Journal of Musculoskeletal Trauma

Remodelling and Reangulation following the Fracture of Both Bones of the Forearm in Children: Sung Tae Lee, Jeong Hwan Oh, Eui Hwan Ahn, Hyuck Jun Lee; J Korean Soc Fract 1997;10(4):972-978. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.972

Abstract PDF: One-hundred fifty children underwent closed reduction for the fracture of both bones of the forearm were retrospectively reexamed with an average follow-up time of 28.7 months(range, 13-60 months). Patients were divided into three groups of 50-complete fractures, 50-green-stick fractures broken intact cortex and 50-green-stick fractures preserved intact cortex. The rate of the reangulation after closed reduction was lowest on the green-stick fractures preserved intact cortex. Forty-seven patients with residual angulation after healing were divided into two age groups of 4-10 years and 10- 15 years at the time of fracture. In children younger than 10 years of age with residual angulation after distal fractures of both bones of the forearm, the change of orientation of the epiphyseal plate toward the normal seemed to account for nearly all the actual correction at the site of fracture. The hinge should be used to aid in an accurate and stable reduction. The importance of the orientation of the epiphyseal plate is related to the distance between the fracture site and the epiphyseal plate according to the age of the patient.

Treatment of Childrens Ankle Fractures: Byeong Mun Park, Soo Bong Hahn, Hyun Woo Kim, Won Young Lee; J Korean Soc Fract 1995;8(2):378-385. Published online April 30, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.2.378

Abstract PDF: Childrens ankle fractures induce angular deformity, limb-length discrepancy, or incongruity of the joint surface unless anatomical reduction of the epiphsyeal plate and articular surface have failed. We made a retrospective study for the result of 20 cases of childrens ankle fractures which had been treated at Yonsei University College of Medicine from Jan. 1989 to June 1993. The age ranged from 6 to 15 years and the mean was 11.8 years old. Most of them had got traffic accident (14 cases, 70%). According to the Dias and Tachdj inns classification, pronation-eversion-external rotation injuries were 9 cases(45%) and supination and inversion inju.ies were 7 cases(35%). According to the Salter-Harris classification, type II were 13 cases(65%) and type III were 6 cases(30%). Sixteen cases were treated by gentle closed reduction and plaster cast. Four cases were treated by open reduction and internal fixation. Among the cases which had underwent closed reduction, 2 cases of angular deformity, one case of angular deformity with limb length discrepancy and one case of incongruity of joint surface were found. One case was treated with Ilizarov external fixation for the correction of angular deformity.

A Clinical Study of the Childrens Anltle Fracture: Seung Gyun Cha, Won Suck Lee, Kyoung Hoon Kim, Woo Tae Lee, Jin Hak Kim, Jae Sung Lee; J Korean Soc Fract 1992;5(2):236-243. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.236

Abstract PDF: The injuries of ankle in children occur mostly at the bony structure rather than ligamentous one, and some injuries of the growth plate may result in the arrest of entire growth an these may result to leg length discrepancy or deformity. Accurate treatment under the knowledge of injury mechanism is very important. We have reviewed 30 cases of childrens ankle fracture treated our clinics from Jan. 1987 to Dec. 1990. The results are as follows; 1. Traffic accident was most common cause of injury (50.0%). 2. According to Dias & Tachdjian classification, Supination-Invertion type was most common (11 cases). 3. The treatments performed were closed reduction & cast immobilization for 11 cases (36.7%), closed reduction & percutaneous pinning for 3 cases (10.0%), and open reduction & internal fixation for 16 cases(53.3%). 4. Among open reduction & internal fixation group, only 1 case(pronation-eversion-external rotation type) show angular deformaity. 5. For the prevention of complications, accurate reduction and adequate fixation was desired.

Idiopathic Fever following Childrens femur Fractures: Hong Jun Han, Hyun Lee, Sang Soo Kim; J Korean Soc Fract 1990;3(2):280-283. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.280

Abstract PDF: Not infrequently, Orthopaedic surgeons notice that fever following childrens femur fractures does not coincide with the laboratory findings. The authors agree that knowledge of the frequency, time of onset, duration, and magnitude would be helpful in accessing the significance of fever in the postinjury period. The authors reviewed 65 childrens femur fractures without infection under the 15 years old from March 1984 to December 1989 and following observations were made. 1. Fever developed in 32 patients(49%), but only in 7 patients(11%) significant fever elevation was found. 2. The mean onset of fever was 4 days after trauma, and the mean duration was 3 days. 3. The rate of fever occurrence increased In accordance with age. 4. Fever was least common in patients having oblique fracture. 5. Associated injuries were found more commonly in the febrile group.

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