-
The Treatment of Supracondylar Fracture of The Humerus in Children
-
Chung Nam Kang, Jong Oh Kim, Dong Wook Kim, Young Do Koh, Cheol Min Kim, Sang Hoon Ko, Seung Wook Jeong
-
J Korean Soc Fract 1997;10(2):393-400. Published online April 30, 1997
-
DOI: https://doi.org/10.12671/jksf.1997.10.2.393
-
-
 Abstract
 PDF
- Supracondylar fracture of distal humerus is up to 60% of all fractures around the elbow in children. Complications of this fracture include nerve injury, arterial injury, skin slough, Volkmanns ischemic contracuture, and changes in carrying angle. Many different treatment methods to minimize these complications have been devised. Recently, closed reduction and percutaneous pinning with K-wire is most widely used in treating supracondylar fractures in children exept in some rare cases such as unreducible fracture by closed reduction. However, troublesome changes in the carrying angle which do not interfere with function but the appearance of the arm is unsatisfactory, continue in approximately 30% of most series. We reviewed 59 cases which were treated by closed reduction and percutaneous pinning in supracondylar fracuture of the humerus. The purpose of our study is to evaluate the cosmetic and functional results and complications and to analysis the relationship between the stability of reduction and method of pinning.
The results are as follows; 1) There were many cosmetic problems, actually. Change over 10 degrees in carrying angle compared to the normal site was as high as 10 cases(17%) of 59 cases.
2) There was no functional problem such as limitatioin of motion.
3) There was no significant complication.
4) The cross pinning fixation was more stable than lateral pinning fixation only.
5) Accurate anatomical reduction is required to prevent unsatisfactory result regardless the treatment method.
-
Treatment of Femoral Neck Fractures in the Elderly Patiene
-
Chung Nam Kang, Kwon Jae Roh, Yeo Hon Yun, Dong Jun Kim, Cheol Min Kim
-
J Korean Soc Fract 1995;8(1):61-67. Published online January 31, 1995
-
DOI: https://doi.org/10.12671/jksf.1995.8.1.61
-
-
Abstract
PDF
- We analyzed 41 femoral neck fractures in 40 elderly patients aged over 65 years. All of them were treated by surgery and followed for average 22 months (range, 14 to 52 months) at the Ewha Womans University Hospital from 1988 to 1992. Of these, 15 cases were treated with internal fixation and 26 cases with endoprosthetic or total hip replacement arthroplasty For the level of fractures the most common features were subcapital, that were moderately to severely (Gardens stage III or IV) displaced. In the internal fuation group the results were unsatisfactory in the cases of subcapital type, moderate to severe (Gardens stage III or IV) displacement, Pauwels type III and those with osteoporosis (below stage III in Singh index). Our short term follow-up results showed that the prosthetic replacement group were generally superior in that they were not affected by the types of fractures and the degree of osteoporosis.
-
Primary Open Reduction of the Clavicular Shaft Fractures in Adults
-
Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Yeo Hon Yun, Dong Jun Kim, Cheol Min Kim
-
J Korean Soc Fract 1994;7(1):87-94. Published online May 31, 1994
-
DOI: https://doi.org/10.12671/jksf.1994.7.1.87
-
-
Abstract
PDF
- The clavicle plays very important role in the motion of the shoulder girdle and maintenance of power and stability of the arm. The most clavicular shaft fractures can be treated by conservative methcds with a high rate of union and low rate of complications. The operative treatment in clavicular fracture is limited in such as wide separation of the fragments with soft tissue interposition, nonunion, or neurovascular involvements. From 1989 to 1991, eighty six consecutive patients with clavicular shaft fractures were treated at Ewha Womans University Hospital. Fifty eight patients were treated conservatively(Group I) and twenty eight patients operatively(Group II) Authors compared both groups and obtained the following results; 1. The most common cause of injuries was the traffic accident and the most common associated skeletal injury around the shoulder was the rib fracture.
2. The degree of comminution and displacement of the clavicular shaft fracture were more severe in Group II.
3. The average time to union was 8.7 weeks in Group I and 10.3 weeks in Group II.
4. The average rate of union at 4 months was 93.1% in Group I and 96.4% in Group II 5. The functional result was good or excellent in over 90% in both Groups according to the Kangs criteria.
6. The rate of complication was 8.0% in Group I (one nonunion, three delayed unions and one malunlon) and 3.6% in Group II(only one case of nonunion) 7. The immobilization period was between 6 to 8 weeks In Group I and within 4 weeks in Group II in most cases.
|
E-submission
KFS
