Journal of Musculoskeletal Trauma

Operative treatment of humeral shaft fracture: Comparision of plate fuation and intramedullary nailing: Sang Ho Ha, Jae Won You, Sang Hong Lee, Dong Min Shin, Young Bae Pyo, Byoung Ho Lee, Min Hyok Choi; J Korean Soc Fract 1999;12(3):712-719. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.712

PURPOSE
Examine a humeral shaft fracture which had been treated with a plate and screw fixation or intramedullary nailing and compare these two methods with each other according to clinical and radiologic results and access the clinical avaliablity.
MATERIALS AND METHODS
Take 116 cases of humeral shaft fracture which had been treated with plate and screw fixation(73 cases) or intramedullary nailing(43 cases) and compare these two methods with each other according to bone union time, average operation time and nonunion rate.
RESULTS
Bony union in plate fixation was achieved 1.2 weeks earlier than intramedullary nailing(P>0.05). The average time of operation in intramedullary nailing was 58 minutes, which was shorter than that in plate fixation(P<0.05). The prevalence of nonunion was higher in intramedullary nailing than that in plate fixation, which was thought due to the fanning relaxation, fracture site distraction and/or inappropriate operative technique. Limitation of shoulder motion occasionally occurred in intramedullary nailing, so approriate device selection and surgical technique should be considered.
CONCLUSIONS
We concluded that the results of interlocking IM nailing were not superior to the results of plate fixation. But it is an attractive technique for the rapid closed stabilization of polytrauma patients and segmental and communited fractures.

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Clinical and Radiographical Follow-up for Residual Displacement of Fracture Fragments after Interlocking Intramedullary Nailing in Humeral Shaft Fractures
Jae-Kwang Yum, Dong-Ju Lim, Eui-Yub Jung, Su-Een Sohn
The Journal of the Korean Shoulder and Elbow Society.2013; 16(2): 107. CrossRef

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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.

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Treatment of Acute Compartment Syndrome with Tibial fracture: Young Bae Pyoi, Dong Min Shin, Pan Ok Kim; J Korean Soc Fract 1996;9(3):614-621. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.614

Abstract PDF

It has been known that early recognition and prompt decompression is critical in acute compartment syndrome with tibial fracture because inappropriate treatment lead to signincant functional disabilities. We treated 567 cases of tibial fracture and experienced 21 cases of acute compartment syndrome between September 1988 and June 1994. The purpose of this study is to analysis the initial degree of intracompartmental pressure and duration between the diagnosis and decompression, to evaluate the functional results and to discuss the complications. The result obtained were as follows 1. Anterior intracompartmental pressure was ranged from 25mnHg to 81mmHg (average 43.4mmHg), and deep posterior intracompartmental pressure ranged from 19mmHg to 61mmHg (average 32.7mmHg). 2. Among the 21 cases, common peroneal neuropathy were developed in 19 cases. We experienced complete recovery in 5 cases, incomplete recovery in 13 cases and 1 case of no change. We found posterior tibial neuropathy in 8 cases, and experienced complete recovery in 2 cases, incomplete recovery in 5 cases and 1 case of no change. 3. As an complications, clawing of toe developed in 3 cases, equinovarus deformity of ankle in 2 cases, superficial wound infection, osteomyelitis and nonunion in 1 case. 4. We obtained good or excellent results in 16 cases(76.1%). 5. We thought that the most important factor to decide the prognosis seems to be duration of high level of tissue pressure and also it is neccessary early diagnosis and early treatments to obtain good results.

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Is CT Angiography a Reliable Tool for Diagnosis of Traumatic Vessel Injury in the Lower Extremities?
Jong-Hyuk Park, Kwang-Bok Lee, Hyuk Park, Jun-Mo Lee
Journal of the Korean Fracture Society.2012; 25(1): 26. CrossRef

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Conservative Treatment for Distal Radius Fractures: Sang Ho Ha, Sang Hong Lee, Dong Min Shin, Young Bae Pyo, Hyun Sik Mun; J Korean Soc Fract 1996;9(2):319-325. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.319

Abstract PDF: Fracture of the distal radius is one of the most common injuries Met in the orthopaedic field. Once it was thought that good function comes despite poor anatomic restoration in distal radius fractures. But now maximum recovery of wrist function is dependent on accurate and stable reduction of the radial articular surface. We reviewed thirty-nine cases of distal radius fracture that were treated with closed reduction under C-arm field and then the wrist was immobilized by a sugar tong cast splint and then a long arm cast, from Aug. 1992 to Aug. 1995 at the Department of Orthopaedic Surgery of Chosun University Hospital. The results of this study were as follows; 1. The main causes of these injuries were from slipping(51.3%) and falling down(28.2%). 2. Among the 39 cases of distal radius fracture, 12 cases(30.8% ) had unstable fractures. 3. In the 39 case, satisfactory results were shown in 25 cases but, in the unstable fracture group, 10 cases out of 12 cases showed unsatisfactory results. 4. When the articular surface of the radius was severely comminuted and the fracture site was severely displaced, the result of this study was poor. 5. Accurate and stable reduction of the radial articular surface & radial length was significantly correlated with the clinical results.

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Treatment of Carpal Scaphoid Fracture: Byoung Ho Lee, Dong Min Shin, Sang Ho Ha; J Korean Soc Fract 1996;9(2):274-282. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.274

Abstract PDF: We reviewed 32 cases of scaphoid fracture, treated from June, 1989 to June, 1994. The average follow up period from operation was 13 months. We analyed clinical result according to fracture classification and method of treatment. Nonsurgical treatment of displaced fracture generall gave poor result. In scaphoid fracture associated with complex injury open anatomic reduction and ligament repair was significantly better than conservative treatment. In the treasradial-styloid scaphoid fracture, anatomic reuduction and fixation of radial stloid is neccessory. To protect the misplacenlent of hardware, procisional K-wirc fixation and radiological confirmation will be indispellsable.

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Treatment of Fracture - Dislocation of Tarsometatarsal Joint: Byoung Ho Lee, Dong Min Shin; J Korean Soc Fract 1995;8(3):606-614. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.606

Abstract PDF

We reviewed and clinically analysed 23 cases of tarsometatarsal joint injuries, which were treated at the orthopaedic department of Chosun university hospital during the period from January 1989 to December 1993, and the following results were obtained. 1. The clinical results of tarsornetatarsal joint injuries did not correlate with the mechanism and classification of injuries. 2. Anatomical reduction and its maintenance, whether treated by closed or open methods, seemed to lead to normal appearance and function. 3. In many cases of our series. early closed reduction was unlikely to succeed because of soft tissue interposition, marked comminution. or a large articular fragment, or because of many concomitant injuries involving the same foot. 4. We recommend early aggressive open reduction and K-wire fixation if the closed reduction is inadequate. 5. For maintenance of stable reduction, only two K-wires(one through the 1st metatarsal base into the first cuneiform, and the other through the fifth metatarsal into the cuboid) are insufficient especially in direct injury, so we recommend that fixation of displaced individual metatarsal and the base of second metatarsal with multiple K-wires.

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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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Treatment of the Supracondylar Fractures of the Femur with an Interlocked Intramedullary Nail: Dong Min Shin, Sang Ho Ha, Hyung Chull Mun; J Korean Soc Fract 1995;8(1):72-78. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.72

Abstract PDF: The purpose of this paper is to report the technical problems, indications and contraindications of treatment by interlocked intramedullary nail in supracondylar fracture of the femur. The authors analyEed 5 cases of femoral supracondylar fractures in patients who were treated by interlocked intramedullary nailing. All 5 cases treated with interlocked intramedullary nail were obtained primary bone union. According to Neers criteria, excellent result was achieved in 1 patient, satisfactory and unsatisfactory results in 2 patients, respectively. In conclusion, we consider that interlocked intramedullary nail fit as follows: 1. Type A of AO classification. 2. In case of more proximally located fracture. 3. Supracondylar fracture of the femur with severe communited fracture of the ipsilateral femora diaphyses but unfit as follows; 1) Supracondylar fracture of the femur with severe osteoporosis. 2) In case of more distally located fracture. 3) Type C of AO classification.

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Treatment of Monteggia fracture in Adults: Dong Min Shin, Byung Ho Lee, Hyun Jung Yoon; J Korean Soc Fract 1994;7(1):79-86. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.79

Abstract PDF: In 1814 Monteggia described two cases of fracture of the proximal part of the ulna with anterior dislocation of the radial head. Since then, there have been many reports of this type of fracture dislocation. Bado named Monteggia lesion as a fracture of ulna at any level and a dislocation of radial head. Thrity-five patient with Monteggia fracture were treated at department of Orthopaedic Surgery, Ehosun University Hospital from 1985. January to 1991 December. Twenty-seven patient, who were followed for a minimum of one year, subject of this review. The results were as follows: 1. Among the 27 patients, male is about 3 times more than female. 2. The cause of injuries were traffic accident in 15, fall down in 10, belt injury in 1 and direct blowing in 1 3. Classification into 4 type by Bados method disclosed that type I accounts for 51.9% of cases, type II for 14.8%, type III for 22.8% and type IV for 11.1% 4. Sites of ulna fractures were upper one thlrd in 8, junction of upper and middle 1/3 in 11, middle 1/3 in 5, distal 1/3 in 1 and segmental 2. 5. Closed reduction of radial head dislocation was done in 13 cases open reduction in 6 cases, and excision in 8 cases. 6. All of the fractures of ulna were treated with open reduction and internal fixation with plate in 16, Rush pin in 6 and wiring in 5. 7. The partial posterior interosseous nerve injury was noticed in 3 cases and recovered completely within 8 weeks. 8. With the criteria of Bruce et al(1974), the result were excellent in 11, good in 7, fair in 5 and poor in 4.

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Treatment for the unicondylar fractures of the distal femur: Dong Min Shin, Sang Ho Ha, Jae Won You, Sang Hong Lee, Young bae Pyo, Min Heo Heo; J Korean Soc Fract 1993;6(2):271-278. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.271

Abstract PDF: No abstract available.

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Treatment of the Tibia Fractures with Unreamed Intramedullary Interlocking Nailing: Jae Won You, Dong Min Shin, Young Bne Pyo; J Korean Soc Fract 1992;5(2):282-288. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.282

Abstract PDF: The intramedullary interlocking nailing for the fractured tibia has been used in selected cases of fresh diaphyseal fracture, but the indication has been expended considerably with modern technical improvement. The authors analyzed 28 cases of fresh fractures of the tibia, who were treated with unlearned intramedullary interlocking nailing in out hospital between May 1990 to Oct. 1991, average follow-up was 12 months ranged from 8 to 22 months and we obtained the following results. 1. The most common causes of the injury were traffic accident(19 cases). 2. Mostly associated injury was ipsilateral fibular fracture(24 cases). 3. We used unlearned intramedullary interlocking nail in all cases and dynamic and static interlocking were done in 12 cases and 16 cases respectively. 4. The average bony union was demonstrated radiographlcally at 16 weeks. 5. The complications were deep infection(1 case), delayed union(2 cases), angular deformity (4 cases), superficial infection(3 cases), limitation of knee joint ROM(3 cases) and shorte ning of leg length(2 cases). 6. In case of the treated for method of unlearned nailing, it is not difficut to insert the nail, and we obtained good bony union, decresed operation time and bleeding. The authors concluded that unlearned intramedullary interlocking nailing is useful method to treat the tibla fracture.

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Treatment of the fractures of clavicle with butterfly fragment: Sang Hong Lee, Dong Min Shin, Geun Sig Rim; J Korean Soc Fract 1992;5(1):43-49. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.43

Abstract PDF

No abstract available.

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Surgical Techniques for Percutaneous Reduction by Towel Clips and Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures
Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Tae-Ho Kim, Jong-Hyun Kim, Jong-Seong Lee
Journal of the Korean Fracture Society.2012; 25(1): 31. CrossRef
Comparison of Results in Two Operative Treatments for Clavicle Shaft Fractures in Adult: Comparison of Results between Open Reduction and Internal Fixation with the Plate and Percutaneous Reduction by Towel Clip and Intramedullary Fixation with Steinmann
Sung-Sik Ha, Jae-Chun Sim, Ki-Do Hong, Jae-Young Kim, Jung-Ho Kang, Kwang-Hee Park
Journal of the Korean Fracture Society.2007; 20(3): 233. CrossRef

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Surgical treatment of olecranon fracture: Sang Ho Ha, Jae Won You, Dong Min Shin, Young Bae Pyo, Byoung Ho Lee; J Korean Soc Fract 1991;4(2):320-325. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.320

Abstract PDF: No abstract available.

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Tension band wiring and Modified tension band wiring in the Operative Treatment of Patella Fracture: Sang Ho Ha, Sang Hong Lee, Dong Min Shin, Young Bae Pyo; J Korean Soc Fract 1990;3(1):46-52. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.46

Abstract PDF: The authors report a clinical experience of 25 patients having patellar fracture who were treated with tension band wiring or modified tension band wiring from January 1984 to December 1988, at the Department of Orthopedic Surgery, Cho-Sun University Hospital. The results were as follows. 1. Out of 25 cases were treated by modified tension band wiring and remaining 5 cases were treated by tension band wiring. 2. The mean fracture healing period was 5.8 weeks in cases of modified tension band wiring and 6.8 weeks in tension band wiring. 3. Fixation by tesion band priciple has given acceptable results in comminuted fractures and transverse fractures both.

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Operative Treatment of Ankle Fractures: Sang Ho Ha, Sang Hong Lee, Dong Min Shin, Young Ju Chung, Keun Ho Park; J Korean Soc Fract 1990;3(1):34-39. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.34

Abstract PDF: The ankle is the most congrous joint in the lower extremity, bearing up to five times the body weight. Many clinical studies of ankle fractures have proven that good results depend upon an antomic reduction of the fracture. There remains, however, controversy as to the best method of obtaining this goal. More recently there has been interest in anatomic reduction & authors analysed 58 cases of ankle fractures treated operatively at Chosun University Hospital from january 1981 to December 1988. 1. The result of treatment was good or exellent in 49 cases(84.5%) of clinical results in 51 cases(87.9%) of radiological result, according to the criteria of Meyer. 2. Operative treatment affords the most predictable way to carry out an absolutely anatomic reduction of fractures & a low complication rate. 3. Most of the unsatisfactory group were severe displacement, commivuted fracture due to high violence.

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The Treatment of Type III Open Tibia Fractures with Ender Nails: Preliminary Report: Sang Ho Ha, Sang Hong Lee, Dong Min Shin, Jin Seok Park; J Korean Soc Fract 1989;2(2):219-228. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.219

Abstract PDF: Type III open tibial fracture is difficult to treat beacause of frequent complications, and recently external fixation have been used successfully. Intramedullary nailing with flexible nails is now routinely performed in Type I and II open tibial fractures. Thirteen cases of Type III open tibial fractures teated with Ender nails from January 1 983 to December 1988 were identified and retrospectively reviewed. The results were as follows; 1. The patients were predominantly more common in male and the average age was 41 years, and most common cause was traffic accident. 2. According to the Gustilo and Andersons classification, Type III-A was 7 cases, TypeIII-B was 5 cases, and Type III-C was 1 case. All 13 cases were combined fibular fracture. 3. All 13 cases were used two Ender nails, nailing methods were two antegrade insertioni (7 cases), two retrograde insertion (3 cases), and one antegrade & retrograde insertion (3 cases). 8 cases were operated within one day of accident, 7 cases were used other combined metals, and 5 cases were treated with Rush pinning of fibular fracture. 4. Among the secondary additional operation required after Ender nailing, bone operation were 7 cases, soft tissue operation were 5 cases, and delayed amputation were 2 cases. 5. Among II cases except amputation, controversial complications were nonunion (6 cases), chronic osteomyelitis (1 case), delayed union (1 case). 6. A retrospective evaluation of 13 cases treated Ender nailing revealed that Ender nailing was simple, effective method in some selected cases of Type III open tibia fractures.

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