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Comparison of External Fixation and Interlocking IM Nail in Open Tibial Fractures
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Hyung Jin Chung, Duck Kyu Kim, Yerl Bo Sung, Jong Guk Ahn
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J Korean Soc Fract 2001;14(4):632-642. Published online October 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.4.632
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Abstract
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- PURPOSE
To compare and analyze the results of the treatment based on the method of treatment between interlocking IM nail and external fixation of type II, III A, and III B open fractures of the tibia] shaft. MATERIALS AND METHODS A clinical analysis was performed on 57 cases of type II, III A, and III B open fractures of tibial shaft from January 1994 to October 1999 those studies are followed at least 1 year or more. The results was analyzed according to complications and functional results based on operative methods of types of open fractures. RESULTS In aspect of delayed union and nonunion, interlocking IM nail indicate a great results(p = 0.036) in type II. In angulation, interlocking IM nail marks an outstanding results in case of type II. There is no difference between interlocking IM nail and external fixation in infection. But, the delay of operation after injury increase the possibilities of infection. CONCLUSION At present, especially in type m, external fixation was preferred. But, interlocking IM nail has a good results in aspect of complications. Therefore unreamed intramedullary nailing for open tibia shaft fractures is a good treatment method to be recommended.
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Subtrochanteric Fracture in Osteopetrosis
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Yerl Bo Sung, Kook Jin Chung, Sung Wook Won, Jin Ho Kim, Hyung Jin Chung, Jae Kwang Hwang, Jae Kwang Yum, Jong Guk Ahn
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J Korean Soc Fract 2000;13(3):440-444. Published online July 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.3.440
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Abstract
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- Osteopetrosis is a rare inheritable skeletal disorder caused by a defective remodeling mechanism. The resultant bone of these children is dense, brittle and susceptible to fracture. We report a case of the subtrochanteric fracutre in osteopetrosis.
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The Result After Surgical Treatment on Lateral Condyle Fracture of Humenu in Children
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Dong Soo Kim, Kook Jin Chung, Jong Guk Ahn, Byung Hyun Jung, Yeol Bo Sung, Hyung Jin Chung, Chil Soo Kwon
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J Korean Soc Fract 1999;12(4):1034-1039. Published online October 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.4.1034
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Abstract
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- Fracture of the lateral condyle of humerus in children are common injury next to supracondylar fracture in children, account for 10 to 15% about the elbow and 18 to 20% about distal humerus fractures. This is the one fracture that can be overlooked clinically and that has a high potential for nonunion and cubitus valglls deformity.
Sixty children treated by closed or open reduction with internal fixation on the lateral condyle fracture of humerus from January 1994 to August 1997, were reviewed. Almost fractures were treated within 12 hours after injury for the purpose of prevention of further displacement and occurrence of complication.
According to Hardacre et als criteria, most patients showed excellent and good results. We report the result after surgical treatment on the laterdl condyle fracture of humerus in children.
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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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Abstract
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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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