Journal of Musculoskeletal Trauma

Kyoo Ho Shin

4 Articles

Nonunion after Intramedullary Nailing of Femoral Shaft Fracture: Woo Suk Lee, Kyoo Ho Shin, Kyung Su Lim; J Korean Soc Fract 1999;12(3):577-593. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.577

From January 1992 to June 1997, we reviewed retrospectively eighteen femoral shaft nonunions after intramedullary nailing and followed for an average of 31(18-53)months. We investigated causes of nonunion and analyzed the results according to operative method. Nonunion was divided into infected(4 cases) or noninfected types(14 cases). The causes of noninfected nonunion were insufficient stability(7 cases) and bone defects(4 cases). In insufficient stability, there were loosening of locked screw in four, absence of locked screw in two, and breakage of locked screw in one. There was a correlation between severe comminuted fracture with an early weight bearing and screw failure(p<0.05). Seven cases of nonunion were treated with compression plate and cancellous bone grafting, four cases only bone grafting, three cases Ilizarov external fixations, three cases dynamization, and one case renailing. The clinical and roentgenographic healing processes were recorded. All achieved solid unions within an average period of 11.7(2.5-41)months. An average time to union was 5.2(3-7)months after dynamization, 7.3(7-8)months after bone grafting, 12 months after renailing, 12.9(4-25)months after compression plate and cancellous bone grafting, and 21.3(11-41)months after Ilizarov external fixation. The union period with noninfected nonunion was significantly shorter than infected nonunion(9.2 months vs. 20.3 months; p<0.05).

Citations

Citations to this article as recorded by

Analysis of Risk Factors for Nonunion after Intramedullary Nailing of Femoral Shaft Fracture in Adult
Yong-Woon Shin, Yerl-Bo Sung, Jeong Yoon Choi, Minkyu Kim
Journal of the Korean Fracture Society.2011; 24(4): 313. 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

104 View
0 Download
2 Crossref

Femoral Shaft Fracture Associated with Ipsilateral Femoral Neck or Intertrochanteric Fracture: Kyoo Ho Shin, Yun Pei Kung, Jun Seop Jahng; J Korean Soc Fract 1995;8(3):480-487. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.480

Abstract PDF: The segmental fracture of the femur usually was caused by severe force and often accompanied with marked damage of the soft tissue and associated fractures of the other bones. Treatment of the segmental fracture is almost always required operation, and the interest lies in deciding on what operating methods to use and the technical difficulty involed with each method. From Jan. 1986 to Dec. 1993, 29 patients were treated for femoral neck or intertrochanteric fractures which accompanied with ipsilateral femoral shaft fractures at Severance Hospital, Yonsei University College of Medicine, 16 cases were intracapsular (femoral neck) and 13 cases were extracapsular (intertrochanter) hip fractures. We analysed the union time and complications of the 21 cases which were followed over one year. The following results were obtained: 1. For the group of ipsilateral femoral neck and shaft fracture, the knee injury was the most common associated injury (66.7%). 2. For the group of ipsilateral intertrochanter and femoral shaft fracture, the knee injury was not so frequent than the previous group (11.1 to). 3. The ipsilateral femoral neck and shaft fracture was induced by a longitudinal force, which was parallel with femoral shaft and through the knee, and accompanied with a lateral force. But the ipsilateral intertrochanter and femoral shaft fracture may be induced by a different mechanism, a direct transverse force towards the proximal femur. In conclusion. the ipsilateral intertrochanteric and femoral shaft fracture should be distinguished from the ipsilateral femoral neck and shaft fracture, because of the associated injury pattern and different mechanism of the injury.

86 View
1 Download

Treatment of the distal radius fractures with open reduction and internal fixation: Eung Shick Kang, Kyoo Ho Shin, Sang Wook Lee; J Korean Soc Fract 1995;8(2):413-418. Published online April 30, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.2.413

Abstract PDF: Treatment of displaced or comminuted intra-articular fractures of distal radius is often difficult and demanding. Emphasis has been on achieving and maintaining an anatomical reduction of the fragments by open reduction and internal fixation. We analyzed twenty nve cases of intra-articular fracture of distal radius treated with open reduction and internal fixation from January 1989 to December 1993 by the method of Gartland and Werley (clinical) and Lidstrom(radiologic) The results of this study were as follows. 1. 84% of the patients had satisfactory results on the basis of the subjective criteria of minimal deformity, absence of pain, and good strength. 2. 88% of the patients had satisfactory results on the basis of radiologic and clinical evaluation. 3. When the intra-articular step-off exceeded 2mm, the results were only fair. 4. If one cannot achieve and maintain a articular step-off of 2mm or less, open reduction of the fracture should be considered.

41 View
0 Download

Fracture of the capitellum humeri in adult: Dae Yong Han, Kyoo Ho Shin, Yeo Hon Yun, Kyung Dae Min; J Korean Soc Fract 1991;4(2):362-368. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.362

Abstract PDF: No abstract available.

97 View
0 Download

Author index