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The Comparative Study of Treatment between the IM nailing and the Plate fuation of the Humerus Shaft Fracture
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Eu Sub Chung, Il Yup Jeon
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J Korean Soc Fract 1999;12(3):645-651. Published online July 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.3.645
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- The ideal treatment of acute fractures of the humeral shaft remains controversial. Recently, tendency of surgical treatment has been increased.
Authors reviewed and analyzed plate fixation in 40 patients and intramedullary nailing in 26 patients having humeral shaft fractures. These patients were treated at the department of orthopaedic surgery, Chonju Presbyterian Medical Center from June 1994 to November 1997. There is no significant difference in union time, operation time, functional result. But, non-union rate of intramedullary nailing is superior to that of plate fixation. So, We concluded that plate fixation in humerus shaft fracture is more acceptable than intramedullary nailing, except severe osteoporosis, severe communited fracture, segmental fracture, pathologic fracture.
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Surgical Treatment of Ipsilateral Fracture of the Femur and Tibia("Floating Knee")
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Eu Sub Chung, Ki Sik Hong, Seung Soo Hwang
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J Korean Soc Fract 1998;11(4):825-832. Published online October 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.4.825
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- Ipsilateral fractures of the femur and tibia is also called "Floating knee", It is the term applied to the flail knee joint segment resulting from a fracture of the shaft or adjacent metaphysis of the ipsilateral femur and tibia. The principles of the treatment is focussed to the rigid fixation and early restoration of the knee function. Authors reviewed 24 patient in which were treated surgical management from January 1991 to June 1998. The results were as following : 1. The patient who had both diaphyseal fractures had better clinical result than metaphyseal fractures. And the metaphyseal fractures associated with intraarticular fractures were worse than other metaphyseal fractures. 2. At the last follow up, the excellent and good results were achieved in 71% of the patients treated with internal fixation of both fractures and 60% of the patient with external fixation of the tibia, but all of the patient with wxternal fixation of the femur were poor result by Karlstrom and Olerud criteria.
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The Comparative Sturdy of Treatment between the Skeletal Traction and the Operation of the Supracondylar Fracture in Children
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Eu Sub Chung, Young Kee Lee, Byoung Ho Lee
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J Korean Soc Fract 1998;11(4):970-976. Published online October 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.4.970
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- The most common fracture about the elbow joint in children is supracondylar fracture. That treatment has many fitsfalls and had writtened about its method and the prevention of serious complication such as Volkmann ischemic contractre and cubitus varus deformity. the authors analyzed the follow-up results of 58 cases of supracondylar fractures treated by skeletal traction, percutaneous pinning and open reductionin Persbyterian Medical Center from March 1992 to November 1996. The average follow-up was 20 months(12-54 months). The results were as follows. 1. The mean age was 7.8 years, ranged from 1 year to 15 years, and the male and the female ratio was 1.9:1. 2. Seventeen cases were treated with skeletal traction group, thirty cases with closed reduction and percutaneous pinning group, eleven cases with open reduction and internal fixation group. 3. The average duration of admission in skeletal traction group was 23.5 days, 5.2 days in percutaneous pinning group and 14.7 days in open reduction and internal fixation group. 4. The ration of hospital cost to that in the skeletal group were 0.85+/-0.18 in the percutneous pinning group, and 1.43+/-0.21 in the open reduction and internal fixation group. 5. According to the Mitchell and Adams' criteria, the results of skeletal tracion group were excellent in 58.8%, good in 35.3% and poor in 5.9%; the results of percutaneous pinning group were excellent in 60%, good in 36.7% and poor in 3.3% ; and those of open reduction group were excellent in 54.5%, good in 27.3% and poor in 18.2%, respectively, on mean follow-up of 1 year and 8 month. So, our result indicated that the closed reducion and percutaneous pinning is a simple and cost-effective method for treatment of supracondylar fractures of the humerus in children, but some instances, the skeletal traction might be another treatment method in supracondylar fractures.
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Spontaneous Correction of Angular Deformity after femoral Shaft Fracture in children
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Eu Sub Chung, Jong Bone Lee, Boyung Ho Lee
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J Korean Soc Fract 1998;11(3):644-649. Published online July 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.3.644
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- Remodeling of long bones in children after posttraumatic deformity was accomplished by two distinctive mechanisms that axially oriented compression forces will slow physeal growth and simillarly oriented tensile forces tend to enhance physeal growth, which occur at the fracture site and physis. We reviewed 17 childrens with unilateral fractures of femoral shaft who had an angular deformity after union of 10degreewere selected and measured by C-T scans. The average correction rate was 84.9% of the initial deformity and was no relation between the remodeling rate and degree of malunion. The correction of angulation, only 25% had occurred at the fracture site and 75% at physis. Under the 10 years old, malunion as much as 23degreein any plane will remodel enough to give normal alignment of the joints surfaces.
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Citations
Citations to this article as recorded by  - Stiff Knee by Entrapment of Quadriceps Femoris Tendon at Fracture Site in Paediatric Distal Femur Shaft Fracture
Suk Kang, Jong Pil Kim, Chung Soo Hwang, Phil Hyun Chung, Young Sung Kim, Sang Ho Lee, Jin Wook Chung
Journal of the Korean Fracture Society.2007; 20(4): 339. CrossRef
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