Journal of Musculoskeletal Trauma

Ki Soo Kim

13 Articles

Interlocking Nailing in Segmental Tibial Fractures: The Problems of the Fractures involving Proximal Portion: Ki Soo Kim, June Young Song, Kwang Soo Shon, Joon Han Kim; J Korean Soc Fract 2000;13(4):912-920. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.912

Abstract PDF: PURPOSE
To analyze the clinical features and treatment results of the tibial segmental fractures with the interlocking nailing. To compare the results between the segmental fractures with (Group I) or without (Group II) involving proximal portion of the tibia.
MATERIALS AND METHODS
We analyzed 16 patients, 16 cases of the tibial segmental fractures treated with the interlocking nailing between April 1993 and November 1998.
RESULTS
We obtained solid bone union for all cases and relatively good clinical results. The average bone union time was 20.6 weeks. The functional results were excellent in 7 cases, good in 6 cases and fair in 3 cases. There were 8 cases of malunion. The comparison between Group I and Group II revealed no remarkable differences for bone union time, functional results and complications. But the tendency of the malunion was more higher in Group I.
CONCLUSION
For segmental tibial fractures, interlocking nailing showed good clinical results. We propose that open reduction and internal fixation should be done before interlocking nailing of the fractures involving proximal portion of the tibia.

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Plate augmentation for the nonunion of femur shaft fractures after interlocking intramedullary nail fixation: Ki Soo Kim, Ju O Kim, Hyun Guyn Jung, Byoung Oh Jung; J Korean Soc Fract 1999;12(1):21-27. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.21

Ten patients with nonunions of femoral shaft fractures were treated with plate augmentations and bone grafts. The patients sustained comminuted femoral shaft fractures and were fixed with interlocking intramedullary nails. Eight of the ten patients were inserted by closed technique and two were open. We followed the patients and waited for average 11.6 months, and during that periods, six of the ten patients received several procedures to facilitate union. But nails alone could not provide enough stability for the fracture unions. We exposed the nonunion sites, left the nails in situ, and applied additional plates with bone grafts. All nonunions were vascular and hypermobile, which could be corrected after plate applications. The patients were followed for at least 1 year(average 2.7 years), and all achieved radiologic solid unions after 7.7 months(average). No complications were noted. We believe that we can apply additional plates without removing previously inserted intramedullary nails for the hypermobile femoral shaft nonunions.

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The Comparison of LC-DCP versus LCP Fixation in the Plate Augmentation for the Nonunion of Femur Shaft Fractures after Intramedullary Nail Fixation
Se Dong Kim, Oog Jin Sohn, Byung Hoon Kwack
Journal of the Korean Fracture Society.2008; 21(2): 117. CrossRef
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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Operative treatment of displaced intraarticular fractures of the calcaneus: Ki Soo Kim, Yong Soo Choi, seung Chae Han, Kwang Soo Shon; J Korean Soc Fract 1998;11(4):894-899. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.894

Abstract PDF

As technology in imaging has improved, we have learned more of the anatomical features of these fractures, and onw several objective studies in the literature with sufficient follow up recommend surgical treatment for some displaced intraarticular fractures of the calcaneu. The purpose of this study is to report the results of the open reduction with rigid internal fixation for displaced intraarticular fractures of the calcaneus. from March 1994 to December 1996, the author managed twenty-nine displaced intraarticular fractures of the calcaneus in twenty-three patients with open reduction via extended lateral approach and internal fixation using the plate. The fractures were classified according to Essex-Lopresti with the lateral radiograph and according to Sanders with the computed tomograph. Clinical results were assessed the pain, activity, return to work, range of motion, change in shoe size and swelling from creighton-Nebraska health foundation assessment. Among the 29 cases, satisfactory results were obtained in 24 cases(82.9%). We assessed the radioolgic objective parameters such as Bohler angle, crucial angle, height and width of the calcaneus, and the arthritis of the subtalar joint. Radiologically, we showed satisfactory restoration of the calcaneal morphology and severe subtalar arthritis in 4 cases. We found the negative correation between the clinical results and the radiological subtalar arthritis(P=0.038). In managing displaced intraarticular fractures of the calcaneus, open reduction via extended lateral approach and rigid internal fixation seemed to be useful method.

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Correlation Analysis of Reduction for Intra-Articular Calcaneal Fracture and Clinical Outcomes Using Postoperative Computed Tomography
Joon-Sang Eom, Young-Deuk Joo, Seong-Jun Kim, Min-Ho Shin, Dong-Oh Lee, Hong-Geun Jung
Journal of Korean Foot and Ankle Society.2014; 18(4): 165. CrossRef

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Surgical Management of the Proximal Tibial Shaft Fractures - A Comparison of Plate Fixation and Interlocking Intramedullary Nailing -: Ki Soo Kim, Yong Soo Choi, Chul Hun Choi, Jin Ho Yang; J Korean Soc Fract 1997;10(4):872-878. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.872

Abstract PDF: The treatment of proximal tibial shaft fractures is an area of great controversy. The purpose of this study was to make the comparison between the results of the plate fixation and those of the interlocking nailing, and to identify the effects of the location of the nail bend on the reduction of the proximal tibial shaft fractures. From June 1991 to May 1995, we performed the plate fixation in 12 cases and interlocking nailing in 16 cases for the proximal tibial shaft fracture. We subdivided the interlocking nailing group into two groups: Group A had the fractures within the posterior bending length of the nail in 8 cases, Group B had the fractures over the posterior bending length of the nail in 8 cases. The results were as follows; The most common type of fractures was the Winquist-Han son type III, 9 cases(75%), in the plate fixation group, and the segmental fracture, 10 cases(62.5%), in the interlocking nailing group. In the plate fixation group, autogenous bone graft were used in 7 cases (58.3%), primary in 5 cases and secondary in 2 cases. The interlocking nailing group had a tendency to cause the surgical problems during the nailing such as angular deformity in 3 cases, displacement of the fracture in 2 cases, extension of the fracture in one case, need an open reduction in one case and unstable fixation in one case. The surgical problems were associatied with the incorrect entry point and the fractures within the posterior bending length of the nail (Group A). Clinically excellent and good results, according to Klemm and Borner criteria, were obtained in 12 cases(100%) of the plate fixation group and 13 cases(81.3%) of the interlocking nailing group. the fair results were associtated with the angular deformity in the Group A. In conclusion, the preoperative planing must carefully consider such as the type of fracture, technical familarity, and understanding of the implants and instrumentations ofr the successful treatment of the proximal tibial shaft fractures. The plate fixation is preferable method for the fractures within the posterior bending length of the nail(Group A).

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The Effect of fibular fractures in the healing of tibial shaft fractures treated with an interlocking nail: Ki Soo Kim, Yong Soo Choi, Jong Jun Park, Sun Young Chung; J Korean Soc Fract 1996;9(2):449-457. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.449

Abstract PDF: The effect of fibular fractures in the healing of tibial shaft fractures has controversial results. Its results are the greater part of the data for the conservative treatment of tibial shaft fractures. Recently closed interlocking nailing has been the most efficient treatment for displaced fractures of the tibial shaft. The purpose of this study was to evaluate the effect of fibular fractures in the healing of tibial shaft fractures treated with an interlocking nail and to determine whether the fibular fracture had a relation with other prognostic factors. From Mar. 1992 to Feb. 1995. the authors performed interlocking nailing for displaced fractures of the tibial shaft in 111 patients. We reviewed 98 patients with a minimal ten month follow up period. We divided the fractures into three groups; the intact fibula group which consisted of 15 patients had tibial shaft fractures with intact fibula, the same level fracture group had tibiofibular fractures at the same level in 56 patients and the different level fracture group had tibiofibular at different level in 27 patients. The results were as follows: 1. Clinically excellent and good results, according to Klemm and Horner criteria. were in 15 patients(100%) of the intact fibula group,49 patients(87.4%) in the same level fracture group and 21 patients(92.5%) in the different leyel fracture group. 2. Radiologically bone healing was obtained in 15 patients(100%) with a mean union time of 13.3 weeks in the intact fibula group, 42 patients(75.O%) with a mean union time of 17.9 weekf in the same level fracture goup and 2,1 patients(85.2%) with a mean union time of 15.3 weeks in the different level fracture group. 3. The same level fracture group had a tendency to cause a bending force while the different level fracture group tended to treat a torsional force. We found that the bending fractures had the worst prognosis. These results suggest that the treatment of tibial shaft fractures with an intact fibula by using an interlocking nail prevents significant complications and allows early weight bearing, thus permiiting early mobilization of the traumatized patient. The level of the fibular fracture associated with the tibial fracture may be a useful prognostic factors in the healing of tibial shaft fractures.

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Interlocking Intramedullary Nailing of the Femoral Shaft Fracture: A Comparison between Gross-Kempf Nail and Interlocking Compression Nail: Ki Soo Kim, Yong Soo Choi, Chae In Lim, Yang Min Chung; J Korean Soc Fract 1995;8(4):767-776. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.767

Abstract PDF: Various designs of interlocking intramedullary nailing systems allowing closed nailing techniques have been used in the treatment of femoral shaft fractures, but there are little objective data available to compare their performance. The authors reviewed 58 patients of femoral shaft fractures which were treated at Kwang ju christian hospital from April 1992 to June 1994. The Gross-Kempf nail was used in 39 patients and the Interlocking compression nail was used in 19 patients. The purpose of this study is to determine if there are any significant difference in the application, ease of use or clinical outcome. The average follow up period up period was 21.5 months (range 12 to 31 months) and the results were as follows. 1. Two nails have similar indication for use, but G-K nail was more satisfactory for proximal fractures of the femur and I-C nail was used as a compression nail with application of one proximal interlocking screw in oval hole in simple stabilizable fractures(Winquist Hansen type I and / or type II). 2. In the G-K naiBing group, the partially threaded screw of distal locking gaining purchase in only one cortex comes loose more often and backs out more frequently. In the I-C nailing group, the fully threaded screw of distal locking is able to fail of screw because of smaller core diameter of the screw. Successful distal locking is not only dependent upon strength of transverse screw, but also upon achieving cortical fixations with threads. 3. Complications seemed to be failure of operative principle and postoperative care rather than any intrinsic problems with the nail themselves.

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Surgical Mangement of the Fracture of the Humeral Shaft: A comparison using of B%ate fixation and Ender nailing: Ki Soo Kim, Young Soo Choi, In Kyu Baik, Se ln Oh; J Korean Soc Fract 1995;8(1):173-180. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.173

Abstract PDF: The treatment of humeral shaft fractures remains controversal. The decision should be based on the type and location of the fracture, The presence of concomitant injuries, and the age and condition of the patient. Auhors reviewed and analyzed plate fixation in 30 patients and Ender nailing in 21 patients having humeral shaft fractures. These patients were treated at the Department of Orthopaedic Surgery, Kwang ju Christian Hospital from January 1988 to December 1993. The results were as follows, 1. Males had a dominant incidence in social active age groups, the major causes of these injuries were traffic accidents. 2. Most of surgical indications were polytrauma patients in Ender nailing groups, while flilure of conseuative management and radial nerve palsy in plate fixation groups, The bony union rate was 80.9% in Ender nailing groups and 100% in plate fixation groups. 3. Among the seven radial nerve palsy sustaining high energy accidents two cases had poor results. Nonunion of the humeral shaft fracture occured in four cases and were associated with insecure fixation, distraction of fracture site and open fracture. these four patients were only in the Ender nailing groups. When surgical management is indicated, internal fixation using plate osteosynthesis combining interfragmentary compression can give good results. Closed intramedullary Ender nailing have advantages and can be performed effectively in selected fractures of the humeral shaft such as polytrauma patients.

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The Fractures of the Femoral Neck in Children: Ki Soo Kim, Seung Hee Ko, Chang Mun Seo, Yong Su Choi, Kyung Ho Kim, Dong Myung Lee; J Korean Soc Fract 1994;7(2):562-570. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.562

Abstract PDF: The femoral neck fracture in childhood is rare and occurred by severe trauma. Its treatment method and prognosis are different from adult, and(it was) difficult to treat due to frequent complication. So the femoral neck fractures in children are called as unsolved fracture. Eleven cases of childrens femoral neck fracture were treated by closed reduction and internal fixation using cancellous screws or Knowles pins at Kwang lu Christian Hospital from January 1986 to January 1992, and were analysed clinically and radiologically. According to classification of Delbet and Colona, the transcervical fracture were 6 cases and the cervicotrochanteric fracture f cases. 10 of the eleven cases were displaced fractures. Avascular necrosis was evident in 6 cases(54.5%) and all of them were displaced fracture initially. 2 cases of avascular necrosis were treated with Intertrochanteric varus osteotomy with angle blade plate.

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Department of Orthopedic Surgery, Kwang Ju Christian Hospital: Ki Soo Kim, Seung Hee Ko, Chang Moon Suh, Yong Soo Choi, Kyung Ho Kim, Dong Myung Lee, Yang Min Jung; J Korean Soc Fract 1994;7(2):553-561. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.553

Abstract PDF: The tibia, which is covered by subcutaneous tissue anteromdially, frequently sustain open comminuted fracture by trauma. The open fractures have higher risks of infection, nonunion, delayed union and joint stiffness. The authors reviewed 54 cases of open tibial fracture, treated at Kwang Ju Christian Hospital from January 1989 to December 1992. The results were as follows : 1. The most common cause of injury was traffic accident(41 case) and the average age of the patients was 32 years. 2. The radiographic union was obtained at 16.1 weeks in type I open fracture, 18.3 weeks in type III, 20.1 weeks in type IIIa,28.0 weeks in type IIIb, and 34.7 weeks in type IIIc open fracture. 3. The secondary operation was required frequently to obtain bone union in open type II, III fracture.

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A clinical study of the patellar fracture: Ki Soo Kim, Seung Hee Ko, Kwang Joon Kim, Hyung Sung Kim, In Gui Back, Dong Myung Lee; J Korean Soc Fract 1993;6(2):255-261. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.255

Abstract: No abstract available.

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Clinical analysis of supracondylar fracture of the humerus in children: Ki Soo Kim, Seung Hee Ko, Kwang Jun Kim, Hyeong Seong Kim, Sei In Oh, Jong Jun Park; J Korean Soc Fract 1993;6(2):331-337. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.331

Abstract PDF: No abstract available.

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Treatment of Intertrochanterie fracture of the Femur with Ender Nails in the Elderly Patients: Seong Taek Kim, Ki Soo Kim, Yeub Kim, Seung Hee Koh, Yong Soo Choi, Sang Tae Park; J Korean Soc Fract 1992;5(2):300-308. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.300

Abstract PDF: The incidence of intertrochanteric fracture of the femur in the elderly patient has been increased progresslvely due to the prolongation of Korean average life span and improvement of the medical survice. The mortality. however, in these elderly patients is relatively high. Rigid internal fixation of intertrochanteric fracture with early mobilization of the patient has in recent years reduced the mortality and morbidity. From September 1984 to August 1991, the authors had treated with Ender nails for 126 cases of intertrochanteric fracture. From 109 cases followed more than six months, the clincal results were as follows. 1. The average age was 74.8 years. 2. 73 cases (67%) were unstable fractures and 36 cases (33%) were stable fractures by Evans classification. The most common type was type 3 (35.8%) by the Tronzo classification, A2 type(55.1%) by the AO classification. 3. The main indication were stable fracture, unstable fracture over 70 years old, high anesthe tic resk, severe osteoporosis and wound at greater trochanter. 4. Intraoperatlve complications were experienced in 37 cases(33.9%). The improper entry hole site was most common. 5. Postoperative complications occured in 57 cases(52.3%) and more frequently in unstable fractures(57.5%). The most common complication was knee joint pain in 45 cases (41.3%) 6. Recently, patients who had Ender nails with Knowles pins showed good results in the presence of severe osteoporosis or unstable fracture.

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Femoral subtrochanteric fracture during closed meduallary nailing: two cases report: Yeub Kim, Ki Soo Kim, Seong Taek Kim, Young Youl Chung; J Korean Soc Fract 1991;4(1):119-122. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.119

Abstract PDF: No abstract available.

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