailing of the proximal fractures of the tibia and the medial parapatellar approach may be chosen for the treatment of the middle and distal shaft fractures of the tibia.
  • 250 View
  • 0 Download
Close layer
Treatments of Tibial Condylar Fractures
Yong Bum Park, Chung Soo Hwang, Phil Hyun Chung, Suk Kang, Dong Ju Chae, Han Chul Kim, Sang ho Moon, Seung Hun Lee, Tae Young Kim, Sun Hyun Yun
J Korean Soc Fract 1998;11(4):790-797.   Published online October 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.4.790
AbstractAbstract PDF
The tibial condylar fractures are characterized by intra-articular extension of fracture line and associated soft tissue injuries, and could affect knee alignment, stability, adn range of motion after treatments. Therefore, anatomical reduction and rigid internal fixation is mandatory to get satisfactory results. But this method of treatment can not be always possible due to technical dimend of surgical sklls and high risk of postoperative infection. The authors analyzed 43 cases of tibial condylar fractures, which were treated at the orthopaedic department of the Dongguk University Hospital from March 1990 to May 1996. Males were 34, and females were 9. Average age of patients was 41.4 years, and average follow up period was 18 months. The most common causes of injuries were traffic accidents (36 cases), and most common type of fracture was Schatzker type I. associated soft tissue injuries were observed in 21 cases. Treatment methods were chosen by degree of displacement of fracture fragment and associated soft tissue injuries. Conservative treatments were done in 23 cases and operative treatments in 20 cases. Satisfactory results were obtained in overall 32 cases(74%) regardless of the methods of treatment. Unsatisfactory results were observed in patients who had associated soft injuries and significant displacement of fracture. Conclusively, satisfactory results could be obtained in patients with tibial condylar fractures by appropriate selection of treatments according to displacement of fracture and associated soft tissue injuries.
  • 301 View
  • 0 Download
Close layer
Ipsilateral Fracture of the Femoral Neck and Shaft
Chong Kwan Kim, Jeong Hwan Kim, Dae Young Kim
J Korean Soc Fract 1998;11(4):738-744.   Published online October 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.4.738
AbstractAbstract PDF
Ipsilateral femoral neck and shaft fractures are uncommon and have difficulty in diagnosis. The injury results from high energy trauma. From January, 1990 to March, 1995, 10 cases of ipsilateral femur neck and shaft fractures had been treated. Follow up period varied from 10 months to 3 years (average 1 year 10 month). The purpose of this study is to evaluate the fracture pattern of neck, complications due to delayed operation, and efficient methods of fixation. The neck fractures were minimally displaced or not displaced in 8 cases. The femur shaft fractures were usually comminuted and located at midshaft. The timing of operation was often determined by the patient's status as a multiple trauma victim, but a delay of days to cases, diagnosis was delayed, but there was no complication, like as avascular necrosis and nonunion. There was one case of nonunion of femur shaft, and which was treated with bone graft. We could not find the difference in complication rate among the fixation methods. Anatomic reduction and stable fixation seem to be more important than the method of fixation and timing of operation.
  • 349 View
  • 2 Download
Close layer
Intertrochanteric Fractures of the Femur Treated with 95degree Angled Blade Plate in over 60 years Old patients
Chong Kwan Kim, Dae Young Kim
J Korean Soc Fract 1998;11(4):1001-1010.   Published online October 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.4.1001
AbstractAbstract PDF
Surgical stabilization is the treatment of choice for both stable and unstable intertrochanteric fractures. Unfortunately, the elderly patient has poor quality of bone. Because of osteoporotic bone, management of unstable comminuted fracture is very difficult in reduction and fixation of fracture. Now the sliding compression hip screw is the device used for hip screws have been used widely. these device have most commonly, and also intramedullary hip screws have been used widely. These device have many advantages in the treatment of interrochanteric fracture. But fixation failure occur not uncommonly in osteoporotic comminuted unstable fracture. For the pupose of stable fixation in osteoporotic femur neck and head, we used the 95degree angled blade plate(=condylar plate). We experienced that the blade portion of condylar plate offer a good fixation stability. clinical results were good in 31 cases of intertrochanteric fracture treated with condylar plate. There was no cutting out of head, excessive shortening and excessive varus deformity. Most of all cases, except one, were united within average 4months. We consider that using the condylar plate for osteoporotic unstable intertrochanteric fracture would be another good modality if surgeons have a surgical skill.
  • 259 View
  • 0 Download
Close layer
Iigament Injuries of the Knee Joint Combined with Ipsilateral Femoral Shaft Fracture
Jin Hyung Sung, Choang Whan Han, Jae Duk Ryu, Weon Jin Cha, Jin Young Kim
J Korean Soc Fract 1998;11(3):509-513.   Published online July 31, 1998
DOI: https://doi.org/10.12671/jksf.1998.11.3.509
AbstractAbstract PDF
Most fractures of the shaft of the femur are caused by high-energy trauma. It would be expected that in many cases the ipsilateral knee ligaments are subjected to severe stress. In these days, early diagnosis and proper treatment of combined ligament injury in ipsilateral femoral shaft fracture become to be important and are possible by arthroscope and MRI. We retrospectively reviewed a series of 97 patients with 97 fractures of the femoral shaft from March 1995 to December 1997. demonstrable ipsilateral knee ligament laxity was present in 10(11.3 per cent) of these patients. There were 7 males and 8 left femur fractures. Eight of them were injured by traffic accident. Ten patients were followed for an average months. PCL injuries were five cases and ACL and MCL injuries were two cases each and posterolateral instability was one case. Early diagnosis was possible in MCL and ACL cases but diagnosis was dilayed to average 10 months post-accidentally in PCL injuries. MCL injuries and one ACL injuries were treated conservatively and one ACL and one PCL avulsion fracture were treated with pull-out suture technique and another 4 PCL injuries were treated with reconstruction using bone patella tendon bone, From this study, we advocate careful asessment of the knee, especially PCL injury in all cases of fracture of the femur caused by high-energy trauma.
  • 301 View
  • 0 Download
Close layer
Operative Tleatment of the Lateral Condyle Fractures of the Humerus in Children
Bum Gu Lee, Do Heun Moon, Jin Hong Ko, Su Chan Lee, Hong Ki Park, Ki Dong Kang, Young Kim
J Korean Soc Fract 1996;9(4):1096-1103.   Published online October 31, 1996
DOI: https://doi.org/10.12671/jksf.1996.9.4.1096
AbstractAbstract PDF
Fracture of the lateral humeral condyle is a relatively common injury in children. The standard treatment of Jakobs type II and III fractures is open reduction and internal fixation The treatment of Jakobs type I fractures is more controversial. Authors performed clinical and radiological analysed of fifty-two patients of lateral condylar fracture of the humerus who have been treated with open reduction and internal fixation. They were followed up from one year to five years and two months. The results were as follows; 1. The age incidence was confined from 3 years to 12 years. 2. There were 14 cases(26.9%) of Milch type I, 38 cases(73.8%) of Milch type II and according to Jakobs stage, 20 cases were stage I, 23 cases were stage II, 9 cases were stage III. 3. All cases were treated by open reduction and Internal fixation. 4. In 5 cases were lateral condyle overgrowth of the humerus, 2 cases were limited ROM of elbow joint. and 2 cases pin site loosening and superficial wound infections observed. And this complications did not resutt in significant clinical disabilites. 5. Respectively, according to the criteria of Hardacre 41 cases(78.8%) were excellent, 11 cases (21.1%) were good, and there was no poor case. 6. The fracture type and stage of displacement did not effect the flnal results. the complications, the complications are due to inaccurate reduction or insecure fixation. Therefore, open anatomical reduction and stable internal fixation is required to avoid complications, even in stage I displaced fractures.
  • 269 View
  • 0 Download
Close layer
Surgical Treatment of Intra-articular Fracture of the Os Calcis
Soo Kil Kim, Young Gyu Kim, Bum Gu Lee, Jin Hong Ko, Su Chan Lee, Young Kim
J Korean Soc Fract 1996;9(2):354-365.   Published online April 30, 1996
DOI: https://doi.org/10.12671/jksf.1996.9.2.354
AbstractAbstract PDF
Intra-articular fractures involving the posterior facet of the subtalar joint are associated with significant and prolonged disability. But, the treatment of choice for displaced intra-articular calcaneal fractures remains controversial. We treated 30 displaced intra-articular fractures of the calcaneus by open 1eduction and internal fixation through the lateral approach with autogenous bone graft at the Department of Orthopaedic Surgery, Choong-ang Gil and Dong Inchon Gil Ceneral Hospital from January 1990 to October 1994 The clinical and radiographic analyses were as follows. 1. Of 26 patients, 20 patients were male and 6 patients were female. 2. The main cause fractures of calcaneus was a fall from a height in 23 cases(88%) and most of associ ated fractures were spine injury in 6 patients. 3. Fracture was classified according to Essex-Lopresti classification. 13 cases were tongue type, 17 cases were joint depression type. 4. Alt Open reduction and internal fixation through the laterl approach with bone graft was performed in joint depression type and tongue type. 5. The preoperative ayerage Bohlers angle was - 5. The postoperative avereage Bohlers angle was -24, Which was increased significantly. 6. Complications were 12 cases ; included heel pad pain in 8 caLes, osteomyelitis and superficial wound infection in 2 cases, transient sensory hypesthesia on the lateral side of the foot in 2 cases. 7. Based on assessement of Salama, the results were excellent in 5 cases, good in 1 Teases, fair in 6 cases, poor in 2 cases.
  • 279 View
  • 0 Download
Close layer
Reduction and Percutaneous Pinning of Displaced Supracondylar Fracture of the Humerus in Children
Won Yoo Kim, Jin Young Kim, Kun Young Park, Chong Hoon Park, Hwa Sung Lee
J Korean Soc Fract 1994;7(2):471-479.   Published online November 30, 1994
DOI: https://doi.org/10.12671/jksf.1994.7.2.471
AbstractAbstract PDF
Closed reduction and percutaneous pinning of displaced supracondylar fractures of the humerus in children yielded simple fracture management, less neurological and vascular complications, reduced hospitalization day and increased satisfactory out-comes. We treated twenty-seven cases of these fractures(extension type : twenty-five cases) by such a method. The accurate closed reduction of a supracondylar fracture could be obtained and confirmed by image intensifier. The maintanence of a reduction was stabilized by application of K-wires. Our study showed that the limitation of range of motion of the elbow joint was not signifiint(three cases, below ten degrees extension block and changes of carrying angle was also minimal three cases, below ten degrees). In twenty-seven cases, excellent results were recorded in 93% on at least on year follow-up.
  • 314 View
  • 0 Download
Close layer
A Clinical Study of Traumatic Posterior Fracture-Dislocation of the Hip: 13 cases with operative treatment
Won Yoo Kim, Jin Young Kim, Kun Young Park, Chang Boon Jeong
J Korean Soc Fract 1994;7(2):457-464.   Published online November 30, 1994
DOI: https://doi.org/10.12671/jksf.1994.7.2.457
AbstractAbstract PDF
Traumatic Posterior hip fracture-dislocation is uncommon injury, which induces the traumatic arthritis, joint contracture and avascular necrosis of the femoral head as a late complication. Among 23 patients with traumatic fracture-dislocation of the hips, 13 patients who underwent operative intervention were reviewed retrospectively: all patients were men ranging from 24 to 59 years old. A dash-board injury of car accident was leading cause of the traumatic dislocation in this series(9 cases, 64%). Associated injuries were found in 11 cases(84%). In follow-up ranging from 12 months to 36 months(averge, 18 months). Ten were treated by closed reduction; 6, by closed reduction followed by subsequent open reduction and internal fixation for unstable fracture of the acetabulum; 3, by primary open reduction; and 4, delayed open reduction. The results according to the Epstein and Thompson clinical criteria for evaluating results were good at 5 of 6 patients treated by closed reduction followed by open reduction for acetabular fracture. It was concluded that early closed reduction followed by open anatomic reduction with removal of all loose fragments of bone and cartilage and restoration of stability by internal fixation of the fracture of the acetaulum offers the best prognosis.
  • 265 View
  • 0 Download
Close layer
The treatment of pathologic fracture of the proximal fimur by solitary bone cyst in children report of two cases
Choong Gil Lee, Jin Woo Kwon, Soo Young Kim, Sang Hoon Lee
J Korean Soc Fract 1993;6(2):352-356.   Published online November 30, 1993
DOI: https://doi.org/10.12671/jksf.1993.6.2.352
AbstractAbstract PDF
No abstract available.
  • 245 View
  • 0 Download
Close layer
Bilateral traumatic didlocation of the tibialis posterior tendons a case report
Jin Young Kim, Chan Hee Park, Jong Who Kang, Jong Hun Park
J Korean Soc Fract 1992;5(1):157-160.   Published online May 31, 1992
DOI: https://doi.org/10.12671/jksf.1992.5.1.157
AbstractAbstract PDF
No abstract available.
  • 346 View
  • 0 Download
Close layer
Consideration on Fracture Classification: Introduction to AO Classification
Ki Young Kim
J Korean Soc Fract 1991;4(2):205-214.   Published online November 30, 1991
DOI: https://doi.org/10.12671/jksf.1991.4.2.205
AbstractAbstract PDF
No abstract.
  • 335 View
  • 0 Download
Close layer
Consideration on Fracture Classification: Introduction to AO Classification
Ki Young Kim
J Korean Soc Fract 1991;4(1):3-7.   Published online May 31, 1991
DOI: https://doi.org/10.12671/jksf.1991.4.1.3
AbstractAbstract PDF
No abstract available.
  • 310 View
  • 0 Download
Close layer
The Inyo Nail for the Lateral Malleolus Fracture of the Ankle
Joon Young Kim, Young An Choi, Chang Goo Shim, Bo Seok Kong
J Korean Soc Fract 1990;3(2):252-258.   Published online November 30, 1990
DOI: https://doi.org/10.12671/jksf.1990.3.2.252
AbstractAbstract PDF
The incidence of ankle fracture has been steadily increasing due to a number of traffic accident and was partly related to improved leisurely life style and outdoor activities. So, many methods for treatment of ankle fracture was introduced and some of them attract our attention. By accurate anatomical reduction and rigid fixation, maintenance of the stability of talus in ankle mortise is a goal of ankle fracture treatment. The Inyo nail is a new intramedullary device that was specially designed for the provention of shortening and ratational deformity which may occur in other conventional treatment method. The authors analysed 33 cases of lateral malleolus fracture treated conservatively(13 cases), operatively using Inyo nail(6 cases), other conventional fixational device(14 cases) from March 1987 to March 1989 and reports the indications and problems in operating technique using Inyo nail.
  • 370 View
  • 1 Download
Close layer
J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
© The Korean Orthopaedic Trauma Association.
Close layer
TOP