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Compartment Syndrome Complicating Avulsion Fractures of the Tibial Tubercle
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Yerl Bo Sung, Jin Hyok Kim, Hyung Jin Chung, Dong Soo Kim, Byung Hyun Jung, Jong Guk Ahn, Chil Soo Kwon, Kook Jin Chung, Bong Gyun Kang
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J Korean Soc Fract 1999;12(2):284-289. Published online April 30, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.2.284
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- Avulsion of the tibial tubercle is an uncommon physeal injury. Complications from this fracture have rarely been reported and seldom affect the long-term outcome.
Three adolescent boys who sustained avulsion fracture of the tibial tubercle, were complicated by compartment syndrome and treated at Inje University Sang-Gye Paik Hospital from September 1989 to February 1995. Injury to the soft tissue surrounding the tibial tubercle avulsion may be more extensive than is usually appreciated. The anatomy of the proximal tibia and the tibial tubercle with nearby branches of the anterior tibial recurrent artery suggest a predisposing factor for the development of compartment syndrome. So, compartment syndrome should be added to the list of possible complications of this type of fracture.
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A Clinical Study of the Tibial Pilon Fractures
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Chil Soo Kwon, Jong Kuk Ahn, Jin Hyok Kim, Yerl Bo Sung, Hyung Jin Chung
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J Korean Soc Fract 1997;10(2):338-345. Published online April 30, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.2.338
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- The pilon fracture result from axial compression and rotational forces causing variable degrees of metaphyseal disruption, articular damage, and malleolar displacement. It is managements are closed reduction and plaster immobilization, skeletal traction, fibular stabilization alone, limited open reduction and extemal fixation, primary arthrodesis, and even immediate amputation.
Recently limited open reduction and external fixation has been proved to provide good clinical results for the severely comminuted or open pilon fractures.
Authors reviewed 20 cases of the pilon fractures. Among them 10 cases were treated with limited open reduction and external fixation from October 1989 to January 1994.
The results were as follows : 1. Age distribution was from 14 years to 77 years(mean ; 47 years).
2. Of the 20 cases, male were 14, and female were 6.
3. The cause of injury were tracffic accident in 10 cases, slip down in 6 and fall from a height in 4.
4. The most frequent type of fractures was type III(12 cases : 60%) according to Ruedi and Allgower classification.
5. Limited open reduction and external fixation(10 cases) has shown better results than classic open recduction and internal fixation for severely comminuted or open pilon fractures.
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Fracture of the Distal Radius with Ulnar Nerve Palsy
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Chil Soo Kwon, Jong Kuk Ahn, Jin Hyok Kim, Yerl Bo Sung, Jin Ho Cho
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J Korean Soc Fract 1997;10(1):171-174. Published online January 31, 1997
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DOI: https://doi.org/10.12671/jksf.1997.10.1.171
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- There are several complications of distal radiug fracture such as median nerve injury, malunion nonunion, rupture of EPL, and ischemic contracture. Lesion of ulnar nerve as a complication of fracture of the distal radius are very rare. The authors report 1 case of the distal radius fracture with ulnar nerve palsy. The electromyography & nerve-conduction studies showed incomplete axonotmesis of ulnar nerve on 1 month following injury. A second electromyography & nerve-conduction study two months after injury showed complete recovery of nerve function.
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Citations
Citations to this article as recorded by  - Ulnar Nerve Palsy Following Closed Fracture of the Distal Radius: A Report of 2 Cases
Chul-Hyun Cho, Chul-Hyung Kang, Jae-Hoon Jung
Clinics in Orthopedic Surgery.2010; 2(1): 55. CrossRef
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Interlocking Intramedullary Nailing of Femoral Shaft Fractures in Adolescents
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Chil Soo Kwon, Jong Kuk Ahn, Jin Hyok Kim, Byung Hyun Jung, Yerl Bo Sung, Hyung Jin Jung, Jong Deuk Rha, Woo Chun Lee, Hyun Soo Park, Myung Ho Lee, Bu Maan Kim
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J Korean Soc Fract 1996;9(4):914-920. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.914
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- Although treatment of femoral shaft fractures by traction and casting satisfactory in young children, it is less useful in obtaining and maintaining satisfactory alignment in adolescent patients. Residual angulation, malrotation. and leg length inequality is well documented. The options for surgical treatment of femoral shaft fractures in adolescents include extemal fixation, plate fixation, and intramedullary nailing. Surgical treatments carry the-risks of growth plate damage and infection, but these risks are very low. Recently, it is generally anepted that adolescent femoral shaft fractures are preferably treated by intramedullary nailing with care taken to avoid damaging the distal femoral physis.
The authors experienced 9 femoral shaft fractures in 8 patients treated with interlocking intramedullary nails from August 1989 to May 1994, and followed up for more than 18 months(range from 18 to 45 months). The results were as follows: 1. There were 6 cases in male, 2 cases in female. Average age at the time of injury was 13 years(range, 11-14).
2. All fractures were united, and the nails were removed at an average 13.3 months after operation: no refracture or femoral neck fracture has since occured.
3. None had angular or rotational malunions, infection and avascular necrosis of femoral head.
The average leg-length discrepancy at the last follow-up was 0.5cm(range, 0-1.0cm) and all were clinically acceptable.
Coxa valga due to premature closure of trochanteric apophysis was not found.
The average femoral neck-shaft angle was 133(130~138) at the last follow-up. So, interlocking intramedullary nailing is a reasonable alternative for the treatment of femoral shaft fracture in adolescents.
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Sleeve type fracture of the patella in children report of two cases
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Chil Soo Kwon, Jin Hyok Kim, Sung Il Yun, Kang Hyun Yang, Dong Soo Kim
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J Korean Soc Fract 1993;6(2):357-360. Published online November 30, 1993
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DOI: https://doi.org/10.12671/jksf.1993.6.2.357
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- No abstract available.
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Treatment of Wrist Frarture-Disluation using the Mini-External Fixator and Internal Fixation
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Chil Soo Kwon, Young Uek Kim, Jin Hyok Kim, Won Ho Choi
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J Korean Soc Fract 1992;5(2):417-425. Published online November 30, 1992
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DOI: https://doi.org/10.12671/jksf.1992.5.2.417
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- Authors reviewed 8 cases of wrist fracture-dislocation treated with mini-external fixator and internal fixation form Septmeber 1989 to May 1992 with average 6 months follow up. The results were as follows ; 1. Mean ages were 47 years, most patients were young age. 2. We could achieve good results in intra-articular, communited, displaced fracture and open fracture of the wrist by using the mini-externall fixator and internal fixation. 3. Radial length and inclination was maintained mainly by the external fixator. Articular surface restoration and reconstruction was performed by bone graft and the limited internal fixation. We would like to recommend to use the mini-external fixator and limited internal fixation instead of plate and screws for the intraarticular fractue, displaced, communited farcture and open fracture of the wrist.
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