Journal of Musculoskeletal Trauma

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; J Korean Fract Soc 2016;29(3):206-212. Published online July 31, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.3.206

Generally, lateral plating is used for a comminuted fracture of the distal femur. However, in some cases, it has been shown that using a medial plate is necessary to achieve better outcome. Nevertheless, there are no available anatomical plates that fit either the distal medial femoral condyle or fracture fixation, except for the relatively short plate developed for distal femoral osteotomy. We found that locking compression plate-proximal lateral tibia (LCP-PLT) fits anatomically well for the contour of the ipsilateral medial femoral condyle. Moreover, LCP-PLT has less risk of breaking the thread holes since it rarely needs to be bent. We report a plastic bone model study and two cases of distal femoral fractures fixed with medial plating using LCP-PLT.

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A novel anatomical locked medial femoral condyle plate: a biomechanical study
M. A. Ozer, S. Keser, D. Barıs, O. Yazoglu
European Journal of Orthopaedic Surgery & Traumatology.2024; 34(5): 2767. CrossRef
Medial plating of distal femur: which pre-contoured angular stable plate fits best?
Shaam Achudan, Rex Premchand Antony Xavier, Sze Ern Tan
European Journal of Orthopaedic Surgery & Traumatology.2024; 34(6): 3297. CrossRef
Medial augmentation of distal femur fractures using the contralateral distal femur locking plate: A technical note
Jaime Andrés Leal
OTA International.2024;[Epub] CrossRef
The missing piece of the trauma armoury-medial femoral condyle plate
Piyush Upadhyay, Farhan Syed, Darryl N Ramoutar, Jayne Ward
Injury.2022; 53(3): 1237. CrossRef
Surgical Tips and Tricks for Distal Femur Plating
Christopher Lee, Dane Brodke, Ajay Gurbani
Journal of the American Academy of Orthopaedic Surgeons.2021;[Epub] CrossRef
Medial minimally invasive helical plate osteosynthesis of the distal femur – a new technique
G.M. Hohenberger, A.M. Schwarz, P. Grechenig, B. Clement, Mario Staresinic, Bore Bakota
Injury.2021; 52: S27. CrossRef
Feature-Based Design of Personalized Anatomical Plates for the Treatment of Femoral Fractures
Xiaozhong Chen, Zhijian Mao, Xi Jiang
IEEE Access.2021; 9: 43824. CrossRef

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Failure to Remove a Trochanteric Entry Femoral Nail and Its Cause in Adolescent Patients: Two Cases Report: Ji Hwan Kim, Seung Oh Nam, Young Soo Byun, Han Sang Kim; J Korean Fract Soc 2015;28(1):71-76. Published online January 31, 2015; DOI: https://doi.org/10.12671/jkfs.2015.28.1.71

Abstract PDF: Trochanteric entry femoral nails have been widely used for fixation of femoral shaft fractures because of easier identification of the entry point. Young patients usually request removal of the nail after healing of the fracture. We experienced a failure and difficulty in removal of the trochanteric entry nail in two adolescent patients. In the patient in which the nail could be removed with difficulty, dense compact bone was formed through the empty interlocking holes and the nail was held just like a latch. This finding was quite similar to the computed tomography findings of the patient in which the nail could not be removed. In order to remove the nail, the newly formed, dense compact bone in the interlocking holes must be broken and detached from the femur itself. We suggest that dense compact bone through the empty interlocking holes might be a clue for difficult removal of the trochanteric entry nail.

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The Result of Conservative Treatment of Proximal Humerus Fracture in Elderly Patients: Seung Gil Baek, Chang Wug Oh, Young Soo Byun, Jong Keon Oh, Joon Woo Kim, Jong Pil Yoon, Hyun Joo Lee, Hyung Sub Kim; J Korean Fract Soc 2013;26(4):292-298. Published online October 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.4.292

Abstract PDF: PURPOSE
With the increase in the old age population, proximal humerus fractures have been increasing recently. However, complications after operative treatment, such as fixation failure, are common because of osteoporosis. We treated proximal humerus fractures in patients with osteoporosis conservatively, and evaluated the radiographic and functional results by analyzing the factors affecting the results.
MATERIALS AND METHODS
Nineteen out of 30 cases for whom the clinical follow-up was over 1 year were included in this retrospective study. There were 17 females and 2 males, and the mean age was 73.2 years. The causes were slip from a short height (18 cases) and a minor car accident (1 case). We evaluated the union period, nonunion, malunion and the Constant score and analyzed several factors affecting the functional result, such as age, fracture pattern, and malunion.
RESULTS
Seventeen cases (89.5%) obtained union within 12.8 weeks on average. Neck-shaft angle was 125.3degrees on average, with seven cases of malunion. The Constant score was 84.1 on average, and there were excellent scores in 11 cases, good scores in 4 cases, and fair scores in 2 cases. Fracture pattern, neck-shaft angle, or malunion did not affect the functional outcome, and elderly patients showed poorer shoulder function.
CONCLUSION
Proximal humeral fractures with osteoporosis may achieve a high rate of bony union when treated with conservative methods. Despite the common occurrence of malunion, a satisfactory functional outcome may be expected.

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Morbidity and Mortality of the Elderly after Early Operation for Trochanteric Fractures: Se Ang Jang, Young Ho Cho, Young Soo Byun, Ki Hong Park, Hyun Seong Yoo, Chul Jung; J Korean Fract Soc 2013;26(3):199-204. Published online July 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.3.199

Abstract PDF

PURPOSE
To find out the effect of early closed reduction and internal fixation (within 24 hours after admission to hospital) on the morbidity and mortality in the elderly with intertrochanteric fractures of the femur.
MATERIALS AND METHODS
Retrospectively, we analyzed 99 patients with intertrochanteric fracture of the femur who underwent surgery from January, 2009 to December, 2010. We reviewed 89 of the 99 patients and checked for early complications and reviewed the mortality rates 3 months, 6 months and 1 year after surgery. There were 24 males and 65 females. The average age was 79.8 years (61-99 years). According to the American Society of Anesthesiologists classification, 25 patients were class 1, 37 patients were class 2, 26 patients were class 3, and 1 patient was class 4. All patients were operated on by one surgeon, who was skilled in inserting intramedullary nail.
RESULTS
The average surgical time was 43 minutes and the average intraoperative blood loss was 165 ml. Sixteen patients experienced delirium but all of them recovered. One patient had pneumonia at one month after surgery. Pressure sores developed in one patient but improved with conservative treatment. Pulmonary thromboembolism developed in some patients one month after surgery. Three patients (3.4%) died within three months and one patient (1.1%) died between three and six months after surgery, but no patient died between six months and one year after surgery.
CONCLUSION
If patients are optimized for the operation, early internal fixation of trochanteric fracture in elderly patients after arrival at the hospital should be considered to reduce early complications and mortality.

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PREOPERATIVE NUTRITIONAL STATUS OF HIP FRACTURE PATIENTS: A PILOT STUDY IN 116 PATIENTS
Myung-Sang Moon, Min-Suk Park, Bong-Keun Park, Dong-Hyeon Kim, Min-Geun Yoon
Journal of Musculoskeletal Research.2017; 20(01): 1750002. CrossRef

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Bleeding Volume after Surgery for Trochanteric Fractures of the Femur in Patients Treated with Antiplatelet Agents: Comparison according to Surgical Timing: Se Ang Jang, Young Ho Cho, Young Soo Byun, Tae Gyun Kim, Hun Sik Cho, Sung Choi; J Korean Fract Soc 2012;25(2):105-109. Published online April 30, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.2.105

Abstract PDF

PURPOSE
We evaluated the bleeding volume after surgery for trochanteric fractures of the femur in patients treated with antiplatelet agents according to surgical timing.
MATERIALS AND METHODS
We selected 20 patients who had trochanteric fractures of the femur treated with antiplatelet agents from January 2009 to June 2010. Group I included 9 patients who discontinued antiplatelet medication and had delayed operations at an average of 6.5 days and Group II included 11 patients who underwent early operations within 24 hours. Group I included 2 males and 7 females; their average age was 77.8 years (range 59~86). Group II included 4 males and 7 females, with an average age of 73.5 years (range 61~84). We compared the two groups' volume of intraoperative bleeding, the preoperative and postoperative hemoglobin levels and the volume of postoperative transfusion. The Mann-Whitney U test was used for statistical analysis.
RESULTS
The volume of intraoperative bleeding was 88 ml in group I and 106 ml in group II (p>0.01). The difference in the hemoglobin was a decrease of 2.4 mg% in group I and a decrease of 2.2 mg% in group II (p>0.01). The volume of postoperative transfusion was 0.6 pints in group I and 1 pint in group II (p>0.01).
CONCLUSION
We found a similar bleeding volume regardless of operative timing after surgery for trochanteric fractures of the femur in patients treated with antiplatelet agents.

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Is early hip fracture surgery safe for patients on clopidogrel? Systematic review, meta-analysis and meta-regression
B. Doleman, I.K. Moppett
Injury.2015; 46(6): 954. CrossRef
Morbidity and Mortality of the Elderly after Early Operation for Trochanteric Fractures
Se-Ang Jang, Young-Ho Cho, Young-Soo Byun, Ki-Hong Park, Hyun-Seong Yoo, Chul Jung
Journal of the Korean Fracture Society.2013; 26(3): 199. CrossRef

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Sacral Fractures: Young Soo Byun, Se Ang Chang; J Korean Fract Soc 2011;24(4):371-381. Published online October 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.4.371

Abstract PDF

No abstract available.

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Laminoplasty for Treatment of Transverse Sacral Fracture: A Case Report
Young Soo Jang, Jak Jang, Sung Ju Bae, Chan Il Bae, Sung Bae Park
Journal of the Korean Fracture Society.2014; 27(2): 157. CrossRef

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The Surgical Outcomes of Clavicle Lateral End Fractures Fixed with the Oblique T Locking Compession Plate: Seung Oh Nam, Young Soo Byun, Dong Ju Shin, Jung Hoon Shin, Chung Yeol Lee, Tae Gyun Kim; J Korean Fract Soc 2011;24(1):41-47. Published online January 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.1.41

Abstract PDF

PURPOSE
The purpose of this study is to evaluate the surgical outcomes of the clavicle lateral end fracture fixed with an oblique T locking compression plate (LCP).
MATERIALS AND METHODS
Fourteen clavicle lateral end fractures were fixed with the oblique T-LCP and followed up for at least 1 year after the surgery. Thirteen cases were unstable Neer type II fractures and one case was nonunion of the Neer type I fracture. The mean age was 46 years of age (range, 26~70). In ten cases, augmenting sutures with the absorbable suture material were placed in the coraco-clavicular ligament and around the plate and the clavicle to improve the stability of fracture fixation. Autogenous iliac bone graft was done in four cases. The clinical outcomes were evaluated by using UCLA scoring system and KSS (Korean Shoulder Score).
RESULTS
The mean UCLA score was 33.5 and the mean KSS was 94.9. Average time of bone union was 11.9 weeks (range, 6~28), including 1 case with a delayed union. There was no complication such as loss of fixation or nonunion.
CONCLUSION
Fixation with the oblique T-LCP is a good option providing reliable functional results in clavicle lateral end fractures.

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Results of Hook Plate Fixation of Unstable Distal Clavicle Fractures
Hoon-Sang Sohn, Byung Chul Jo
Journal of the Korean Fracture Society.2011; 24(4): 335. CrossRef

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Minimally Invasive Plate Osteosynthesis for Proximal Tibial Shaft Fracture: Young Soo Byun, Ki Chul Park, Hyun Jong Bong, Chang Hoon Lee; J Korean Fract Soc 2011;24(1):23-27. Published online January 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.1.23

Abstract PDF

PURPOSE
To report the results of patients treated by minimally invasive plate osteosynthesis (MIPO) for proximal tibial shaft fractures.
MATERIALS AND METHODS
From September 2003 to June 2008, thirty-two patients with proximal tibial shaft fractures weretreated by MIPO. There were 22 men and 10 women and mean age was 43.8 years (range; 21~72 years). Follow-up was available for all patients and the mean follow-up period was 19.5 months (range; 12~40 months). Duration of union, range of knee motion and postoperative complications were evaluated.
RESULTS
Twenty-nine patients (90.6%) healed after the MIPO technique. The mean duration of radiographic union was 18.3 weeks (range; 10~28 weeks). The mean range of knee motion was 134 degrees at the last follow-up. There were 1 non-union, 2 delayed unions, 1 superficial infection, 1 deep infection, 2 malunions with more than 5 degrees of malalignment and 14 cases of skin irritation by plate.
CONCLUSION
MIPO is an effective treatment for closed, proximal tibialshaft fractures. More aggressive treatment such as dual plating should be considered in fractures with severe comminution or bone loss.

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Medial Minimally Invasive Percutaneous Plate Osteosynthesis in Proximal Tibial Comminuted Fractures
Jae-Ang Sim, Kwang-Hui Kim, Yong-Seuk Lee, Sang-Jin Lee, Beom-Koo Lee
Journal of the Korean Orthopaedic Association.2014; 49(4): 278. CrossRef
Minimally Invasive Percutaneous Plate Stabilization Using a Medial Locking Plate for Proximal Tibial Fractures - Technical Note -
Jae Ang Sim, Beom Koo Lee, Kwang Hui Kim, Yong Seuk Lee
Journal of the Korean Fracture Society.2013; 26(4): 327. CrossRef

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Repetitive Insufficiency Fractures of the Femoral Shaft: A Case Report: Ji Hwan Kim, Young Ho Cho, Young Soo Byun, Jung Hoon Shin, Chung Yeol Lee, Tae Gyun Kim; J Korean Fract Soc 2010;23(1):109-112. Published online January 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.1.109

Abstract PDF: Stress fractures occur when the loads applied to a bone exceed the mechanical resistance and fall into two groups. Fatigue fractures, in which abnormal mechanical stress is applied to a normal bone, and insufficiency fractures, in which fracture occurs when stress of normal activity is applied to a bone that has decreased elastic resistance. Femoral shaft insufficiency fractures are reported rarely in patients with postmenopausal osteoporosis. We report a case of repetitive insufficiency fractures of the femoral shaft in 70 year-old female with marked osteoporosis.

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Intramedullary Nailing of Proximal Tibial Fractures: Young Soo Byun, Dong Ju Shin; J Korean Fract Soc 2009;22(3):197-205. Published online July 31, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.3.197

Abstract PDF

No abstract available.

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Clinical Outcome after Treatment of Tibia Segmental Fracture with Intramedullary Nailing and Minimal Invasive Plate Osteosynthesis
Jun Young Lee, Hyung Seok Park, Dong Hyuk Cha
Journal of the Korean Fracture Society.2020; 33(3): 142. CrossRef
Clinical Outcomes of the Tibia Segmental Fractures Treated by Intramedullary Nail Using Various Reduction Techniques
Oog-Jin Shon, Ji-Hoon Shin, Chul-Wung Ha
Journal of the Korean Fracture Society.2013; 26(1): 50. CrossRef
Management of Open Fracture
Gu-Hee Jung
Journal of the Korean Fracture Society.2010; 23(2): 236. CrossRef

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The Surgical Outcomes of Isolated Greater Tuberosity Fractures of the Proximal Humerus Fixed with the Spring Plate: Dong Ju Shin, Young Soo Byun, Se Ang Chang, Hee Min Yun, Ho Won Park, Jae Young Park; J Korean Fract Soc 2009;22(3):159-165. Published online July 31, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.3.159

Abstract PDF: PURPOSE
The purpose of this study was to evaluate the surgical outcomes of isolated greater tuberosity fractures of the proximal humerus fixed with the spring plates.
MATERIALS AND METHODS
Fourteen patients who could be followed up at least 1 year after the surgical treatment of isolated greater tuberosity fracture were evaluated. Their mean age was 51 years (range, 25~73 years). The deltopectoral approach and fixation with the spring plate were performed in all cases. The spring plate was used in all cases. In some circumstances, sutures incorporating the rotator cuff, interfragmentary screw or tension band wire were added. We evaluated the clinical outcomes using UCLA scoring system and KSS (Korean Shoulder Score).
RESULTS
The mean UCLA score was 29.8 and the mean KSS was 89.4. The average time of bony union was 10.2 weeks (range, 7~14 weeks) after the surgery, including 1 case that was performed the secondary operation due to metal failure. The shoulder stiffness were observed in 4 cases and one case of infection was treated well without operation.
CONCLUSION
In the treatment of isolated greater tuberosity fractures of the proximal humerus, the spring plates fixation can be a good surgical option providing reliable functional results.

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Crescent Fracture-dislocation of Sacroiliac Joint: Affecting Factors of Operative Results: Hee Soo Kim, Chang Wug Oh, Poong Taek Kim, Young Soo Byun, Joo Woo Kim, Byung Chul Park, Woo Kie Min, Hyun Joo Lee; J Korean Fract Soc 2009;22(2):71-78. Published online April 30, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.2.71

Abstract PDF

PURPOSE
To assess the affecting factors of results after the operation of Crescent fracture-dislocation in sacro-iliac joint.
MATERIALS AND METHODS
In 19 patients (mean age, 47.4 year-old) of open reduction and internal fixation for Crescent fracture-dislocation, there were seven type I, 9 type II, and 3 type III fractures according to Day's classification. We assessed affecting factors of radiological and functional results, such as patients' ages, surgical approaches, the fixation extent of pelvic ring, and fracture patterns.
RESULTS
Seventeen of 19 cases united at 14.5 weeks in average, and 2 non-unions occurred with the fixation failure of posterior ring. Satisfactory results were 14 and 15 in radiological and functional evaluation, respectively. In complications, three cases of leg length discrepancy were from an imperfect reduction and two fixation failures. Surgical approach did not show any difference of results, but all cases of unsatisfactory reduction occurred from posterior ring fixation through the anterior approach. Fixation of both rings seemed to have satisfactory results, comparing to posterior ring only. Older patients over 60 year-old had more complications and a tendency to show an unsatisfactory result.
CONCLUSION
In operative treatment of Crescent fracture-dislocation of sacro-iliac joint, it is better to fix both anterior and posterior rings. But, caution is needed to prevent complications in old-aged patients.

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General Assessment and Initial Management of Polytrauma Patients
Hyoung Keun Oh
Journal of the Korean Fracture Society.2013; 26(3): 230. CrossRef
Damage Control and Provisional Fixation
Hyoung Keun Oh
Journal of the Korean Fracture Society.2010; 23(3): 346. CrossRef

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Surgical Treatment of Posterior Wall Fractures of the Acetabulum: Young Soo Byun, Se Ang Chang, Young Ho Cho, Dae Hee Hwang, Sung Rak Lee, Sang Hee Kim; J Korean Fract Soc 2007;20(2):123-128. Published online April 30, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.2.123

Abstract PDF: PURPOSE
To evaluate the results of surgical treatment of posterior wall fractures of the acetabulum and to determine the factors affecting the results.
MATERIALS AND METHODS
Thirty-one posterior wall fractures were reviewed; 7 type A1-1, 19 type A1-2 and 5 type A1-3 by AO classification. Postoperatively, the accuracy of the reduction was evaluated. At the final follow-up, clinical and radiographic results were evaluated with medical records and radiographs. The factors affecting the results were determined.
RESULTS
The reduction was graded as anatomical in 22 patients, imperfect in seven and poor in two. The clinical result was excellent in 21 hips, good in six, fair in three and poor in one. The quality of the reduction was strongly associated with the clinical result. The radiographic result was excellent in 22 hips, good in five, fair in two and poor in two. The clinical result was related closely to the radiographic result. Complications were osteoarthritis in three patients, osteonecrosis of the femoral head in one, heterotopic ossification in one, penetration of a screw into the joint in one and iatrogenic sciatic nerve injury in one. The factors affecting the clinical results were fracture patterns, the surgeon's experience, the accuracy of the reduction and late complications.
CONCLUSION
In this present series of posterior wall fractures, as their prognosis depends on the severity of the injury and the accuracy of the reduction, satisfactory result can be obtained by anatomical reduction with thorough preoperative planning and the surgeon's experience.

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Minimally Invasive Plate Osteosynthesis, MIPO: Young Soo Byun; J Korean Fract Soc 2007;20(1):99-114. Published online January 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.1.99

Abstract PDF

No abstract available.

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Minimally Invasive Plate Osteosynthesis Using a Screw Compression Method for Treatment of Humeral Shaft Fractures
Sang-Hun Ko, Jae-Ryong Cha, Chae Chil Lee, Yong Tae Joo, Kyeong Su Eom
Clinics in Orthopedic Surgery.2017; 9(4): 506. CrossRef
Comparative Analysis of the Result of Minimally Invasive Anterior Plating and Open Reduction and Internal Fixation in Humerus Shaft Simple Fracture
Sang-Hun Ko, Chang-Gyu Choe, Ju-Hyung Lee
Clinics in Shoulder and Elbow.2015; 18(2): 75. CrossRef
The Treatment of Humerus Shaft Simple Fracture by MIPO Technique
Sang-Hun Ko, Sun-Ho Lee, Bum-Keun Cho
The Journal of the Korean Shoulder and Elbow Society.2013; 16(1): 27. CrossRef
The Treatment of Subtrochanteric Fractures with Proximal Femoral Nail Antirotation
Chi Hyoung Pak, Sang Hong Lee, Sang Ho Ha, Gwang Chul Lee, Kyoung Chul Song
Journal of the Korean Fracture Society.2013; 26(4): 284. CrossRef
Anatomical Study of the Pronator Quadratus Muscle and Comparison to Fracture Sites of the Distal Radius
Gu-Hee Jung, Chyul-Hyun Cho, Jae-Do Kim
Journal of the Korean Orthopaedic Association.2012; 47(1): 48. CrossRef
Surgical Techniques for Percutaneous Reduction by Towel Clips and Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures
Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Tae-Ho Kim, Jong-Hyun Kim, Jong-Seong Lee
Journal of the Korean Fracture Society.2012; 25(1): 31. CrossRef
Minimally Invasive Plate Osteosynthesis for the Upper Extremity Fracture Using a Lumbar Spreader - Surgical Technique -
Gu-Hee Jung, Chyul-Hyun Cho, Jae-Do Kim
Journal of the Korean Fracture Society.2011; 24(1): 83. CrossRef
Axial Malalignment after Minimally Invasive Plate Osteosynthesis in Distal Femur Fractures with Metaphyseal Comminution
Jae-Ho Jang, Gu-Hee Jung, Jae-Do Kim, Cheung-Kue Kim
Journal of the Korean Orthopaedic Association.2011; 46(4): 326. CrossRef
Management of Open Tibial Fractures: Role of Internal Fixation
Yerl-Bo Sung
Journal of the Korean Fracture Society.2007; 20(4): 349. CrossRef

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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

Abstract: 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 Ï‡

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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

Abstract

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.

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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

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Inlay Fibular Autograft and Helical LCP Fixation for a Segmental Comminuted Fracture of the Osteoporotic Proximal Humerus: A Case Report: Young Soo Byun, Dong Ju Shin, Se Ang Chang, Do Yop Kwon; J Korean Fract Soc 2006;19(1):100-103. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.100

Abstract

Unstable fractures of the proximal humerus should be treated with precise reduction and stable fixation, and early joint motion should be permitted. But stable fixation of the proximal humerus is frequently difficult to obtain in older patients due to osteoporosis and fracture comminution. We treated one case of a segmental comminuted fracture of the proximal humerus with severe osteoporosis with a method of inlay fibular autograft and fixation with a helical locking compression plate (LCP). Stable fixation was obtained, so early motion of the shoulder joint was permitted. The fracture was healed in 12 weeks after the operation without loss of fixation and there were no problems at the donor site of the fibula. Functional recovery of the shoulder was satisfactory. The result of Neer's functional score was 87 points (satisfactory) and Constant score was 83 points.

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Helical Plating for Fractures of the Proximal Humeral Shaft
Young-Soo Byun, Dong-Ju Shin, Young-Bo Park, Min-Guek Kim, Toe-Hoe Gu, Jae-Hwi Han
Journal of the Korean Orthopaedic Association.2017; 52(3): 232. CrossRef
Allogeneic Inlay Cortical Strut Grafts for Large Cysts or Post-curettage Cavitary Bony Defects
Yang-Guk Chung, Yong-Koo Kang, Chol-Jin Kim, An-Hi Lee, Jeong-Mi Park, Won-Jong Bahk, Hyun-Ho Yoo
The Journal of the Korean Bone and Joint Tumor Society.2011; 17(2): 73. CrossRef
Minimally Invasive Plate Osteosynthesis, MIPO
Young-Soo Byun
Journal of the Korean Fracture Society.2007; 20(1): 99. CrossRef

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T-Plate Fixation for Two- and Three-Part Fractures of the Proximal Humerus: Dong Ju Shin, Se Ang Chang, Young Soo Byun, Dae Hee Hwang, Sung Rak Lee, Sang Hee Kim; J Korean Fract Soc 2005;18(4):426-431. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.426

Abstract PDF

PURPOSE
To evaluate the results and complications of treatment using T-plate fixation for two- and three-part fractures of the proximal humerus.
MATERIALS AND METHODS
Between January 1996 and July 2003, thirty-three patients with two-part and three-part fractures of the proximal humerus were treated by T-plate fixation. There were 21 two-part fractures and 12 three-part fractures including three shoulder dislocations. The reduction was qualified and complications were assessed with final radiographs. The functional outcome was evaluated by Neer's rating system.
RESULTS
Thirty-two cases (96.7%) were united, twenty-nine cases (87.9%) were reduced as good, and twenty-three cases (70%) had excellent or satisfactory results. There were four cases of loss of reduction, three cases of stiff joint, one case of nonunion, and one case of avascular necrosis of the humeral head, but no infection. No correlation was found between the final result and the type of fracture, age, gender, or quality of reduction.
CONCLUSION
T-plate fixation for proximal humeral fractures is a reliable method to obtain good results through satisfactory reduction, rigid fixation, and early movement. Additional tension band wiring can provide stable fixation for osteoporotic or comminuted fractures difficult to obtain stable fixation.

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The Surgical Outcomes for Isolated Greater Tuberosity Fracture of Proximal Humerus
Eun-Sun Moon, Myung-Sun Kim, Young-Jin Kim
Journal of the Korean Fracture Society.2007; 20(3): 239. CrossRef

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Minimally Invasive Plate Osteosynthesis in Unstable Fractures of the Distal Tibia: Se Ang Chang, Hyug Soo Ahn, Young Soo Byun, Ji Hwan Kim, Hoon Ho Bang, Do Yop Kwon; J Korean Fract Soc 2005;18(2):155-159. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.155

Abstract PDF

PURPOSE
evaluate the effectiveness of minimally invasive plate osteosynthesis (MIPO) in unstable fractures of the distal tibia.
MATERIALS AND METHODS
From March 2001 to December 2003, 21 cases with unstable fractures of the distal tibia were treated with MIPO technique and followed for at least one year. Eighteen cases were extra-articular and three cases were intra-articular fractures. According to AO classification, six cases were 42-A, four 42-B, one 42-C, seven 43-A, and three 43-C. There was only one case of Gustilo-Anderson type II open fracture. We reviewed the results of fracture healing, axial and rotational deformity, ankle motion, and complications RESULTS: All fractures were healed in an average of 16.1 weeks (range, 11 to 24 weeks). There was only one case of 7-degree posterior angular deformity, but no cases of rotational malalignment. Recovery of ankle motion was satisfactory in all patients within 5-degree loss of motion. Subcutaneous abscess was developed in one case after fracture healing and cured by a drainage with implant removal.
CONCLUSION
Although MIPO technique is technically more demanding than the traditional open technique, MIPO technique is an effective method for unstable fractures of the distal tibia because it minimizes incidence of soft-tissue compromise and infection and provides good fracture healing.

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Clinical Outcomes of Locking Compression Plate Fixation through Minimally Invasive Percutaneous Plate Osteosynthesis in the Treatment of Distal Tibia Fracture
Jae-Sung Yoo, Hyun-Woo Park
Journal of the Korean Fracture Society.2012; 25(2): 117. CrossRef
Staged Protocol in Treatment of Open Distal Tibia Fracture: Using Lateral MIPO
Oog Jin Sohn, Dong Hwa Kang
Clinics in Orthopedic Surgery.2011; 3(1): 69. CrossRef
Staged Minimally Invasive Plate Osteosynthesis of Distal Tibial Fractures
Sung-Ki Park, Chang-Wug Oh, Jong-Keon Oh, Kyung-Hoon Kim, Woo-Kie Min, Byung-Chul Park, Won-Ju Jeong, Joo-Chul Ihn
Journal of the Korean Fracture Society.2010; 23(3): 289. CrossRef
Management of Fractures of Distal Tibia by Minimally Invasive Plate Osteosynthesis through an Anterior Approach
Gu-Hee Jung, Jae-Do Kim, Jae-Ho Jang, Sung-Keun Heo, Dong-won Lee
Journal of the Korean Orthopaedic Association.2010; 45(6): 473. 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
Basic Principle of the Locking Compression Plate
Keun Bae Lee
Journal of the Korean Fracture Society.2008; 21(3): 261. CrossRef
Treatment of High-energy Distal Tibia Intraarticular Fractures with Two-staged Delayed Minimal Invasive Plate Osteosynthesis
Hong-Moon Sohn, Jun-Young Lee, Sang-Ho Ha, Jae-Won You, Sang-Hong Lee, Kwang-Chul Lee
Journal of the Korean Fracture Society.2007; 20(1): 19. CrossRef
Minimally Invasive Plate Osteosynthesis, MIPO
Young-Soo Byun
Journal of the Korean Fracture Society.2007; 20(1): 99. CrossRef
Minimally Invasive Percutaneous Plate Osteosynthesis Using Periarticular Plate for Distal Tibial Fractures
Young Mo Kim, Jae Hoon Yang, Dong Kyu Kim
Journal of the Korean Fracture Society.2007; 20(4): 315. CrossRef

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Early Postoperative Complications of Calcaneal Fractures Following Operative Treatment by a Lateral Extensile Approach: Young Soo Byun, Young Ho Cho, Jun Woo Park, Jin Seok Lee, Ji Hwan Kim; J Korean Fract Soc 2004;17(4):323-327. Published online October 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.4.323

Abstract PDF

PURPOSE
To analyze early postoperative complications of calcaneal fractures operated by a lateral extensile approach and to identify risk factors for wound complications.
MATERIALS AND METHODS
From July 1990 to February 2003, 116 calcaneal fractures in 104 patients were treated by open reduction and internal fixation through a lateral extensile approach. The patient's records were reviewed for early postoperative complications. Statistical analysis was performed to determine significant relationships between predicted variables and the development of wound complications.
RESULTS
Fourteen fractures (12.0%) developed infection. Ten of them were superficial infection and four were deep infection that required surgical treatment. Eight fractures (6.9%) developed skin necrosis. Six of them were marginal skin necrosis and two were flap necrosis that required surgical treatment. Seven fractures (6.0%) developed sural nerve injury, but their symptoms were improved without additional treatment. Open fracture (p=0.003) and prolonged operating time (p=0.049) increased significantly the rate of wound complications.
CONCLUSION
The rate of early postoperative complications of calcaneal fractures operated by a lateral extensile approach is high. These complications can be reduced by meticulous treatment of an open wound, reduced operating time within 90 minutes through preoperative planning and skillful technique, and correct incision to avoid damage of the sural nerve.

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Results in Operative Treatment of Open Calcaneal Fracture
Ba Rom Kim, Jun Young Lee, Donghyuk Cha
Journal of Korean Foot and Ankle Society.2021; 25(3): 133. CrossRef
Bilateral Open Transcalcaneal Fracture with Talonavicular Dislocation - A Case Report -
Hun Park, Sung Jin Shin, Sang Rim Kim, Kwang Woo Nam, Sung Wook Choi, Kyu Bum Seo, Jun Young Seo
Journal of the Korean Fracture Society.2011; 24(1): 87. CrossRef
Treatment of Intra-articular Calcaneal Fractures Using Minimally Invasive Sinus Tarsi Approach in Diabetic Patients
Hong-Moon Sohn, Sang-Ho Ha, Sang-Hong Lee, Jun-Young Lee, Jeong-Ho Kim, Sang-Jun Lee
Journal of the Korean Fracture Society.2008; 21(3): 195. CrossRef

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The Operative Treatment of Nonunions of Midshaft Clavicular Fractures: Reconstruction Plate Fixation and Bone Grafting: Young Soo Byun, Chan Hoon Yoo, Hyug Su An, Seong Gun Moon, Dong Ju Shin, Jun Woo Park; J Korean Soc Fract 2003;16(2):222-229. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.222

Abstract PDF: PURPOSE
The purpose of this study is to present our experience with open reduction, 3.5-mm reconstruction plate fixation, bone-grafting, and postoperative early mobilization for nonunions of midshaft clavicular fractures.
MATERIALS AND METHODS
Sixteen patients were treated operatively for nonunions of the midshaft of the clavicle from 1997 to 2001. Ten nonunions were atrophic and six were hypertrophic. Nonunion had been present for an average of 6.5 months. The operative technique included removing the fibrous tissue from the nonunion site and opening the medullary canal, reduction of the fracture and fixation with a 3.5-mm reconstruction plate, and bone-grafting. Postoperative mobilization started within one week.
RESULTS
The average duration of follow-up was 22.0 months. All fractures were united in an average of 10.0 weeks. All patients had full range of motion of the ipsilateral shoulder, but 3 out of 6 patients who were more than 50 years old complained occasional pain in the ipsilateral shoulder at the final follow-up examination. There were no major complications of postoperative infection, metal failure of the plate, loss of fixation, nonunion, and refracture after removal of the implant.
CONCLUSION
The technique of open reduction, reconstruction plate fixation, and bone-grafting is a safe and reliable method to allow early rehabilitation by stable fixation and to predict a high rate of union for nonunions of midshaft clavicular fractures.

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Unstable Trochanteric Fractures of the Femur Treated with a Condylar Blade Plate: Young Soo Byun, Chan Hoon Yoo, Jun Mo Nam, Young Ho Cho, Dong Ju Shin; J Korean Soc Fract 2002;15(3):320-327. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.320

Abstract PDF

PURPOSE
This study evaluates the effectiveness of the condylar blade plate for internal fixation of unstable trochanteric fractures of the femur.
MATERIALS AND METHODS
Twenty six unstable trochanteric fractures of the femur (AO classification, 9 type A2 and 17 type A3) were treated by condylar blade plate fixation. Osteoporosis was found in 14 cases. Fractures were operated on the average 7th day after trauma and cancellous bone graft was performed in 3 fractures with severe comminution. Results were evaluated by operating time, time of fracture healing, complications, and function of the hip and walking ability at the final follow-up assessment.
RESULTS
Operating time was 123 minutes on average. All fractures were united in an average of 14.0 weeks. Complications at the fracture site were a heterotopic ossification and a refracture. Motion of the hip was limited moderately in a case with heterotopic ossification and mildly in 5 cases. Two patients used a cane and 2 patients revealed a mild limp.
CONCLUSION
Although the condylar blade plate is technically difficult to apply, it provides stable fixation to obtain good results with less complications for unstable trochanteric fractures of the femur, especially even in the presence of osteoporosis.

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Helical Blade Locking Sleeve Disassembly Following Failed Femur Intertrochanter Fracture - A Case Report -
Soon Ho Huh, Hong-Man Cho, Ji-Yeon Park
Journal of the Korean Fracture Society.2021; 34(3): 112. CrossRef
Excessive Sliding of the Helical Blade and the Femoral Neck Fracture after Insertion of Proximal Femoral Nail Anti-Rotation for Type A2 Intertrochanteric Fractures - A Case Report -
Bong-Ju Park, Hong-Man Cho, Ju-Han Kim, Woo-Jin Sin
Journal of the Korean Fracture Society.2013; 26(2): 151. CrossRef
A Case Report of Unique Complications of PFNA Penetration of the Blade into the Hip Joint
Se-Ang Jang, Young-Ho Cho, Young-Soo Byun, Hun-Sik Cho, Sung Choi, Hyun-Seong Yoo
Hip & Pelvis.2011; 23(4): 318. CrossRef

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Treatment of Trochanteric Fractures of the Femur with Compression Hip Screw-Analysis of Factors associated with Failure of Fixation-: Chan Hoon Yoo, Hong Tae Kim, Young Soo Byun, Jun Mo Nam, Young Ho Cho, Seong Gun Moon; J Korean Soc Fract 2002;15(3):312-319. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.312

Abstract PDF: PURPOSE
This study was performed to analyze the significant factors that may affect failure of fixation in trochanteric fractures of the femur treated with the compression hip screw.
MATERIALS AND METHODS
From May 1995 to July 2000, the authors analyzed 97 cases of trochanteric fracture of the femur treated with the compression hip screw and followed more than one year. We classified the fracture type by Jensen 's method. We used Singh index for the degree of osteoporosis. In the post-operative radiograph, we checked neck-shaft angle, state of reduction, position of the lag screw within the femoral head, tip-apex distance, and sliding distance of the lag screw. The relationship between these factors and failure of fixation was statistically analyzed.
RESULTS
There were 17 cases (17.5%) of failure of fixation ; 15 cases (15.4%) of excessive sliding of the lag screw, 1 case (1%) of cutting out of the lag screw, and 1 case (1%) of valgus malunion. There were significant relationships between failure of fixation and old age over 80, unstable fracture, telescoping reduction, anterior or medial displacement of the distal fragment, and anterior placement of the lag screw within the femoral head.
CONCLUSION
Accurate reduction and avoidance of the placement of the lag screw in the anterior part of the femoral head were important factors to prevent failure of fixation in trochanteric fractures of the femur treated with the compression hip screw.

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Salter-Harris Type IV Physeal Fracture of the Distal Radius: A Case Report: Young Soo Byun, Hong Tae Kim, Kyoung Hoon Hyun, Jun Mo Nam, Young Ho Cho; J Korean Soc Fract 2001;14(4):739-744. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.739

Abstract PDF: Physeal fractures in children are the most common in the distal radius. In the distal radius Salter-Harris type II physeal fractures occur predominantly, while type IV physeal fractures are quite rare. For type IV physeal fractures, open reduction and internal fixation are usually indicated to align both the physis and the articular surface. Growth arrest can be developed by premature physeal closure depending on multiple factors, particularly the severity of trauma. We treated a type IV physeal fracture of the distal radius with open reduction and internal fixation in an 11-year-old boy, but growth arrest with gross deformity and painful motion limitation of the wrist occurred. The deformity in external appearance was nearly corrected and symptoms were improved by surgical shortening of the ulna 3 years after injury, and the final result was satisfactory.

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Blade Plate Fixation of Proximal Tibial Fractures: Young Soo Byun, Hong Tae Kim, Soon Man Hong, Sang Chul Shin, Soo Yeol Jeon, Byung Doo Jang; J Korean Soc Fract 2000;13(3):507-514. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.507

Abstract PDF: PURPOSE
This study demonstrates the effectiveness of the blade plate as an implant for the operative management of proximal tibial fractures.
MATERIALS AND METHODS
Twelve proximal tibial fractures (AO classification, 10 type A and 2 type C) were treated by direct or indirect reduction and condylar blade plate fixation. The condylar blade plate was fixed on the anteromedial surface of the proximal tibia and cancellous bone graft was performed in 4 fractures with severe cortical comminution or bone defect in early cases. At the final follow-up assessment, the patients were evaluated as to subjective symptoms, objective findings, and radiographic findings.
RESULTS
All fractures were healed in an average of 13.2 weeks (range, 9.0 to 25.0 weeks). There were 3 major complications of a delayed union, a 6-degree varus malunion, and a reduced range of motion of the knee related with associated multiple fractures of the ipsilateral lower limb, but there were no soft tissue problems, loss of fixation, infection, nonunion, and traumatic arthritis. A few patients complained a prominence of the plate on the anteromedial side of the proximal tibia.
CONCLUSION
Blade plate fixation is a reliable method of stable fixation to obtain good results for proximal tibial fractures by early rehabilitation and good fracture healing, particularly in patients with osteoporosis and cortical comminution.

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Treatment of Femoral Neck Fractures with Cannulated Screws: Chan Hoon Yoo, Hong Tae Kim, Young Soo Byun, Sang Chul Shin, Byung Doo Jang, Kyoung Hoon Hyun; J Korean Soc Fract 2000;13(3):445-453. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.445

Abstract PDF: PURPOSE
This study was performed to evaluate the results of femoral neck fractures in adult treated with cannulated screws and the factors that may affect results.
MATERIALS AND METHODS
From April 1992 to December 1998, the authors analysed 53 cases of femoral neck fracture treated with cannulated screws and followed more than one year. According to Garden's classification and anatomic location, we classified the fracture type. We used Garden alignment index for the accuracy of reduction and Singh index for the degree of osteoporosis. The clinical results were analysed by Lunceford's assessment.
RESULTS
According to Lunceford's assessment, the results were good or excellent in 40 cases(75%). Mean bony union time was 16.3 weeks. There were 10 cases(19%) of avascular necrosis of the femoral head, 6 cases(11%) of nonunion and 2 cases(4%) of malunion. There were significant relationship between complication rate and accuracy of reduction(P<0.01), operative delay more than 7 days(P<0.05).
CONCLUSION
The important factors that may affect the results are accuracy of reduction and interval between injury and time of operation, the others were degree of displacement, anatomic site, degree of osteoporosis. The results of this study indicate that cannulated screw fixation is an effective method for femoral neck fractures in adult.

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The Operative Treatment of Subtrochanteric Fractures of the Femur: Sang Won Park, Young Soo Byun, Dang Jae Lim; J Korean Soc Fract 1999;12(4):818-823. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.818

Abstract PDF: PURPOSE
: The authort have investigated the subtrochanteric fractures, which were treated operatively using variable internal fixation devices to determine the clinical results according to the fracture types and internal fixation devices.
MATERIALS and METHODS
: We have reported 18 cases of subtrochanteric fractures, which were treated operatively using variable internal fixation devices from October, 1992 to December, 1997. fourteen cases were male and 4 cases were female. Eight cases were type I, 5 cases were type II and 5 cases were type III by Fieldings classification. Of fixation devices, 13 cases were DHS, and 5 cases were interlocking intramedullary nail. The mean duration of follow up was 1 year and 6 months.
RESULTS
The mean duration of bony union was 20.3 weeks, and there was no significant difference between fracture types or between internal fixation devices. Of the 18 cases, 4 complications(22%) were occured ; delayed union(1 case), nonunion(1 case), and varus deformity(2 cases).
CONCLUSION
: The internal fixation devices should be chosen adequately according to the fracture type in subtrochanteric fracture of the femur. Also, additional bone graft was necessary for posteromedial cortical defect to decrease complications, in cases of nail-plate devices especially.

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Stress fractures in calcaneus and juxtatectal region of the acetabulum : case report: Soon Man Hong, Hong Tae Kim, Young Soo Byun, Sang Chul Shin, Kyoung Hoon Hyun, Soo Yeol Jeon; J Korean Soc Fract 1999;12(4):749-753. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.749

Abstract PDF: We have experienced a fatigue fracture occurred in the calcaneus of 49-year-old man and an insufficiency fracture occurred in the juxtatectal region of acetabulum in 70 -year-old woman. Both cases healed successively after rest. We suggest these fractures must be considered in differential diagnosis.

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Surgical Treatment of Comminuted Interior Patellar Pole Fractures by Separate Vertical Wirings: A New Method of Internal Fixation: Young Soo Byun, Hong Tae Kim, Chan Hoon Yoo, Hyun MiH Kim, Yeon Min Park, Sang Chul Shin; J Korean Soc Fract 1999;12(3):584-592. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.584

Abstract PDF: The inferior pole fragments of patellar fractures should be reduced anatomically whenever possible because any resection of the inferior pole fragments results in patella baja and abnormal patellofemoral biomechanics. However, there are still no effective methods of stable fixation for comminuted inferior patellar pole fractures. The purpose of this study is to introduce a new method of internal fixation of separate vertical wirings for comminuted inferior patellar pole fractures and to present the results of the wirings. Thirteen patients with comminuted inferior patellar pole fracture were treated with 2 to 4 separate vertical wirings, which provided the sufficient strength to allow early motion without loss of reduction during fracture healing. All the fractures were healed in anatomical position and all the patients regained full range of motion of the knee. Loss of fixation occurred in a patient by foiling on the ground, but the fracture was healed by the wirings again. There were no patients with radiographic evidence of posttraumatic osteoarthritis at the final follow-up. Overall result was rated as excellent in all the patients. The results of this study indicate that separate vertical wirings are an effective method of stable fixation enough to allow early motion without loss of reduction during fracture healing for comminuted inferior patellar pole fractures.

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Intraoperative Fracture of the Tibia Associated with Removal of the Interlocking Intramedullary Nail: Report of 5 cases: Chan Hoon Yoo, Young Soo Byun, Hong Tae Kim, Hyun Min Kim, Yeon Min Park, Soo Yeol Jeon; J Korean Soc Fract 1999;12(3):538-542. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.538

Abstract PDF

We have experienced five cases of intraoperative fracture of the tibia assoicated with removal of ACE interlocking tibial nail. All fractures occured in young patients whose ages ranged from eighteen to twenty-nine years(mean, 24 years). We think the main reason of the fracture was characteristic design of ACE nail such as prominent distal angulation and posterior longitudinal slot. The other factors were age of the patient, material of the nail and timing of removal of the nail. In conclusion, we advise caution in the removal of the ACE reamed interlocking intramedullary tibial nail in young patient.

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Failure to Remove a Trochanteric Entry Femoral Nail and Its Cause in Adolescent Patients: Two Cases Report
Ji-Hwan Kim, Seung-Oh Nam, Young-Soo Byun, Han-Sang Kim
Journal of the Korean Fracture Society.2015; 28(1): 71. CrossRef

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