Journal of Musculoskeletal Trauma

Mortality Rate in Older Patients Who Have a Hip Fracture: Joo Chul Ihn, Poog Taek Kim, Il Hyung Park, Shin Yoon Kim, Chang Wug Oh, Jae Hyung Kim; J Korean Soc Fract 1997;10(1):1-7. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.1

The significant risk to life associated with the hip fracture has long been recognized, and the reports of poor prognosis are well known with wide range of mortality rates. We retrospectively studied 164 patients(older than 60 years) who had a hip fracture to determine the effects of the age, treatment methods, pre-existing medical condition, operative delay after injury, type of fracture, and others on patient mortality. The summarized results were as follows ; 1. One hundred twenty three patients survived and forty one patients died(overall mortality rate; 25.0%). 2. Twenty one patients died within one year(one-year mortality rate, 12.8%). 3. Mortality was related to age of patient at injury, ASA classification, absense or presence of operative treatment, operation-related complication, which were statistically ignificant (P<0.05). 4. The operative delay after injury did not influence mortality, but we think that it is not signifcant because this study was done retrospectively.

Citations

Citations to this article as recorded by

Analysis of the Risk Factors and Clinical Outcomes of Femoral Intertrochanteric Fractures in Patients over 65 Years Old
Chul Hong Kim, Kyu Yeol Lee, Sung Soo Kim, Myung Jin Lee, Lih Wang, Hyeon Jun Kim, Jung Mo Kang
Hip & Pelvis.2013; 25(2): 127. CrossRef
The Analysis of Postoperative Mortality after Bipolar Hemiarthroplasty for Hip Fractures in the Elderly
Dukhwan Kho, Kyoungmo Nam, Sunghak Oh, Hyeungjune Kim
Hip & Pelvis.2013; 25(4): 267. CrossRef
Postoperative Mortality and the Associated Factors in Elderly Patients with Hip Fracture
You-Sung Suh, Yong-Beom Kim, Hyung-Suk Choi, Hong-Kee Yoon, Gi-Won Seo, Byung-Ill Lee
Journal of the Korean Orthopaedic Association.2012; 47(6): 445. CrossRef
One-Year Mortality Rate of Patients over 65 Years Old with a Hip Fracture
Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Young Hwa Choi
Hip & Pelvis.2011; 23(2): 137. CrossRef
Postoperative Mortality and the Associated Factors for Senile Hip Fracture Patients
Dong-Soo Kim, Hyun-Chul Shon, Yong-Min Kim, Eui-Sung Choi, Kyoung-Jin Park, Se-Hyuk Im
The Journal of the Korean Orthopaedic Association.2008; 43(4): 488. CrossRef

130 View
0 Download
5 Crossref

Closed Interlocked Nailing in Comminuted Femoral Shaft Fractures: Jung Jae Kim, Chang Won Lee, Key Yong Kim; J Korean Soc Fract 1997;10(1):8-15. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.8

Abstract PDF: Intramedullary nailing is one of the most popular method of treatment in femoral shaft fractures,which provides relatively stable fixation and preservation of blood supply and early mobilization. But whether open reduction, cerclage wiring and/or bone graft is necessary for the displaced comminuted fragment is still a subject of controversy. To clarify such debate we compared the results of IM nailing between simple, minimal displaced fractures and displaced, comminuted ones treated with closed method. We analyzed 36 cases of the fresh closed fractures of femoral shaft treated by closed intramedullary nailing from December 1992 to January 1996. There were 24 cases of minimal displaced fractures and 12 cases of displaced ones more than 1 cm during operation. The average follow-up period was 12 months(5-48 months). Clinical and radiological fracture union occurred in 97% of cases(35/36). Radiological callus was noticed just around 3 weeks postoperatively in both groups and the average time to radiological union was 23 weeks in minimal displaced group and 24.8 weeks in displaced one. Because there was no significant difference in bone healing time, closed interlocking intramedullary nailing is thought to be also the good method of treatment in femoral fractures regardless of fracture pattern or displacement of fragments.

66 View
0 Download

Reconstruction for Rupture of Popliteal Artery: Kwang Suk Lee, Young Soo Byun, Soon Hyuk Lee, Kyung Hwan Ha; J Korean Soc Fract 1997;10(1):16-24. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.16

Abstract PDF: The injury of popliteal artery is commonly produced by fracture or dislocation around the knee. Well established protocol for urgent diagnosis and treatment is essential to avoid amputation. The 14 cases of popliteal artery injury, treated between April 1987 and June 1995 at the Department of Orthopedic Surgery Korea University Hospital, were reviewed. The results were as follows. 1. In all 14 cases, 4 extremities(28%) were amputated. The amputation rate was closely correlated with the ischemic time since the accident. 2. The use of Doppler flowmeter after physical examination and emergency arteriography before exploration was recognized to be an exellent method in determination of arterial injury, 3. Among the patients who could avoid amputation(10 cases), the vein graft was performed in 8 cases(80%) and primary repair by end to end anastomosis in 2 cases(20%). 4. External fixation is recommended for its simplicity and low infection rate to provide the fixation and collateral circulation of fracture site. 5. The patients who were injured with the wide soft tissue defect by crushing could be treated by latissimus dorsi free flap transfer to avoid amputation.

51 View
0 Download

Treatment of Pediatric Femoral Fractures Using External Fixator: Sung Kwan Hwang, Seung Tae Jeong; J Korean Soc Fract 1997;10(1):25-30. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.25

Abstract PDF: Seven patients with femur fractures were treated with external fixators. The average age at fracture was 8 years 4 months ranging from 6 years to 10 years. Of 7 fractures, 5 were closed fractures and 2 were open fractures. The average time to healing of fractures was 7.3 weeks(ranging from 4 to 20 weeks). Duration of extemal Dxation averaged 12 weeks. There were 2 cases of pin tract infection; none resulted in osteomyelitis. Of all cases, angulation at the fracture site was less than 5 degrees. Two patients had leg length discrepancy less than 10mm. Conclusion ; External fxation is a well-proven technique for managing femoral fractures in the child with multiple injuries. It is also an effective means of treating isolated femoral fractures in the podiatric population.

102 View
0 Download

Treatment of Intertrochanteric Fracture in Elderly Patients with Preservation of Calcar Femorale and Hemiarthroplasty: In Tak Chu, Jung Man Kim, Gun Yeon, Kwang Jae Ryu; J Korean Soc Fract 1997;10(1):31-36. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.31

Abstract PDF: Seven patients with femur fractures were treated with external fixators. The average age at fracture Intertrochanteric fracture of the femur, of which reported mortality ranges from 15% to 20%, usually occurs in the elderly and is usually comminuted and unstable. Many operative techniques have been developed for early exercise and walking ambulation to reduce mortality and morbidity, but they still have disadvantages. Few papers has been reported on hemiarthroplasty for intertrochanteric fracture in elderly patient, but they did not preserve the calcar femorale which is very impartant anatomic portion for weight transmission after hemiarthroplasty Therefore, the purpose of this paper is to analyze clinical outcome of hemiarthroplasty with preseuation of calcar femorale and wiring of greater trochanter for intertro chante ric fracture. From March 1993 through March 1995. 28 elderly patients had undergone hemiarthroplasty with preservation of calcar femorale and wiring of greater trochanter for the treatment of severely comminuted and osteoporotic intertrochanteric fractures. Mean follow-up period was 17.5 months ranging from 12 months to 28 months. The results obtained were as follows : 1. The most common type by Boyd-Griffin classification was II(73%). 2. Twenty five cases(83%) had osteoporosis, which was evaluated by Singh index. 3. The average operating time was 42.8 minutes and average hospitalifation period was 20.6 days. 4. Excellent functional results according to hip rating scale of Merie DAubigne were obtained in 24 cases(80%). 5. Creater trochanter fixed with wire was united in average 4.4months postoperatively. 6. One case(3%) developed loosening of implant at postoperative 13 months.

85 View
0 Download

Treatment of Long Bone Fracture Using LC-DCP: Byoung Ho Lee, Sang Ho Ha, Seung Kim; J Korean Soc Fract 1997;10(1):37-43. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.37

Abstract PDF: LC-DCP is the latest plate and screw system developed by AO-ASIF group. There are many merits of LC-DCP with its unique contour and material. : Reduction of surface contact between plate and bone result in preserved vascularization and then improved bone consolidation. Compression can be achieved in either longitudinal direction and a lag screw can be inserted at greater inclination. In addition, pure titanium as an LC-DCP material display optimal biocompatibility and reduce the spread of bacteria and increase resistance against infection. Between June 1994 and September 1995, 39 patients with 40 long bone fractures were treated using LC-DCP.(24 femur, 13 humerus, 3 tibia) Follow-up averaged 12 months : Bone union was achieved in 32 cases(80%) The complications were 7 cases of metal failure, 7 cases of limited joint motion, 2 cases of nonunion,2 cases of delayed union and 2 cases of deep infection.

50 View
0 Download

Operative Treatment of the Tibial Condylar Fracture: Yong Man Cho, Kun Yung Lee, Myung Sik Park, Cheon Dong Lee, Heung Sik Kang, Gue Cherl Cho; J Korean Soc Fract 1997;10(1):44-52. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.44

Abstract PDF: The tibial condylar fracture which involves articular surface of the proximal tibia is common in pedestrian injury of the traffic accident and often produces some disability of the knee joint because of the frequent association with ligamentous and meniscal injuries. Methods of treatment in fracture of the tibial condyles has long been a controversial problems. Recently most authors agree that the method of treatment has to be selected in each individual case and anatomical reduction of fracture and early knee motion are recommended but unsatisfactory results has been reported as between 20% and 40%. The authors analyzed 38 cases of the tibial condylar fractures, which were treated at the orthopedic department of the Lee-Rha general Hospital from 1990 to 1994, regarding its type, treatment and results. The results of this study were as follows. 1. According to Schatzker classification : the most common fracture was type II. 2. According to BloDers criteria, 28 cases showed satisfactory results(74%). 3. Postoperatively, early knee joint exercise like alternatively applying 90(knee flexion and extension splint were very important factors for good results).

46 View
0 Download

Meniscal Incision to Approach for Lateral Tibial Plateau Fractures: Moon Gu Choi, Kee Haeng Lee, Chang Hoon Chung, Hyoung Min Kim, Hyun Jun Song; J Korean Soc Fract 1997;10(1):53-58. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.53

Abstract PDF: Exposure to the posterolateral comer of the tibial condyle was difficult due to narrow joint space and meniscus. From 1995. 1. to 1996. 4., the authors operatively reduced and internally fixed 9 cases of lateral tibial plateau fractures using lateral meniscal incision with minimal detatchment and retraction to improve visualization posterior aspect of articular cartilage Eight of the 9 cases were studied with three dimentional computerised tomogram and 1 case with roentgenographic tomogram to evaluate the shape, site and degree of comminution of the fracture fragments. ROM exercise was started at 4 weeks postopratively, manipulation under anesthesia were done in 3 cases at 12 weeks postoperatively. The follow up period was 13 months(from 8M to 1yr 11M). The results were obtained as follows, 1. Seven cases were split depression type, one was pure depression type and one was bicondylar type. 2. Articular depression were posterolateral aspect in 8 cases, and lateral aspect in one case. The degree of depression was average 15mm(range from 6mm to 22mm). 3. Six of the 9 cases had peripheral tear of the lateral meniscus. 4. Second look arthroscopy shows that the incision site of the meniscus were thinned but completely healed in 3 cases. 5. The ROM of the knee joint were 0 - over 135 in seven cases, 0 - 90 in one case, 30 - 60 in one case. This meniscal incision approach was one of the effective methods that provides exposure of the entire articula surface of the lateral tibial condyle easily to allow accureate eduction.

48 View
0 Download

Operative Treatment of Tibial Pilon Fractures : Appication of Int. Fixation and Ext. Fixation: Jeong Gook Seo, Seung Hun Jeong; J Korean Soc Fract 1997;10(1):59-66. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.59

Abstract PDF: We have reviewed 15 cases of tibial pilon fractures who have been treated operatively from May, 1990 to May, 1995 at our hospital. 1. The fractures were classifed into Type I, I and III according to the system of Mast, Spiegel and Pappas and Type III were subdivided into Type A, B and C according to the system of Ruedi-Allgewer, Type I was 1 case(6.7%), Type II were 8(53.3%), Type IIIA were 2(13.3%), Type IIIB were 3(20%) and Type IIIC was 1 case(6.7%). 2. Type I, II and IIIA were treated with open reduction and internal fixation using screw or plate. 2 cases of Type IIIB were treated with open reduction and external fixation and 1 case was treated with plate. Type IIIC was treated with open reduction and external fixation. 3. Conclusively. we had good results with open reduction and internal fixation in Type I, II and IIIA. In Type IIIB, IIIC, if it was difficult to maintain of reduction with internal fixation due to severe bone loss, comminution and soft tissue injury, we could have good results with open reduction, bone graft and external fixation including ankle joint.

61 View
0 Download

Arthroscopic Assisted Management For the Fracture Of the Tibial Intercondylar eminence Using Tension Band Technique: Seung Rim Park, Hyoung Soo Kim, Joon Soon Kang, Woo Hyung Lee, Sung Eyu Lee, Hyun Yang Chun; J Korean Soc Fract 1997;10(1):67-72. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.67

Abstract PDF: Avulsion fracture of the intercondylar eminence of the tibia(Type III as classified By Meyers and Mckeever) can be managed by arthroscopic reduction and fixation. Recently, the different arthroscopic suturing techniques, fixation with K-wire, screw and staple fixation have been employed to treat this injuries, however, most of these techniques are complicated and they do not always achieve stable fixation enough to facilitate early rehabilitation and restore stability to the knee through a full range of motion so far. A new technique for treatment of the tibial spine fracture arthroscopically, using the tension band method is presented. The advantage of this method include : 1. to be technically less demanding. 2. to allow for stable fixation even thin or comminuted fragments. 3. to present simple and safe removal of internal fixation. 4. to facilitate early rehabilitation.

51 View
0 Download

Fracture of Femur Neck Associated with Technical Errors in Closed Intramedullary Nailing of the Femur: Yong Hoon Kim, Ki Chan Ahn, Sung Suk Seo, Young Chang Kim, Jang Suk Choi, Young Gu Lee; J Korean Soc Fract 1997;10(1):73-78. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.73

Abstract PDF: Closed intramedullary nailing has become increasingly popular in the management of fracture of the femur because of a high rate of union and a low rate of complications. Since the development, it has been widely used in more applicable level of femoral shaft fracture. Therefore, complications of intramedullary nailing was rarely seen, especially rare in case of fractures of the femoral neck associated with technical errors. The three cases of femoral neck fracture with technical errors during intramedullary nailing for treatment of femoral shaft fracture in Paik Hospital, Pusan from April 1994 to July 1995 are reported herein to document that this complication can occur. Three cases of the femoral neck fracture were treated by closed reduction and internal fixation with Knowles pin.

54 View
0 Download

Isolated Dislocation of Tarsal Navicular Bone : A Case Report: In Tak Chu, Kyung Ho Yoo; J Korean Soc Fract 1997;10(1):86-90. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.86

Abstract PDF

Isolated dislocation of the tarsal navicular is very rare and its mechanism of injury and treatment is not well established. In our case, the naricular is dislocated plantomedially resulting from hyperplantar flexion, abduction injury with longitudial axial load. Open reduction and internal fixation was required because of pulling by tibialis posterior tender There was no traumatic arthritis at talo-navicular joint and naviculo-cuneiform joint and no evidenc of avascular necrosis of the tarsal navicular at postoperative 15 months follow-up.

Citations

Citations to this article as recorded by

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

89 View
0 Download
1 Crossref

CT Classification and Surgical Treatment of Intra-Articular Fracture of the Calcaneus: Gi Sik Hong, Eu Seup Chung, Seong Ku Chee; J Korean Soc Fract 1997;10(1):91-98. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.91

Abstract PDF: Computed tomography was used in the evaluation of intra-articular fractures of the calcaneus to develop and reasonable treatment program and predict prognosis. Seventeen fractures of the calcaneus in the sixteen patients were shown to involve the posterior facet and classified by the images of coronal CT scan; Type I(non-displaced), Type II(displaced) and Type III(comminuted). There were one Type I, ten Type II, and six type III fractures. All of which were treated with open reduction and internal fixation, with or without bone graft. The length of follow-up period ranged from thirteen to fourty-five months(mean : 24 months). The results were graded by a predetermined point system. The one type I had an excellent result. Of the ten type 2 fractures ; three had excellent result, four good result, two fair result, and one poor result. Ofthe six type 3 fracture, one had good result, three fair result, two poor result. On the basis a our study, we believed that open reduction and internal fixation was a good method of treatment for the displaced or mildly comminuted intraarticular fracture of the calcaneus

97 View
0 Download

Surgical Treatment of Stenosing Synovitis and Dislocation of Peroneal Tendon as a Complication of Calcaneal Fracture: Seong Jin Park, Suk Whan Song, Nam Yong Choi, Byung Lae Jo, In Ju Lee; J Korean Soc Fract 1997;10(1):99-103. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.99

Abstract PDF: Malunion of calcaneal fracture results in most of long-term complications such as pain and limitation of motion at hindfoot. Though it is reported that patients symptoms continue to improve during following years, some patients are disabled espicially due to pain. Among the source of pain following malunited calcaneal fracture, traumatic arthritis of subtalar joint, peroneal tendinitis with or without dislocation of tendons, compression neuropathy, and other sequelae were believed to be responsible. The authors report the result of surgical treatment of 9 patients with malunited calcaneal fracture, who had stenosing tenosynovitis(3 cases), and recurrent dislocation of peroneal tendon(6cases). key words; peroneal tendon, stenosing tendinitis, dislocation, malunion, calcaneus Excision of bone mass from the lateral wall of calcaneus and adhesiolysis relieved symptoms of stenosing synovitis. Zoellner and Clancy technique of deepening peroneal tendon groove and reconstruction of peroneal retinaculum using periosteal flap were supplemented for dislocation of peroneal tendon. Among nine patients, four needed subtalar arthrodesis. The results were favorable.

47 View
0 Download

Surgical Treatment of the Fracture of the Distal Humerus: Chang Hyuk Choi, Koing Woo Kwun, Shin Kun Kim, Sang Wook Lee, Soo Il Han, Chang Jin Kang; J Korean Soc Fract 1997;10(1):104-111. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.104

Abstract PDF: The treatment of the fracture of the distal humerus has remained one of the most difficult of all fractures to manage. The goal of treatment, which is the same for other intraarticular fractures, is to reestablish articular congruity, rigid fixation and early active motion as soon as possible. It appears that the use of plates is currently the most acceptable method of fixation. The aim of this study is to clarify the correlation between various fixation methods and functional end results, in order to help in choosing treatment modalities. We reviewed 11 cases of the fractures of the distal humerus treated surgically in Orthopaedic Department of Taegu Hyosung University Hospital between 1992 and 1995. Clinical end results were as follows: 1. Of the 11 cases, there was 6 males and 5 females. Age was from 13 years old to 83 years old and mean age was 46 years old. 2. Muller classification consisted of 4 cases of A2, 1 case of B2, 3 cases of Cl and 3 cases of C2. The mean length of follow up was 15 months. Except for 2 cases of open wound and nonunion, time from injury to surgery was 8 days. Mean period of initial exercise was 4 weeks. 3. All surgical incisions were done with posterior approach; they consisted of 5 cases of dual-contoured plates, 4 cases of plate with screw and 2 cases of K-wires with screw. 4. Mean range of elbow motion was flexion 123 and extension defect 14. There was no limition of pronation and supination compared with the normal side. 5. The functional result by Jupiter criteria was excellent in 5 cases, good in 4 cases, fair in 1 case and poor in 1 case. 6. There were complications in 1 case of plate broken and 1 case of nonunion. 7. In the distal fracture of the humerus, There were 82% of excellent of good result by over-all functional result of Jupiter.

100 View
0 Download

A Operative treatment of the three-part, four-part Fracture and Fracture dislocation in proximal humerus: Young Su Lee, Min Ki Kim; J Korean Soc Fract 1997;10(1):112-118. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.112

Abstract PDF: The three part, four part fracture and fracture-dislocation of proximal humerus generally need operative treatment but treatment of these fractures has remained controversal. The purpose of this study is to analyze the result of operative treatment of three-part, four-part fracture and fracture dislocation in proximal humerus. From Jan 1990 to July 1995, Eleven patiens were reviewed and the result were summerized as follows. 1. There were 4 three-part fracture, 1 four-part fracture, 4 three-part fracture-dislocation, 1 head-spliting fracture, 1 impression fracture. 2. Open reduction and internal fixation was done in 7 cases, prothetic replacement was done in 4 cases. 3. The result were analyzed accroding to scoring system of Neer. 1) The excellent or satisfactory result were seen in 5 cases of three part fracture and fracture-dislocation, but in none case of four-part fracture. 2) The excellent or satisfactory result were seen in 3 cases with open reduction and internal fixation, and in 3 cases with prothetic replacement. 4. Among the cases with joint disability(5), there are 1 three-part fracture-dislocation, 1 head-spliting, 2 three-part fracture, 1 four-part fracture. 5. The rigid fixation and early mobilization is considered to be a good modality.

103 View
0 Download

Operative Treatment of Elbow Fractures and Dislocations in Adults: Sang Ho HA, Sang Hong Lee, Dong Min Shin, Young Bae Pyo, Pan Ok Kim; J Korean Soc Fract 1997;10(1):119-126. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.119

Abstract PDF: The elbow is highly constrained and stable joints in the body, but dislocation is not uncommon due to trauma such as traffic accident and sports injury. The relative incidence of associated fractures in previously reported series of elbow dislocations has ranged from 12% to 62%. Post-traumatic sequelae of the elbow fractures and dislocations are joint stiffness, nerve injury, non-union and heteroDopic ossification. Operative procedures for repair and reconstruction of the injured elbow are technically demanding and require careful planning. Because of the proximity of crucial neurovascular structures, a thorough knowledge of the anatomy and extensile exposure is essential. Thirteen adult patients with elbow dislocation associated with fractures about the elbow from June 1990 to June 1995 who had taken operative treatment were studied. The results were as follows ; 1. Most common direction of dislocation is posterior(8 cases) and most common associated fracture is radial head & neck fracture(7 cases). 2. Most common and disabling complication is limitation of motion(7 cases). 3. By the Mehlhoffs criteria, with regard to limitation of motion, pain, instability and neurovascular deficit, relatively good results are obtained at 9 cases(69%). 4. For better functional results, early reduction of dislocation, stable fixation of fracture and early motion is essential option in the management of elbow fractures and dislocations.

87 View
0 Download

Operative Treatement of Comminuted Fracture of the Radial Head: Sang Don Jeong, Jeong Woong Lee, Jin Hong Rhee, Jae Yeong Cho, Seog Hyun Yoon, Sang Won Bae, Eui Hyoung Lee; J Korean Soc Fract 1997;10(1):127-132. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.127

Abstract PDF: It has been controversial to decide the proper management for the comminuted fracture of the radial head. For the management of this fracture, there are various methods such as resection of radial head, inserion of radial head implant, and open reduction and internal fixation, etc. The resection of radial head which has been performed by the majority of surgeons, could bring several complications; chronic pain in the elbow, cubitus valgus, new bone formation at site of excision and proximal migration of the radius with late subluxation of the distal radioulnar joint. Therefore the importance of radial head has been recognized recently. Authors have had good results in 6 patients who undergone open reduction and internal fixation for severely comminuted fracture of the radial head.

86 View
0 Download

Treatment of Supra-intercondylar Fractures of the Distal Femur Using the ModiHed Extensile Approach: Hee Soo Kyung, Joo Chul Ihn, Chan Sig Park; J Korean Soc Fract 1997;10(1):133-141. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.133

Abstract PDF: The management of supracondylar and interconylar fractures of the femur is fraught with a wide range of potential complications. Particularly, the type C3 fracture of AO classincation easily result in catastrophe in the form of traumatic arthritis, angular deformity, shortening, infection, post- operative joint stiffness and nonunion. During recent years. new concept and techniques of surgical treatment has been developed which permit more accurate anatomical reduction and stable internal fixation. We reports five cases of type C3 supra-interconylar fractures of the femur managed by modiHed extensile approach technique of Schatzker.

43 View
0 Download

Problems of Interlocking Intramedullary Nailing for Fracture Treatment: Bu Hwan Kim, Jong In In, Yi Chul Kim; J Korean Soc Fract 1997;10(1):142-149. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.142

Abstract PDF: With the introduction of image intensifier in orthopaedic surgery, interlocked intramedullary nailing is one of the most prevailing method in the treatment of long bone fracture especially in femur and tibia. Advantages of this method are rigid fixation of fracture fragment resistant to rotational force, low infection rate, possible early post-operative motion and weight bearing and bone graft effect by medullar reaming procedure. But we had encountered variable complications during and after operation of 63 cases in 59 patients who had undergone interlocking nailing for femur or tibia fractures from Mar 1990 to Feb 1992 at Dae Dong General Hospital. The results were as follows : 1. Delayed union and nonunion developed in nine cases and infection was noted in nine cases, seven of them were superficial infections. 2. Operative complication were encountered with four cases of new fracture, three cases of angolation deformity, four cases of shortening. 3. Four cases of nail profusion was developed because of inadequate implant length. Postoperative metallic failure was found in three cases. 4. Sufficient preoperative planning and skillful technique can decrease the complications.

49 View
0 Download

Miniplate and Miniscrew Fixation for the Metacarpal and Phalangeal Fractures: Bu Hwan Kim, Jong In Yim, Deog Jeong Kang; J Korean Soc Fract 1997;10(1):150-155. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.150

Abstract PDF: The functional end result is more important than fracture healing in the hand fracture treatment. Accurate open reduction and internal fixation with miniplate and miniscrew for metacarpal and phalangeal fractures of hand provides firm fixation and allows early postoperative mobilization which reduce the incidence of joint stiffness and tendon adhesion. The authors have reviewed 17 cases of metacarpal and phalangeal fractures of the hand in 13 patients which were treated with miniplate and miniscrew fixations in the department of orthopaedic surgery, Dae Dong General Hospital from Mar. 1994 to Feb. 1996. The following results were obtained. 1.The firm fixation allowed range-of-motion exercises in most patients between 3-14 days. 2.The roentgenographic union was obtained within 14.8 weeks in average. 3.The mean TAM(total active motion) range at last follow up was 247 in the metacarpal fracture and 226 in the phalangeal fracture. 4. The complications(tendon adhesion & loss of reduction) occurred in 2 cases(11.8%). In conclusion, fixation with miniplate and miniscrew for metacarpal and phalangeal fractures of the hand is considered to be an effective method in the treatment of metacarpal & phalangeal fractures.

85 View
1 Download

Usefulness of Miniplate Fixation for the Fractures of Metacarpal and Phalangeal Bones of the Hand: Ig Gon Kim, Jae Hyek Kim, Chul Hyun Kim, Chul Hong Park; J Korean Soc Fract 1997;10(1):156-163. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.156

Abstract PDF: Before the introduction of internal fixation, the healing of a fracture was an unpredictable event. Internal fixation provides stability, and fractures heal predictably. The miniplate is used for unstable metacarpal and phalangeal fractures of the hand to provide stability and to allow early motion. We analysed 32 patients, 41 cases of metacarpal and phalangeal fractures of the hand which were treated with miniplates from Jan. 1990 to June 1995. The following results were obtained. 1. Mean age was 35 years and the male was predominent(81.3%). The most common fracture site was the metacarpal(51.2%). 2. TAM(total active motion) was 2240 in average and the best result was obtained in the metacarpal fractures(TAM = 239). The roentgenographic union was 16.8 weeks in average. 3. There were 6 complications(complication rate 14.6%) which were 3 cases of joint stiffness, a case of wound infection, a case of loss of reduction, and a case of delayed union. 4. Miniplate fixation is considered to be an useful method to get fracture union and good range of motion with low complication rate in the treatment of metacarpal and phalangeal fractures of the hand.

39 View
0 Download

The Operative Treatment of Displaced Waist Fracture of Scaphoid: Kun Yung Lee, Young Kee Lee, Yong Man Cho, Heung Sik Kang, Cheon Dong Lee, Sang Su Oh; J Korean Soc Fract 1997;10(1):164-170. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.164

Abstract PDF: The authors surveyed the clinical study of 17 cases of scaphoid fractures from March 1989 to September 1994 with minimal 1 year follow up at Department of Orthopedic Surgery, Lee-Rha general Hospital. The following conclusions were obtained through clinical survey. 1. Of all 17 cases, they were 13 males and 4 females; Among the 13 males, 10 cases were aged between 20 and 39 years, forming 58.8% of all. 2. All 17 cases were treated by open reduction. Unions were obtained at average 11.5 weeks in 7 cases treated with Herbert screw fixation and 12 weeks in 10 cases treated with K-wire fixation. 3. Two of ten K-wire treated cases resulted in delayed union, one of seven Herbert screw treated cases resulted in delayed union. 4. Unions were obtained at average 20 weeks in 3 cases of delayed union. We concluded that open reduction and K-wire fixation were recomanded for the compatible treatment method of displaced waist fracture of scaphoid.

47 View
0 Download

Fracture of the Distal Radius with Ulnar Nerve Palsy: Chil Soo Kwon, Jong Kuk Ahn, Jin Hyok Kim, Yerl Bo Sung, Jin Ho Cho; J Korean Soc Fract 1997;10(1):171-174. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.171

Abstract PDF

There are several complications of distal radiug fracture such as median nerve injury, malunion nonunion, rupture of EPL, and ischemic contracture. Lesion of ulnar nerve as a complication of fracture of the distal radius are very rare. The authors report 1 case of the distal radius fracture with ulnar nerve palsy. The electromyography & nerve-conduction studies showed incomplete axonotmesis of ulnar nerve on 1 month following injury. A second electromyography & nerve-conduction study two months after injury showed complete recovery of nerve function.

Citations

Citations to this article as recorded by

Ulnar Nerve Palsy Following Closed Fracture of the Distal Radius: A Report of 2 Cases
Chul-Hyun Cho, Chul-Hyung Kang, Jae-Hoon Jung
Clinics in Orthopedic Surgery.2010; 2(1): 55. CrossRef

87 View
0 Download
1 Crossref

Cervical Spine Fractures in Ankylosing Spondylitis : A case Report: Jae Yoon Chung, Jung Pil Heo, Hyong Yeon Seo; J Korean Soc Fract 1997;10(1):175-179. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.175

Abstract PDF: The patient with ankylosing spondylitis is easily apt to be fractured in spine regions, even by minor trauma due to severe limitation of spinal motion and progressive osteoporosis. In those patients, accurate reduction and rigid internal or external immobilization and postoperative early mobilization is very important to treat or prevent the spinal cord injury. Untill now halo-vest immobilization or posterior fusion is widely accepted method of treatment and there was no report about anterior plate fixation. Authors fused the patient anterorily with tricortical iliac graft and plate with compression mechanism to get early solid bony union, to increase the immediate rigid stability, to correct the deformity and to mobilize the patient early as possible. We have experienced a 54-year-old male patient with ankylosing spondylitis complicating traumatic fracture of the cervical spine at C6-7 and follow up study of 9 years was possible. The patient was injured by minor pedestrian motor vehicle accident. Pre-injury activity was normal, and neurological status was Frankel grade D just after trauma however, it was aggrevated to Frankel grade C paraplegia during position change before operation. The patient was anesthesized with aid of the tracheostomy. Anterior plate fixation was performed with tricortical iliac suut bone graft and plate. And then early mobilization was encouraged with SOMI brace. Neurological status was improved and there was no peri- and post-operative complications. Systemic complications was not occured also. Re-displacement at fracture site with minimal screw loosening during follow up period was observed however, solid bony union was obtained at post-operative 3 months without further displacement or loosening. We report this case with review of literatures for good clinical result of anterior fusion with plate during long term follow up period of 9 years.

80 View
1 Download

Ender Nailing for Femoral Shaft Fracture in Children: Won Sik Choy, Cheun Hwan Yoo, Sang Suk Ong; J Korean Soc Fract 1997;10(1):180-187. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.180

Abstract PDF: The indications for surgical stabilization of a pediatric diaphyseal femur fracture are expanding Children with multiple systemic injury, a head injury, and/or with multiple fractures have fewer local and distant complications if the femur fracture is treated operatively. Other indications include a frac- ture in a child with a preexisting condition that prevents the application of a spica cast, a child older than 10 years of age, or a child less than 10 years of age who cannot be kept adequately aligned using conventional(traction/casting) methods of fracture management. Here closed intramedullary Ender nailing of 15 femoral fractures in 15 children, 7-13 years of age, was studied retrospectively. Seven patients had associated injuries. The average operation time was 40 minutes and hospitalization time averaged 16 days. There were no infections, nonunions, or malunions. On follow-up, average 27 months, no patient had deformity of over 8 degree in any plane. No patient had clinical loss of motion, leg length discrepancy, or radiographic evidence of growth disturbance. Here, authors Concluded that closed Ender nailing is very useful method in the management of femoral shaft fracture in children over 10 years old or when there is associated head injury or multiple fractures regardless of patients age.

101 View
0 Download

Treatment and Complications of Lateral Humeral Condylar Fractures in Children: Young Bae Pyo, Sang Ho Ha, Byoung Ho Lee, Gyoo Bum Cho; J Korean Soc Fract 1997;10(1):188-194. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.188

Abstract PDF: In dealing with lateral humeral condylar injuries, the chance of having a poor functional result with inappropriate management is much greater. Therefore, careful attention in treatment is required in order to reduce additional damage caused by excessive manipulation and firm internal fixation with accurate anatomical reduction is recommended for the prevention of complications even if displacement is not severe. The authors analyzed 29 fractures of the lateral condyle of humerus in children who were treated from Jan. 1990 to Dec. 1994. The results were as follows ; 1. All of fractures were Milch type II and Jakobs stage II was most common in 14 cases(48.3%). 2. They were treated with cast immobilization in 5 cases(17.2%), with percutaneous K-wires pinning in 5 cases(17.2%) and with open reduction and internal fixation in 19 cases(65.5%). 3. The complications were 12 cases of bony spur, 8 cases of bony overgrowth. 2 cases of premature epiphyseal fusion, 1 case of cubitus valgus with extension limitation, 1 case of pin site infection. 4. According to the criteria of Hardacre, we obtained excellent result in 10 cases(34.5%), good result in 17 cases(58.6%) and poor result in 2 case(6.9%).

84 View
0 Download

Operative Treatment of Forearm Fractures in Children: Nam Gee Lee, Seung Ki Kim, Won Jong Bahk, Hyun Joon Song, Ban Chang; J Korean Soc Fract 1997;10(1):195-202. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.195

Abstract PDF: Management of severe diaphyseal fracture of radius and ulna in children can be a challenging problem. Reduction and maintenance of the position of two mobile parallel bones is difficult because pronating and supinating muscles produce angulatory as well as rotational forces. Open reduction and internal fixation are generally accepted for adult forearm fractures, but controversy surrounds open reduction for children. What should be done for the irreducible fracture that will result in a malunion? Several authors advocate open reduction in children over 10 years of age rather than accept poor position. And others advocate open reduction regardless of age if closed reduction is unsatisfactory. We reviewed thirteen children between 6-14 years of age, who had irreducible fractures of diaphysis of forearm both bone, and who were treated with open reduction and internal fixation with plate for mid 1/3 fractures(4 cases) and open reduction and internal fixation with K-wires for distal 1/3 fractures(9 cases). The results were as follows; 1. 2 cases(15%) had limitation of pronation within 10 comparing with uninjured side. But 11 cases(85%) had equal movements on both sides. And the range of motions of the elbow and wrist are within normal limit. 2. More than 20 angulation for mid 1/3 fracture over 10 years of age, and more than 20 angulation or 20% displacement for distal 1/3 fracture over 6 years of age, it would be better to perform a surgical treatment if nonsurgical treatment was failed. 3. Immobilization periods were 5 weeks for plate fixation group and 6.9 weeks for K-wire fixatioin group. Bone union was occurred in all cases, at 9 weeks in plate fixation group and 8 weeks in K-wire fixation group. 4. Its better to fix with plate ofr promimal 2/3 fracture and K-wire for distal 1/3 fracture in case of operation. In conclusion, our results of open reduction and internal fixation were satisfactory if adequate alignment of fractures had not been achieved or maintained.

83 View
0 Download

Comparison of the Treatment of Displaced Extension Type Supracondylar Fractures of the Humerus in Children: Joo Chul Ihn, Byung Chul Park, Hee Su Kyung, Chang Wug Oh, Hak Su Kim; J Korean Soc Fract 1997;10(1):203-210. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.203

Abstract PDF: The treatment of supracondylar fracture of humerus in children has so many pitfalls as to be once called - supracondylar dilemma -. The authors analyzed the follow up results of 53 displaced extension type supracondylar fractures treated by closed reduction and cast, closed reduction and percutaneous pinning, skeletal traction and open reduction from 1993 to 1995. The following results were obtained : 1. Closed reduction and percutaneous pinning produced the best radiographic and clinical result by Flynns criteria when compared to other methods. 2. No difference in radiographical stability was found between percutaneous pinning with one medial and one lateral pin as opposed to two lateral pins. 3. There was a strong correlation between the change in Baumanns angle and the carrying angle(p=0.03).

46 View
0 Download

Acceptable Angulation in Reduction of Humeral Supracondylar Fracture in Children: Seung Kwan Hwang, Jin Rok Oh; J Korean Soc Fract 1997;10(1):211-217. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.211

Abstract PDF: The purpose of this study is extraction of acceptable angulation range of humeral supracondylar fracture in children. Forty five cases of humeral supracondylar fracture were examined for 5 years and 5 months from February, 1990 to June, 1995. For analysis of the result according to angulation of distal fracture fragment of the reduction of fracture site, we measured the valgus-varus angle and rotatory angle of distal fracture fragment. Forty five cases were classified into three groups for the evaluation of result. If the distal fragment has valgus angulation below 5 degrees or rotaion angulation below 5 degrees, classified as group I. valgus angulation above 5 degrees and below 10 degrees or varus angulation below 5 degrees or rotation angulation above 5 degrees below 10 degrees, classified as group II, varus angulation above 5 degees or rotation angulation above 10 degrees, classified as group III. For evaluation of result, we standardized the range of motion, the change of carrying angle, the deformity of elbow. We gave point to these items, thus, total point above 10 points was evaluated as excellent, 8~9 points as good, below 7 points as unsatisfactory, Group I showed good result in 21 cases among 22 cases, in Group II, good result to in 16 cases among 18 cases. In Group I and II, the good result is 95%, 38 cases among 40 cases. Thus, we concluded that the acceptable range in reduction of humeral supracondylar fracture in children is valgus angle below 10 degrees, varus angle below 5 degrees, rotation angle below 10 degrees.

53 View
0 Download

Previous issues