Journal of Musculoskeletal Trauma

Jin Gu Kim

2 Articles

Use of Interlocking Intramedullary Nail in Treatment of Delayed Union or Nonunion of the Long Bone Fractures: Suk Kyu Choo, Byung Jik Kim, Han Suk Ko, Jeong Gook Seo, Jin Gu Kim, Jun Woo Chang; J Korean Soc Fract 1998;11(4):761-768. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.761

Of the several nonoperative and operative options described for the treatment of delayed union and nonunion of the long bone, interlocking nailing with reaming offect of internal splint, autogenous bone graft and early return to a normal way of life. The purpose of this study is to evaluate the usefulness and complication of intramedullary(IM) naling with reaming by retrospective method. We treated 34 patients with delayed union or nonunion of the tibia, femur, and humerus by interlocking nailing with reaming between January 1992 and December 1996. The results were as follows ; 1. Of the 34 cases, there were 13 tibia fracture, 17 femur fracture, 4 humerus fracture. Half of them were ununited and another half were delayed in fracture healing. 2. Previous methods of treatment were conservative treatment in 2 cases, external fixator in 2, plate & screws fixation in 8, Ender nail in 2, Kuntscher nail in 2 and interlocking nail in 7 among 24 cases of cloed fracture and external fixator in 8 and interlocking nail in 2 among 10 cases of open fracture. 3. Twenty-five patients were treated with closed nailing and 9 were treated with open nailing. Iliac bone graft was performed at 3 cases and fibulotomy was performed at 1 case. 4. Union was obtained in 33 cases and 1 case needed additional bone grafting to achieve union. 5. Postoperative complications were one nonunion, two evtry site pain, one screw breakage, one heterotopic ossification, and one postoperative infection. Interlocking nailing with reaming was associated with a high union rate(97%) in our eries. The authors believe that IM nailing with reaming is a useful option for treatment of delayed or nonunion of the long bone fracture.

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Cause and Treatment of the Nonunion of Femoral Shaft Fracture after Interlocking Intramedullary Nailing
Sung-Soo Kim, Sung-Keun Sohn, Chul-Hong Kim, Myung-Jin Lee, Lih Wang
Journal of the Korean Fracture Society.2007; 20(2): 141. CrossRef

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Treatment of the Humeral Shaft Fracture in Adult: Sung Keun Sohn, Silng Soo Kim, Sung Wan Kim, Jin Gu Kim; J Korean Soc Fract 1997;10(3):628-633. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.628

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It has been generally agreed that most fractures of the humeral shaft are treated non-operatively, but recently the rate of operative treatment was increased due to high incidence of segmental fracture and combined injury. Authors analyzed 47 cases of the humeral shaft fracture in adults that treated from May 1990 to May 1994 at the Department of Orthopaedic Surgery, College of Medicine, Dong-A University. The results were as follows : 1) The mean age was 38.5 years and the most common cause of injury was traffic accident in 23 cases(48.9%). 2) The most common type of fracture was spiral or oblique fracture in 17 cases(36.2%). 3) Six cases were treated conservatively, 29 were treated operatively after failure of attempt to treat conservatively, and 12 were treated only operatively. 4) The mean time of the conversion from conservative treatment to operative treatment was 3.7 weeks after treatment, the causes of failure in conservative treatment were assumed incooperative on fracture care and muscular weakness in elderly patient, severe angular deformity and displacement after trauma. 5) In the conservative treatment group, clinical union was accomplished at 8.2weeks and the mean radiological union at 14.6 weeks, while in operative treatment group, the clinical union at 7.6 weeks and the radiological union at 13.5 weeks. 6) In radial verve palsy, complete or incomplete ruptures were found in 4 cases among 6 exploratioins, so we think that early exploration is considerable option.

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Result of Early Active Range of Motion Exercise after Bankart Repair of Traumatic Anterior Instability
Haeng Kee Noh, Jong Woong Park, Jung Il Lee, Jung Ho Park
Journal of the Korean Fracture Society.2007; 20(1): 53. CrossRef

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