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Minimal Arthrotomy for Postoperative Knee Arthrofibrosis in Patella Fracture: Report of 3 Cases
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Koon Soon Kang, Jun Seop Jahng, Young Chul Cho
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J Korean Soc Fract 1994;7(2):397-403. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.397
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- Significant and Permanent loss of knee flexion or extension is a recognized and disabling complication of either operative procedures or trauma about the knee. We have experienced 3 cases of the postoperative ankylosis of the knee after the patella fracture, in which the range of motion of the knee was not satisfactory after the trial of the arthroscopic Iysis of adhesion with manipulation of the knee, so minimal arthrotomy, limited lateral arthrotomy combined with medial arthrotomy, were performed and revealed the satisfactory results.
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A Clinical Study of Ankle Diastasis with Fracture of flbula
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Koon Soon Kang, Jun Seop Jahng, Hui Wan Park, Ho Jung Kang, Young Chul Cho
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J Korean Soc Fract 1994;7(2):388-396. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.388
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- Ankle joint is important as a weight-bearing joint and ankle diastasis requires accurate diagnosis and treatment.
The authors analysed 82 cases of ankle diastasis with fibular fracture during the year 1986 through 1992 at YoungDong Severance Hospital.
The results obtained are as follows.
1. The most common cause of injury was slip down, and traffic accident and fall down in order.
2. By Weber classification, 42 cases were type BS(+) and 40 cases were type C. By Lauge-Hansen classification, supination-external rotation was most common (35 cases).
3. Open reduction was done in all cases for fracture of fibula. 45 cases of ankle diastasis were treated with one transfixation screw and 37 cases without transfixation after confirmation by Cotton test.
4. The result according to Cottons criteria, 39 cases(86.7%) were were good or fair in transfixation group, and 34 cases(91.9%) in nontransfixation group. In conclusion, the transfixation screw was not necessary in cases of ankle diastasis which was considered as stable by Cotton test after internal fixation for the fracture of fibula.
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Surgical Treatment of Calcaneal Fractures
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Koon Soon Kang, Jun Seop Jahng, Bui Wan Park, Ho Jung Kang, Dong Eun Shin
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J Korean Soc Fract 1994;7(2):379-387. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.379
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- The Os Calcis is the largest bone of the tarsal bones. The incidence of fracture of the calcaneus is more frequent than that of any other tarsal bones.
Farctures involving subtalar joint can usually cause serious and persistent disabilities and badly influence the patients psychologically, socially and economically.
But, there was no standardized treatment method for these fractures. The purpose of this article is to describe the surgical technique and the results obtained in 33 consecutive cases of calcaneal fractures involving the subtalar joint.
The results were as follows, 1. Of 33 patients, 24 patients were male and 9 patients were female.
2. The main cause of fracture of calcaneus was a fall from a height in 79% of cases. Most of the associated fractures were the spinal and tibial fractures.
3. Of these intra-articular fractures, 19 fractures were joint depression type and 14 cases were tongue type by Essex-Lopresti classification.
4. Open reduction and internal fixation was performed in 18 cases of joint depression type and 6 cases of tongue type, and closed reduction and axial pinning was performed in 8 cases of tongue type and 1 case of joint depression type.
5. After average twenty-two months follow-up, the over all results of open reduction and internal fixation were excellent and good in 71%, and that of closed reduction and axial pinning were excellent and good in 67% by Salama creteria.
6. Complications included four superficial wound infection and one subluxation of peroneal tendon.
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Corrective corticotomy by Ilizarov technique in supramalleolar malunion of tibia
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Hui Wan Park, Jun Seop Jahng, Koon Soon Kang, Weon Ik Lee
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J Korean Soc Fract 1993;6(1):112-118. Published online May 31, 1993
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DOI: https://doi.org/10.12671/jksf.1993.6.1.112
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- No abstract available.
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Avulsion Fractures of the Tibial Tuberosity: Three Cases Reports
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Ho Jung Kang, Koon Soon Kang, Jun Seop Jahng, Young June Park
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J Korean Soc Fract 1992;5(2):372-377. Published online November 30, 1992
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DOI: https://doi.org/10.12671/jksf.1992.5.2.372
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- The talus is a important bone because it supports and distributes the body forces above it. Avulslon Fractures of the tibial tubercle prior to epiphyseal closure are uncommon. Fractures that are seen most frequently in adolescents. Watson-Jones classified these injuries into three types. The authors treated three cases of the tuberosity fractures. Two adolescent boys were treated with open reduction and screw fixation and K-wire fixation. One adult man was treated with open reduction and circumferential wire fixation. The Osgood-schlatter disease was diagnosed in two patients. There were small flecks of calcification 3 to 4cm proximal to the tubercle in the two adolescent cases. Functional motion was started within six weaks after operation. No early complications occurred, and no later defermities. such as genu recurvatum as reported by Blount, were detected. All patients returned to normal activity in one year after an operation.
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Pin and plaster technique using olive stop wires for the oblique orspiral fractures of the tibia
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Hai Wan Park, Jun Seop Jahng, Koon Soon Kang, Kyu Hyun Yang, Hak Sun Kim
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J Korean Soc Fract 1991;4(1):100-105. Published online May 31, 1991
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DOI: https://doi.org/10.12671/jksf.1991.4.1.100
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- No abstract available.
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A Clinical Study on the Supracondylar and Intercondylar Fractures of the Femur
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Koon Soon Kang, Jun Seop Jahng, Hui Wan Park, Kyu Hyun Yang, Seok Joo Moon
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J Korean Soc Fract 1990;3(2):170-179. Published online November 30, 1990
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DOI: https://doi.org/10.12671/jksf.1990.3.2.170
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- The fractures of the supracondylar and intercondylar region of the femur are difficult to manage because of the wide range of potential complications. Most studied over the past twenty years have attempted to compare the results of nonsurgical with those of surgical methods.
The new fixation divices and techniques were developed. The accurate anatomical reduction, rigid internal fixation, and early motion of joint have more improved results of the treatments than past.
The following clinical results were shown by analsis of 18 cases of supracondylar and intercondylar fractures of the femur treated in the Department of Orthopedic Surgery, Yonsei University, College of Medicine during the past 6 years from Jan. 1983 to Dec. 1988.
1. The prevalent age distribution was between 41 and 50 years of age(33.3%) and the ratio between male and female was 1.3:1. The most common cause of injury was traffic accidents(66.7%).
2. A classification of supracondylar and intercondylar fractures was divided according to ASIF classification, and the most common type was C2(55.5%).
3. Thirteen patients(72.2%) were associated with injuries of other parts and the most frequent associated fracture was tibial fracture and the most common associated other injury was cerbral consussion or contusion.
4. The satisfactory(excellent or goo) result of surgical treatment(14 cases) and conservative treatment(4 cases) was equal(50.0%). But severity of injury of conservative treatment group was milder than surgical treatment group.
5. Complications were deep infection of 2 cases(11%), delayed and nonunion of 4 cases (22%), Knee joint siffness below 90 rnage of motion of 8 cses(44.4%).
6. Finally, good results of treatment depend largely on early accurate anatomical reduction, rigid internal fixation, early joint motion.
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Ankle Dislocation Without Associated Fractures: Report of 2 cases
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Kyu Hyun Yang, Jun Sub Jahng, Koon Soon Kang, Myoung Hoon Han
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J Korean Soc Fract 1989;2(2):202-205. Published online November 30, 1989
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DOI: https://doi.org/10.12671/jksf.1989.2.2.202
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- Tibio-talar dislocation that is not associated with fracture is a rare injury. In 1939, Wilson et al. reviewed fourteen cases and described two cases of their own. Since then, there have been few reports of limited experiences. The authors experienced two cases of posteromedial dislocation without fracture among 32 cases of ankle dislocation which were treated at department of Orthopedic Surgery, Yonsei Univeristy College of Medicine from April 1983 to May 1989.
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3 Cases of Open Comminuted Fracture of the Ankle with the Loss of the Lateral Malleolus
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Hui Wan Park, Jun Sub Jahng, Koon Soon Kang, Yong Ho Kang
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J Korean Soc Fract 1989;2(2):206-210. Published online November 30, 1989
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DOI: https://doi.org/10.12671/jksf.1989.2.2.206
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- The importance of fixation of the medial malleolus was stressed in the treatment of ankle joint fractures in the early 60s; later more attention was paid to the effects of the treatment of the lateral malleolus. Fibular integrity is essential in stabilizing of the ankle joint. Loss of lateral malleolus may result in separation of inferior tibiofibular joint, ankle instability and talus displacement. Eventually this leads to traumatic arthritis.
The authors experienced 3 cases of loss of lateral malleolus which were treated at Yongdong Severance hospital, Yonsei University College of Medicine. The results were obtained as follows; total loss of lateral malleolus leads to adductioin instability of talus and slightly lateral talar shift, and partial loss of lateral malleolus leads to no lateral talar shift. But the results are obtained for short term and long term follow up is needed.
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A Clinical Study of Femoral Neck Fracture Over Age of 50 Years
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Hui Wan Park, Jun Seop Jahng, Koon Soon Kang, Kyung Hoon Kang
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J Korean Soc Fract 1988;1(1):76-85. Published online November 30, 1988
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DOI: https://doi.org/10.12671/jksf.1988.1.1.76
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- We clinically analysed 125 fractures of femoral neck which had been operated at the Department of Orthopedic Surgery, Yonsei University College of Medicine from January 1976 to December 1985. Of there, 45 fractures were treated with internal fixation, 43 fractures with primary hemiathroplasty, 37 freactures with total hip replacement arthroplasty.
The criteria for internal fixation was fracture that could be reduced satisfactorilly and the age of the patients were under 65 years.
The criteria for primary hemiarthroplasty was in elderly patient over 65 years, displaced, comminuted subcapital of trascervical fractures, irreducible fractures, pathological fractures and patients having generalised disease or senile psychosis.
The criteria for total hip replacement arthroplasty was neglected fractured paients with significant medical problems and patients who had previous hip disease such as degenerative arghritis or rheumatoid arthritis. Following results were obtained.
1. Subcapital type(75%) according to anatomical classification and Graden type III,IV(80%) according to displacement were the most common type, respectively.
2. In cases of internal fixation, accurate medial cortical contact was required and redis-placement and collapse of fragments were prevented by supplementary fixation.
3. The overall rate of osteoporosis was reported to be 85%(below Singh index IV) in our series. The study should be directed not only on the fracture treatment but also on the prevention of refracture via the study of osteoporosis.
4. Good functional end results were obtained in 77% of the internal fixation group and primary hemiarthroplasy group.
Internal fixation may be advantageous for femur neck fracture of elderly than arthroplasty in view of biomechanical status of hip joint.
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