Journal of Musculoskeletal Trauma

Sung Do Cho

26 Articles

Clinical and Functional Result after Internal Fixation of Severely Displaced Floating Shoulder: Sang Hun Ko, Chang Hyuk Choe, Sung Do Cho, Jae Sung Seo, Jong Oh Kim, Jaedu Yu, Sang Jin Shin, In Ho Jeon, Kwang Hwan Jung, Jong Keun Woo, Ji Young Jeong, Gwon Jae No; J Korean Fract Soc 2006;19(1):46-50. Published online January 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.1.46

Abstract: PURPOSE
To evaluate the follow-up result of 11 cases that were operated with internal fixation of scapular neck and internal fixation of clavicle or acromioclavicular dislocation for severely displaced floating shoulder which was high energy injury and unstable.
MATERIALS AND METHODS
We examined the scapular neck fracture with clavicle fracture or acromioclavicular joint dislocation by multidisciplinary research from August 1997 to July 2004. The scapular neck fractures were operated in the case of translational displacement of more than 25 mm and angular displacement of more than 45 degrees with 3.5 mm reconstruction plate fixation and internal fixation for clavicle fracture or acromioclavicular joint perpormed simultaneously. And we evaluated 11 cases that can be followed up for more than 9 months.
RESULTS
We achieved bony union in all cases. In ASES functional score, we got average 89.2 (75~95) points. In Rowe functional score, we got average 89.1 (75~100) points. In complication, there was external rotation weakness in 1 case.
CONCLUSION
In severely displaced floating shoulder due to high energy injury, we got good clinical and functional result after internal fixation for scapular neck and clavicle or acromioclavicular joint.

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Treatment of Femoral Intertrochanteric Fracture with Proximal Femoral Nail: Bum Soo Kim, Sogu Lew, Sang Hun Ko, Sung Do Cho, Jeung Hun Yang, Moon Su Park; J Korean Fract Soc 2004;17(1):1-6. Published online January 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.1.1

PURPOSE
To evaluate the usefulness of proximal femoral nail in the treatment of intertrochanteric fracture.
MATERIALS AND METHODS
The authors investigated the classificaton of fracture, operation time, the amount of intraoperative and postoperative bleeding, the amount of transfusion, postoperative ambulation status, bone union time and the complication among 45 cases who were treated with proximal femoral nail from Jan. 2001 to June 2002.
RESULTS
The mean operation time was 116 minutes, and the amount of bleeding was 524 ml in average. The amount of intraoperative transfusion was 1.4 pints and that of postoperative transfusion was 1.1 pints. The complications were the intraoperative penetration of antirotational screw through the femoral neck in 2 cases, separation of the fracture fragment while inserting the nail in 4 cases, irritation of skin by retropulsion of antirotation screw in 2 cases, and penetration of antirotation screw through femoral head in 1 case.
CONCLUSION
Proximal femoral nail was effective for the treatment of intertrochanteric fracture, however the surgeon should be carful about collision of the insertion handle against pelvis when the fracture line coincides with the insertion point of nail, especially in obese patients.

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Hemiarthroplasty for Hip Fractures in Elderly Patients over 80 Years Old - Comparative Analysis between Femoral Neck Fracture and Intertrochanteric Fracture -
Chae-Hyun Lim, Young-Yool Chung, Jeong-Seok Kim, Chung-Young Kim
Hip & Pelvis.2013; 25(1): 44. CrossRef
Treatment of Intertrochanteric Fractures Using Targon Proximal Femoral Nails
Il Ho Park, Jong Kyoung Won, Kye Young Han
Hip & Pelvis.2012; 24(2): 117. CrossRef
Results of the Proximal Femoral Nail-Antirotation (PFNA) in Patients with an Unstable Pertrochanteric Fracture
Yerl-Bo Sung, Sung-Il Jo
The Journal of the Korean Hip Society.2011; 23(1): 39. CrossRef
Comparison of the Compression Hip Screw (CHS) and the Proximal Femoral Nail Antirotation (PFNA) for Intertrochanteric Femoral Fracture
Jong Min Lim, Jeung Il Kim, Jong Seok Oh, Kuen Tak Suh, Jae Min Ahn, Dong Joon Kang
Journal of the Korean Fracture Society.2010; 23(4): 360. CrossRef
Treatment of Intertrochanteric Fracture: Comparison of Proximal Femoral Nail and Proximal Femoral Nail A
Jung Ho Park, Jong Woong Park, Joon Ho Wang, Jae Wook Lee, Jung Il Lee, Jae Gyoon Kim
Journal of the Korean Fracture Society.2008; 21(2): 103. CrossRef
Treatment of Intertrochanteric Fracture with Proximal Femoral Nail
Dae Joong Kim, Sung Chan Ki, Young Yool Chung
Journal of the Korean Fracture Society.2007; 20(1): 40. CrossRef
Complications of Femoral Pertrochanteric Fractures Treated with Proximal Femoral Nail (PFN)
Kee-Byoung Lee, Byung-Taek Lee
Journal of the Korean Fracture Society.2007; 20(1): 33. CrossRef

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Arthroscopic-Assisted Reduction and Internal Fixation of Patella Fractures: Sang Hun Ko, Sung Do Cho, Hwa Yeop Na, Woo Suk Kim, You Young Jeong, Chang Yeul Kwag, Bum Soo Kim; J Korean Soc Fract 2003;16(4):482-489. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.482

Abstract PDF

PURPOSE
The aim of this study is to report the clinical effectiveness of arthroscopic-assisted reduction and internal fixation of patella fractures.
MATERIALS AND METHODS
We analyzed fifteen patella fractures, which had been operated by using an arthroscopic-assisted technique from January, 2000 to April, 2003 at our hospital. After clinical follow-ups for at least 1 year, clinical analyses had been done by using the Cincinnati Knee Rating System Score, Lysholm Score Scale, and radiological findings.
RESULTS
In our study group, the Cincinnati Knee Rating System scores were from 80 to 100, with a mean of 89.9. The Lysholm Scoring Scale scores ranged from 81 to 100 with a mean of 90.8 for the same group. Radiologically, we obtained complete anatomical reduction of articular surfaces in 80 percent of cases. Arthroscopic-assisted reduction for patella fractures brought clinically satisfactory results that are accurate articular surface reduction, early recovery of motion range, knee joint stability and minimal soft tissue damage, etc.
CONCLUSION
The operative treatment for patella fractures using arthroscopic-assisted reduction is an effective alternative method to open reduction.

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Clinical Effectiveness of Korean Medical Rehabilitation Treatment after Patellar Fracture: A Report of 4 Cases
Ji-Hye Geum, Hyeon-Jun Woo, Jong-gyu Kim, Jung-Han Lee
Journal of Korean Medicine Rehabilitation.2020; 30(4): 203. CrossRef
Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture
Young Min Lee, Kook Jin Chung, Ji Hyo Hwang, Hong Kyun Kim, Yong Hyun Yoon
Journal of the Korean Fracture Society.2014; 27(3): 206. CrossRef

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Distal Clavicle Fracture in Adolescence Mimicking Type IV Acromioclavicular Joint Injury: Tae Woo Park, Sung Do Cho, Chae Chil Lee; J Korean Soc Fract 2003;16(2):299-303. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.299

Abstract PDF: Distal clavicle fracture in children may mimic acromioclavicular joint separation, but have very different prognosis and treatment. We are reporting two cases of distal clavicle fracture in adolescence mimicking type IV acromioclavicular injury. This report demonstrates the importance of shoulder axillary view, computerized tomography as well as physical examination on diagnosis of the distal clavicle fracture in adolescence.

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The Treatment Of Humeral Shaft Fracture With Rertograde Ao Unreamed Humeral Nail: Tae Woo Park, Sung Do Cho, Young Sun Cho, Bum Soo Kim, Sogu Lew, Moon Chan Kim, Ki Young Kim; J Korean Soc Fract 2002;15(3):398-403. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.398

Abstract PDF: PURPOSE
To evaluate the results of the treatment of humeral shaft fractures using retrograde AO Unreamed Humeral Nail(UHN).
MATERIALS AND METHOD
From Apr. 1998 and Aug. 2001, 18 humeral shaft fractures were treated with retrograde AO UHN. All fractures were classified according to the AO classification. The results were analyzed by bony union time, range of motion and complication.
RESULTS
There were eleven cases of A3, two B2, one B3, four A2 humeral middle shaft fractures according to the AO classification. The mean bony union time was 12.2 weeks(range;9-16 weeks). All patients regained full range of motion of the shoulder joint and the elbow joint but 2 patients with intraopenatively ruptured capsule had transient elbow motion limitation. Complications were iatrogenic fractures at the entry portal in 2 patients(15%), transient shoulder pain in 4 patients(30.7%), nonunion in 1 patient(7.6%), required bone graft and internal fixation after removal of the nail at 13 months postoperatively.
CONCLUSION
The treatment of humeral shaft fracture with retrograde AO unreamed humeral nail is one of the good options to reduce the rate of non-union or delayed union by compression effect if the intraoperative errors is prevented.

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Comparison of Surgical Treatment for Acromioclavicular Joint Dislocation: Tae Woo Park, Sung Do Cho, Yong Sun Cho, Bum Soo Kim, Sogu Lew, Jong Ken Woo; J Korean Soc Fract 2002;15(1):59-64. Published online January 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.1.59

Abstract PDF: PURPOSE
To evaluate the result of modified Bosworth method augmented with Mersilene tape(MBM) compared with modified Bosworth method(MB).
MATERIALS AND METHODS
Thirty two acromiclavicular dislocation wrer treated with MB(15cares) or MBM(17 cases) and the mean follow up period was 26 months(12-43 months). We assessed the radiological and clinical evaluation(X-Ray & Weitzman Criteria) and complications.
RESULTS
Twenty nine cases(91%)(MB 13, MBM 16) were "excellent" or "good" according to the Weitzman criteria. At last follow-up, mean difference of the coracocalvialar distance between the normal and the injured site were 1.9mm(MB) and 1.6mm(MBM) and two ceses were developed the arthritis, and then performed the distal clavicle resection.
CONCLUSION
Modified Bosworth method augmented with Mersilene tape is a good option for acromioclavicular dislocation in stabilizing the joint, even if the screw loosening occurs with early postoperative ROM.

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A STUDY OF ANATOMICAL CONFIGURATION OF LATERAL TIBIAL CONDYLE USING MR AXIAL IMAGE: Sung Do Cho, Yong Sun Cho, Bum Soo Kim, Tae Woo Park, So Gu Lew, Su Young Jung; J Korean Soc Fract 2001;14(3):398-403. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.398

Abstract PDF: PURPOSE
To evaluate the anatomical configuration of the lateral tibial condyle using the MR axial images and to present the proper configuration of the head of the buttress plate that fit the lateral tibial condyle of Korean MATERIALS AND METHODS: With 110 MR axial images of the knee joint of male and female, we calculate the ratio of the maximal height of the arc of the l ateral tibial condyle to the length of the line between the end point of the arc of the lateral tibial condyle(the ratio of convexity) and the angle of the peak point of arc of the lateral tibial condyle(the angle of convexity), the absolute value of the difference of the angle of the end point of the arc(the value of symmetry) of that. then we evaluate the head of 3 the buttress plates with same methods and then compare with the result of the lateral tibial condyle.
RESULTS
The ratio and angle of convexity of Korean were average 0.216/49.04(total), 0.203/49.35(male), 0.235/50.36(female), and the value of symmetry were average 5.68(total), 5.76(male), 5.56(female). the ratio and angle of convexity of the head of buttress plate were average 0.177/43.21(EGIRE), 0.114/25(AO), 0.101/23.83(Solco) and the value of the symmetry were 1.643(EGIRE), 0.75(AO), 1.5(Solco). the ratio of convexity was correlated with age, height, and weight but angle of convexity was not correlated with weight.
CONCLUSION
The anatomical configuration of the lateral tibial condyle of Korean did not fit that of the head of the buttress plates and it would be necessary to make a new plate that fit the lateral tibial condyle for Korean.

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TREATMENT OF PROXIMAL TIBIA FRACTURE WITH HYBRID EXTERNAL FIXATOR: Tae Woo Park, Sung Do Cho, Youg Sun Cho, Bum Soo Kim, Sogu Lew, Su Yeon Hwang; J Korean Soc Fract 2001;14(2):285-290. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.285

Abstract PDF

PURPOSE
To evaluate the results and usefulness of hybrid external fixator in the treatment of proximal tibia fracture. MATERIAL AND METHOD: From Jan. 1997 to Jan. 2000, 19 proximal tibia fracture were treated with hybrid external fixator with or without limited internal fixation to stabilize the articular surface. All fractures were classified according to the AO classification. The results were analyzed by ROM(range of motion), bony union time, fracture reduction with MPTA(medial proximal tibial angle) and joint congruency.
RESULT
There were 1 A2, 7 A3, 1 C1, 8 C2, 2 C3 proximal tibial fractures according to the AO classification. Open fractures were 10 patients. The mean bony union time was 13 wks(range 8-36wks) and the mean length of time in the external fixator was 14wks(range 8-36wks). At last follow up, the MPTA of the proximal tibia was 87.9 degree. 2 patients developed varus(82 degree) and valgus(92 degree) deformity respectively. Complications were intermittent pin drainage in 6 patients(31.6%), deep infection in 1 patient(5.3%) and nonunion in 4 patients(21%) required bone graft and internal fixation with plate at 6 months postoperatively. Four nonunions were 3 C2 and 1 C3 according to the AO classification and three were open fracture(1 type I, 1 type IIIb, 1 type IIIc : Gustilo type) CONCLUSION: Hybrid external fixation is a good treatment option for proximal tibial fractures. However, nonunion and angular deformity would occur in severe metaphyseal comminution and soft tissue injury. Accurate fracture reduction and careful soft tissue management is prerequisite and if necessory early bone graft should be considered in such cases.

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Staged Management of High Energy Proximal Tibia Fractures with Severe Soft Tissue Damage
Seung-Ryul Lee, Jae-Hoon Yang, June-Kyu Lee, Hyun-Dae Shin, Kyung-Cheon Kim, Kyu-Woong Yeon, Young-Mo Kim
Journal of the Korean Fracture Society.2009; 22(3): 152. CrossRef

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Comparison of the results between reamed and unreamed femoral nailing: Bum Soo Kim, Sung Do Cho, Yong Sun Cho, Tae Woo Park, Sogu Lew, Hyung Jin Cho, Soo Hyun Cho; J Korean Soc Fract 2001;14(2):208-213. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.208

Abstract PDF: PURPOSE
To evaluate the effectiveness between reamed and unreamed nailing in the treatment of femoral shaft fracture.
MATERIALS AND METHODS
Among the patients of femoral shaft fracture who were treated with reamed and unreamed nail, we reviewed 49 patients whose follow-up was possible for more than 1 year. The patients were divided into two groups: the reamed and the unreamed group. We reviewed union time, nonunion rate, complication and operation time and compared the effectiveness.
RESULTS
The average union time was 30.6 weeks in unreamed group and 27.8 weeks in reamed group, which was not different statistically. There were 5 cases of nonunion in 22 unreamed cases and 3 cases in 27 reamed cases, which meant no statistical difference. There was no significant difference of complications between the two groups. The mean operation time was 141 minutes in reamed group and 110 minutes in unreamed group, which meant statistical difference.
CONCLUSION
There was no significant difference in union time, nonunion rate and comlication between reamed and unremed group. The operation time was shorter in unreamed group, so unreamed nailing can be preferred in the treatment of multiply injured patient.

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Treatment of the Open Tibial Fractures with Unreamed AO Intramedullary Nail: Bum Soo Kim, Sung Do Cho, Yong Sun Cho, Soon Woo Hong, Hyung Jin Cho, Ki Yong Kim; J Korean Soc Fract 2000;13(1):81-86. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.81

Abstract PDF: PURPOSE
To evaluate the results of open tibial fractures treated with unreamed AO intramedullary nail MATERIALS AND METHODS: Among the patiens of open tibial fractures who were treated with unreamed AO intramedullary nail from January 1993 to August 1998, the authors reviewed 34 patients whose follow-up was possible for more than one year. Fourteen patients were treated with AO external fixator after meticulous debridement, followed by unreamed AO intramedullary nailing, and the other 20 patients were treated with primary unreamed AO intramedullary nailing after debridement. The authors evaluated the results by the union time and the presence of complication.
RESULTS
The average union time was 26.3 weeks. There was no significant difference of union time and complications between the patients who were treated with AO exteranl fixator followed by unreamed AO intramedullary nailing and the patients who were treated primarily with debridement and unreamed AO intramedullary nailing. However there was high incidence(21%) of interlocking screw breakage.
CONCLUSION
With meticulous debridement and close observation of the wound, the open tibial fractures can be effectively treated with unreamed AO intramedullay nailing. Unreamed intramedullary nailing of open tibial fractures immediately after trauma can be recommended in selected cases.

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Operative Treatment of Metacarpal Shaft Fracture: Bum Soo Kim, Sung Do Cho, Yong Sun Cho, Tae Woo Park, Hwa Chel Cheong, Soon Woo Hong, Soo Hyun Cho; J Korean Soc Fract 1999;12(3):720-726. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.720

Abstract PDF

The goal of treatment of fractures of the metacarpals includes the restoration or preservation of hand function. To accomplish this goal, the physician must select a method that will offer the least soft tissue damage and accelerate the mobilization of the injured part as soon as the fracture stability permits. The majority of fractures of metacarpals can be effectively treated by nonoperative approach, but when several metacarpals are fractured, when there is open soft tissue trauma, and when there are displaced fractures that cannot be reduced or cannot maintain the reduction, internal fixation is indicated. The authors reviewed 117 cases of metacarpal shaft fractures on which the operative treatment was performed. Closed reduction and percutaneous Kirschner wire fixation were performed on the 62 cases, open reduction and Kirschner wire fixation were performed on the 12 cases, closed reduction and percutaneous screw fixation were performed on the 16 cases, and open reduction and plate and screw fixation were performed on the 27 cases. The patient was followed up for 36 months in average. The results were evaluated on the basis of total active motion of the fingers. The results were satisfactory in 92 percent of the cases in closed reduction and percutaneous Kirschner wire fixation cases, 75 percent in open reduction and Kirschner wire fixation cases, 85 percents in open reduction and plate and screw fixation cases, and all the cases of the patients in the closed reduction and percutaneous screw fixation cases. The closed reduction and percutaneous screw fixation provided relatively stable fixation and minimal soft tissue injury, so the injured hand could be mobilized soon after the operation, and consequentely the excellent outcome was accomplished. So the authors suggest that in selected cases, the closed reduction and percutaneous screw fixation can be used as one of the good treatment methods in the treatment of metacarpal fractures.

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A Comparative Study of Tensile Strength of Three Operative Fixation Techniques for Metacarpal Shaft Fractures in Adults: A Cadaver Study
Jin Rok Oh, Doo Sup Kim, Jun Seop Yeom, Sang Kyu Kang, Yun Tae Kim
Clinics in Orthopedic Surgery.2019; 11(1): 120. CrossRef
Modified Bouquet Technique for Treatment of Metacarpal Neck Fractures
Yong-Gyu Sung, Seok-Whan Song, Yoon-Min Lee
Journal of the Korean Society for Surgery of the Hand.2016; 21(3): 137. CrossRef
Antegrade Intramedullary Prebent K-wire Fixation for the 5th Metacarpal Neck Fracture
Tae-Hyung Kim, Bo Hyeon Kim, In-Ho Jung, Dong-Hyun Kim
Journal of the Korean Fracture Society.2011; 24(1): 67. CrossRef
Bouquet Pin Intramedullary Nail Technique of the 5th Metacarpal Neck Fractures
Myung-Ho Kim, Moon-Jib Yoo, Jong-Pil Kim, Ju-Hong Lee, Jin-Won Lee
Journal of the Korean Fracture Society.2007; 20(1): 64. CrossRef

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Result of Surgical Treatment of Calcaneal Fractures Using Extensile Lateral Approach: Sung Do Cho, Yong Sun Cho, Bum Soo Kim, Tae Woo Park, Gi Bong Kim, Key Yong Kim; J Korean Soc Fract 1999;12(2):320-327. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.320

Abstract PDF

Thirty-eight calcaneal fractures were treated with open reduction and internal fixation using extensile lateral approach from Jun. 1993 to Dec. 1996 and were followed more than a year. According to the Essex-Lopresti classification, there were 28 cases of joint depression type and 10 cases of tongue type. According to the Sanders classification, there were 20 cases of type II, 13 cases of type III and 5 cases of type IV. The purpose of this study is to analyze the results of surgical treatment of calcaneal fractures using extensile lateral approach and its complications. The results were as follows; 1. B.. ohler angle was improved from -2.4degrees to 20.5degrees and Gissane angle was improved from 114.5degrees to 120.4degreesafter the operation. The height of the calcaneus was improved from 75% to 95% and the width of the calcaneus was reduced from 119% to 106% of contralateral side. 2. yThe postoperative reduction status of the articular surface was analyzed by computed tomography(CT) in 18 patients and was found to be less than 2 mm of step-off in 10 cases, between 2 and 5 mm in 7 cases and more than 5 mm in 1 case. 3. Based on the assessment criteria of Salama et al., the functional results were excellent in 10 cases, good in 14 cases, fair in 10 cases, and poor in 4 cases. Unsatisfactory results were correlated with severity of articular comminution and failure to obtain accurate reduction of the articular surface. 4. Fourteen cases (36.8%), developed postoperative complications such as heel pain, causalgia and numbness, subtalar arthritis, marginal necrosis of wound, lateral subfibular impingement and heel bulging. In conclusion, Because of high incidence of postoperative complications, careful and meticulous exposure technique in doing extensile lateral approach are necessary for a satisfactory outcomes.

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Treatment of Intra-articular Calcaneal Fractures Using Minimally Invasive Sinus Tarsi Approach in Diabetic Patients
Hong-Moon Sohn, Sang-Ho Ha, Sang-Hong Lee, Jun-Young Lee, Jeong-Ho Kim, Sang-Jun Lee
Journal of the Korean Fracture Society.2008; 21(3): 195. CrossRef

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Operative Treatment for Acromiclavicular Joint Dislocation: Bum Soo Kim, Sung Do Cho, Ki Bong Kim; J Korean Soc Fract 1998;11(1):1-7. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.1

Abstract PDF: Acoromioclavicular dislocation occurs frequently in young athletes and recently in automobile accident victims and laborers, and there are various kinds of operative methods for this injury. Authors performed operative treatment for 45 cases of acromioclavicular dislocation: 30 cases of modified Phemister operation and 15 cases of modified Bosworth operation from March 1992 to June 1996. Authors analysed the result of the treatment and the results obtained were as follows. 1. The clinical results evaluated by Weitzman criteria were all satisfactory in both modified Phemister method and modified Bosworth method. 2. The radiologic results were evaluated by the difference of the distance from the coracoid process to the clavicle between the normal and the injured site. And the result was more satisfactory in modified Bosworth method. 3. There were less complications in modified Bosworth method.

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Isolated Fracture Dislocation of the Tarsal Navicular: Case report: Bum Soo Kim, Sung Do Cho, Yong Sun Cho, Tae Woo Park, Chang Sung So; J Korean Soc Fract 1997;10(4):925-928. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.925

Abstract PDF

Isolated fracture dislocation of the tarsal navicular bone is a very rare injury. The mechanism of injury of this fracture dislocation is known as a horiBontal or axial load in plantar flexed foot. Anatomical reduction using closed or open methods is recommended for displaced navicular fractures to achieve a satisfactory result and early mobilization of the foot is required to get a good range of motion at the tarsal joint. Authors report one case of isolated fracture dislocation of the tarsal navicular which was treated with closed reduction and percutaneous K-wire fixation.

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Fractures of the Tarsal Bone
Young Hwan Park, Hak Jun Kim, Soo Hyun Kim
Journal of the Korean Fracture Society.2016; 29(4): 276. CrossRef

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Postoperative Infection in the Closed Fractures of the Long Bone: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Bab Jae Lee, Il Jong Yang; J Korean Soc Fract 1997;10(4):866-871. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.866

Abstract PDF: Operative treatment for closed fractures of the long bone has many advantages including early restoration of function by stable fixation, but has untoward problems including postoperative infection. The authors reviewed 19 cases of postoperative infection for closed long bone fracture during the period from January, 1990 to December, 1995 and analyzed about clinical, radiologic, pathologic findings and found causes of infection. Most cases were associated with multiple fractures of major bones or injuries to the vital organs and delayed over 48 hours after injury to operation. Operation time was prolonged due to the simultaneous operations for multiple fractures and associated open fractures at the same time. Staphylococcus aureus was the most frequent offending organism. Irregular resorption of plate-bone interface with resultant gap between the plate and bone, on the radiographic follow up, may indicate postoperative infection.

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Ipsilateral Fractures of the Femur and Tibia: Hyoun Oh Cho, Kyeong Duck Kwak, Sung Do Cho, Cheol Soo Ryoo, Jang Ho Oh; J Korean Soc Fract 1996;9(2):416-423. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.416

Abstract PDF: Concomitant ipsilateral femoral and tibial fractures are generally caused by high energy trauma with high incidence of associated injuries and complications. Twenty-seven cases of ipsilateral fractures of the femur and tibia in 25 adults from 1990 through 1994 were reviewed and the patients were grouped according to the type of fracture and the method of treatment. Nine femoral fractures(33%) and 19 tibial fractures(70%) were open. All but one femoral fractures and 23 tibial fractures were treated operatively with plate and screws, intramedullary nail and external fixator. Local complications include 14 delayed or non-onions, 3 deep infections, 1 compartment syndrome and 2 below-the-knee amputations. Over-all, a good or excellent functional result was achieved in 20 cases(74%). More use or rigid external fixation is recommended in the management of the tibial fracture, combined with internal fixation of the femoral fracture. Examination of the ipsilateral knee suggested that with the "floating knee injuries", disruption of ligaments is a common occurance and should always by suspected.

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Treatment for the Malunion of the Distal Radius: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Cheol Soo Ryoo, Woo Keun Jung; J Korean Soc Fract 1996;9(2):290-294. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.290

Abstract PDF: Malunited fractures of the distal radius may result in adequate function of the wrist with absence of pain in elderly patients. However, posttraumatic dedormity in younger, active patients is less well toterated, especially in those engaged in heavy manual work or who require a normal range of motion of the wrist. surgical correction of the malunion of the distal radius should be considered for this group of patients. Operation for the malunited fractures of the distal radius was performed in ten cases during the periods between January, 1990 and December, 1993, who were followed for an average of 15 months.The procedures included radial osteotomy(RO) in four malunions of short duration, radial osteotomy with ulnar shortening (RO & US) in these malunions of long duration and ulnar shortening(US) in three cases. We reviewed these cases retrospectively with respect to the clinical findings(pain, grip strength, range of motion of the wrist) and radiograpic changes(volar tilt, radial articular inclination and radiul shortening). Symptoms(radioulnar or radiocarpal pain) were improved in all cases. By compairing with the opposite sides, resedual loss of grip strength was 35% in RO group, 40% in RO & US and 31% in & US group. Residual loss of motion in flexion and extension or in deviation was similar in all groups, whill loss in rotation was less in RO or RO & US group than in US group. Inclination of the radial articular surface (radial inclination and volar tilt) was restored up to the degree similar to the opposite wrist in RO or US group, while was not in US group. Radial length was restored up to the dgegrees similar to the opposite wrist in all groups. The overall results were good or very good in five among the seven cases of RO group(with or without ulnar shortening), while good only in one among the cases of US group.

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Management of Femoral Shaft Fractures in the Adolescent: Hyoun Oh Cho, Kyoung Kuck Kwak, Sung Do Cho, Cheol Soo Ryoo, Bub Jae Lee; J Korean Soc Fract 1995;8(3):521-527. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.521

Abstract PDF: Treatment of the femoral shaft fractures in adolescents with open physis is somewhat controversial. Historically, these fractures have been treated with nonoperative methods, but adolescents are less tolerant to the prolonged irnrnobilization than younger children. Futhermore, conservative treatment in this age group may be prone to result in more complications such as malunion and shortening than that in the younger age group. Therefore many authors prefer the operative method for femoral shaft fractures in the adoleseents. The authors reviewed 22 cases of adolescent femoral shaft fractures treated during the period from January, 1958 to June 1992. Seven cases were treated conseratively, eleven by open reduction and intenal fixation with DCP, and four by closed intramedullary nailing. The patients treated with traction and casting showed more often complications such as angular deformity and bone shortening than in the operative methods. In comparing with those cases of plating, the patients of intramedullary nailing had statistically significant shorter ansthesic time and less blood loss in operation. All of the fractures treated with the intramedullary nails healed without malunion or leg length discrepancy, and there was no evidence of growth plate arrest. Results of this study suggest that closed intramedullary nailing of femur fractures in aldolescents is an effective treatment option.

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Change in Carrying Angle after Supraeondylar Fracture of the Humerus in Children: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Byoung Yong Kim; J Korean Soc Fract 1994;7(1):65-71. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.65

Abstract PDF

Supracondylar fracture of the humerus is the most common fracture about the elbow in children. Due to the thinners in this region, it is difficult to reduce the displaced fracture and to maintain the reduction. The purpose of this study is to review the change in carrying angle after this fracture with references to the level and type of the fracture and method of treatment. The authors reviewed 90 cases of supracondylar fracture in children. Ten cases were treated conservatively, sixty eight by percutaneous pinning and twelve by open reduction with regard to the level of the fractures, sixty nine cases(78.9%) revealed fracture through the olecranon fossa. And the less the age of the patient, the more distal was the level of the fracture. change in carrying angle was more common in fractures through the olecranon fossa, in cases of type 4 fractures and in cases of percutaneous pinning. About one third of the cases with fish-tail sign or medial impaction on postoperative roentgenogram showed change in carrying angle of more than 6 degrees. cases with change in carrying angle or more than 6 degrees revealed insufficient redutlon or inadequate fixation. In cases of open reducton the results were good or excellent in all.

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Reliability of the Radiographic Parameters in Pediatric Supracondylar Fracture
Yoon Hae Kwak, Dong Jou Shin, Kun Bo Park
Journal of the Korean Fracture Society.2010; 23(1): 90. CrossRef

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Angular Changes after Operative Treatment for the Supracondylar fractures of the Femur: Hyoun Oh Cho, Kyoung Duek Kwak, Sung Do Cho, Cheol Soo Ryoo, Bub Jae Lee; J Korean Soc Fract 1994;7(1):174-180. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.174

Abstract PDF: A fractures of the distal femur is an extremely complex fracture with which to deal. Poor bone stock, proximity to the knee joint, and a truncated shape make this area of the femur less suitable for internal fixation than other areas. Ideal care still somewhat controversial. Major complications include nonunion, delayed union, infection, loss of fixation, Joint stiffness and angular deformity, etc. The authors reviewed postoperative tiblo-femoral angular changes from the twenty six cases of supracondylar and intercondylar fractures of the femur treated operatively from January, 1988 to December, 1991. Fractures of a single condyle were excluded. The fractures were fixed internally with dynamic condylar screw(DCS) in nine cases, anatomic plate in nine, dynamic compression plate(DCP) in six and others in two. During the periods of follow up there noted varus change of 3.7 degrees in average. We reviewed retrospectively these postoperative varus or valgus angular changes with reference to the degree of injury, type of fracture, time elapsed from injury to operation, kind of internal fixation device, initial bone graft and postoperative brace supplement. Less angular changes in the tiblo-femoral angle with better results were noted in cases with lower energy injuries, AO type Al, A2 or Cl fractures, operation within 1 week of injury, internal fixation with DCS, initial bone graft and postoperative corrective brace supplement.

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Clinical study of angular deformity after treatment of fracture of proximal tibia: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Jung Hwan Suh, Jong Dae Baek; J Korean Soc Fract 1993;6(2):241-246. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.241

Abstract PDF: No abstract available.

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Treatment of unstable distal radius fracture: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Ang Hyoung Sohn; J Korean Soc Fract 1993;6(1):92-99. Published online May 31, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.1.92

Abstract PDF: No abstract available.

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A clinical analysis on postoperative residual anterior subluxation of the ankle: Hyoun Ok Cho, Kyoung Duck Kwak, Sung Do Cho, Cheol Soo Ryoo, Jong Doe Back; J Korean Soc Fract 1993;6(1):107-111. Published online May 31, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.1.107

Abstract PDF: No abstract available.

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Pain relief by postoperative infusional continuous regional analges ia: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Sang Ryoul Lee; J Korean Soc Fract 1992;5(1):161-167. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.161

Abstract PDF: No abstract available.

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A comparison of operative methods for displaced proximal humeral fractures: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Jung Hwan Suh, Ang Hyoun Son; J Korean Soc Fract 1992;5(1):57-64. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.57

Abstract PDF: No abstract available.

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Trochanteric fractures of the femur pitfalls of the treatment withdynamic hip screw in elderly patients: Hyoun Oh Cho, Kyoung Duck Kwak, Sung Do Cho, Ang Hyoun Son; J Korean Soc Fract 1992;5(1):111-120. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.111

Abstract PDF: No abstract available.

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