Journal of Musculoskeletal Trauma

Treatment of Femoral Shaft Fracture with Interlocking Humeral Nail in Older Children and Adolescent: Kun Bo Park, Hoon Park, Hyun Woo Kim, Hui Wan Park, Jae Young Roh; J Korean Fract Soc 2010;23(2):206-212. Published online April 30, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.2.206

Abstract PDF: PURPOSE
To evaluate the results of interlocking humeral nail for femur shaft fractures through the greater trochanter in older children and adolescent.
MATERIALS AND METHODS
Eleven femoral shaft fractures in ten patients were selected. They were consisted of 9 boys and 1 girl. Two patients had osteogenesis imperfecta and one patient had a simple bone cyst as an underlying disease. 7 cases were right side and 4 cases were left side. The mean age at the time of operation was 12 years and 7 months (8 years 11 months~15 years 7 months). The mean follow-up period was 21 months and interlocking humeral nail was inserted at the greater trochanter in all patients.
RESULTS
All patients had a complete bony union without any complication such as infection, nonunion, leg length discrepancy and metal failure. Avascular necrosis of femoral head and coxa valga were not developed in all patients.
CONCLUSION
Intramedullary nailing through the greater trochanter using interlocking humeral nail is effective and safe treatment for the femoral shaft fracture in older children and adolescents.

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In Situ Late Metaphyseal Osteosynthesis for the Fractures of the Lateral Humeral Condyle in Children: Kun Bo Park, Seung Whan Lee, Hyun Woo Kim, Hui Wan Park, Ki Seok Lee; J Korean Fract Soc 2008;21(2):151-156. Published online April 30, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.2.151

Abstract PDF: PURPOSE
To evaluate the efficacy of the in situ late osteosynthesis for slightly displaced fractures of the lateral humeral condyle.
MATERIALS AND METHODS
From 2000 to 2004, 12 patients (8 boys and 4 girls) were managed with in situ late osteosynthesis for fractures of the lateral humeral condyle. The average age at the time of operation was 6 years 1 month (1 year 7 months~9 years 1 month), and the mean amount of fragment displacement was 3.3 mm (2.0~4.5 mm). The operative procedure included curettage and in situ fixation of the fragment RESULTS: Bony union was achieved in all cases after avg. 48 months (33~73 months) follow-up assessment. According to the score system of Dhillon et al, 7 patients had excellent, 3 had good, 2 had fair results. None of the patients developed avascular necrosis or premature closure of the epiphysis.
CONCLUSION
We suggest that in situ fixation is an effective method for the late treatment of slightly displaced fracture of the lateral humeral condyle.

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Refractures of Upper Extremity in Children: Hui Wan Park, Dae Ya Kim, Hyun Woo Kim; J Korean Fract Soc 2004;17(4):389-394. Published online October 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.4.389

PURPOSE
To investigate the etiologic factors related to refractures of the upper extremity in children MATERIALS AND METHODS: 18 refractures of the upper extremity were divided into three groups according to the location of initial fractures: Supracondyle fractures of the humerus, lateral condyle fracture of the humerus, and the forearm bone fractures. They were analyzed in terms of the type of refractures (early refracture occurring at the immature callus and late refracture occurring at the remodeled bone), fracture patterns, and the existence of underlying deformity.
RESULTS
Nine supracondyle fractures had refractures at the supracondyle (2 cases) and the lateral condyle (7 cases), in which underlying cubitus varus were present in 6 cases. Three lateral condyle fractures had refractures at the supracondyle (1 case) and the lateral condyle (2 cases), in which one case had underlying cubitus varus. All but one case in the group of humerus fractures were late refractures and treated operatively except one. Of 6 refractures of forearm, 5 were early refractures and occurred within 9 weeks at the original site: 4 at the diaphysis of both bones of forearm and 1 at the diaphysis of ulna. All cases in the group of forearm fractures had volar angulation before the refracture, and treated conservatively except one CONCLUSION: In the humerus, underlying cubitus varus was the most important predisposing factor to refractures and the lateral condyle fractures were common. In the forearm, volar angulation of the diaphysis were related to refractures, and complete and circular consolidation of the primary fracture of forearm was thought to be important to prevent refracture.

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Characteristics and trends in heavy rainfall and storm damage to cultural heritage over the past 15 years (2007 ~ 2021)
Jisoo Kim
Journal of Climate Change Research.2023; 14(4): 425. CrossRef

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Operative treatment of fracture of medial epicondyle of humerus in children: Ho Jung Kang, Yong Min Cheon, Kye Wook Song, Eung Shick Kang, Hui Wan Park; J Korean Soc Fract 2001;14(4):762-768. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.762

Abstract PDF: PURPOSE
We investigated injury mechanism, clinical feature, treatment, and prognosis in fracture of medial epicondyle of humerus in children. MATERIAL AND METHOD: From April 1997 to April 2000, 10 fractures of medial epicondyle of humerus treated by operative method and followed up for minimum 12 months were analyzed retrospectively.
RESULTS
The injury mechanism includes slip down with elbow outstretched in 8 case, throwing ball in one case, arm wrestling in other one case. Ulnar nerve symptom at the distal region of fracture site was noted in one case. 2 cases had elbow dislocation at the time of trauma. Fractured fragment displaced more than 5mm in 9 cases and fractured fragment incarcerated in elbow joint in one case. Open reduction and internal fixation was done with medial approach. The mean period of cast immobilization was 6 weeks postoperatively and after removal of cast, gentle exercise of range of motion was started. After operation and postoperative follow up, in all case except one, the full range of motion of elbow joint was recovered and there were no Unar nerve symptom and valgus instability in affected elbow joint.
CONCLUSION
The indication of operation for fracture of medial epicondyle of humerus is controversial, yet. We had done open reduction and internal fixation for medial epicondyle of humerus only in case of displacement of fractured fragment more than 5mm and incarceration in elbow joint after manual reduction, ulnar nerve symptom. In 90 percents of all case, the result was satisfactory.

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Treatment of Comminuted Fractures of Femur & Tibia with Ilizarov Apparatus: Soo Bong Hahn, Hong Jun Park, Hui Wan Park, Sung Hun Kim; J Korean Soc Fract 2000;13(1):20-29. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.20

Abstract PDF: PURPOSE
To evaluate the effectiveness of Ilizarov external fixator for the treatment of unstable closed or open comminuted femoral and tibial fractures, especially those with severe soft tissue injury by clinical and radiological analysis.
MATERIALS AND METHODS
Fifty six consecutive femoral or tibial fractures were treated using Ilizarov external fixator between May 1991 and August 1998 and followed up for minimum 12 months upto 36 months with the average of 16 months. All of them consisted of comminuted or segmental fractures. And thirty five cases of them were open fractures. There were nine Type I, seventeen Type II, five Type IIIA, and four Type IIIB fractures. Primary closure was performed for Type I and II fractures. Split-thickness skin graft (5 cases) and free vascularized flap (3 cases) were used for severe soft tissue defects.
RESULTS
All fractures healed within the average of 7.7 months (from minimum 3 months to maximum 24 months). Bone grafts were performed in 39 cases. Bony union was obtained in all the cases with Ilizarov method. The most common complication, the adjacent joint contracture was developed in 21 cases (37.5%). Pin site infection in 12 cases (21.4%), delayed union in 3 cases (5.4%), angulation deformity in 2 cases (3.6%) were developed.
CONCLUSION
The Ilizarov external fixation technique is one of the effective methods in the management of unstable closed or open comminuted femoral or tibial fractures.

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Treatment of Cubitus Varus Using Tension Band Wiring after the Supracondylar Osteotomy: Dne Yong Han, Hui Wan Park, Dong Eun Shin, Ki Won Suh; J Korean Soc Fract 1997;10(3):678-684. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.678

Abstract PDF

Cubitus varus is the most common angular deformity that results from supracondylar fractures in children. Although this deformity rarely limit elbow function, the correction is frequently requested due to cosmetic problem. This paper was prepared to describe the operative method and to evaluate the clinical results of tension band wirinB after distal humeral supracondylar osteotomy for cubitus varus. The result was evaluated using Oppenheim criteria. Excellent or good cases were 94.4%. We concluded that tension band wiring is a satisfactory method of treatment for cubitus varus.

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Evaluation of tension-band osteosynthesis for cubitus varus deformity in pediatric patients: A retrospective review
Man Duc Minh Phan, Terry Richard Light, Tiep Van Phan, Phi Duong Nguyen
Journal of Hand and Microsurgery.2025; 17(2): 100213. CrossRef

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Interlocking Nailing for Tibial Fractures: Ick Hwan Yang, Kyu Hyun Yang, Dae Yong Han, Hui Wan Park, Hyun Cheol Oh; J Korean Soc Fract 1995;8(3):538-543. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.538

Abstract PDF: Nawadays, tibial fractures are not uncommon and those treatment methods are varied also. Recently interlocking nailing for tibial fracture is widely used. Between March 1992 and February 1994, 20 tibial fractures were treated with interlocking nail in 18 patients over 12 months follow up. The results were as follows: 1. Seventeen cases(85.0%) were able to perform active ROM exercise of knee and ankle within 1 week. Partial weight bearing for dynamic interlocking nailing, was allowed in 2.6 weeks(mean). For static interlocking nailing, weight bearing was allowed in 6.7 weeks. 2. The average operation time was 42 minutes, blood loss within 100ml. The fracture sites were not exposed. 3. Union without complications was achieved in 19 cases(95.0%) in average 12.8 weeks. One case needed a secondary operation later with Ilizarov external flxator due to reduction failure. 4. There was no nonunion or reduction loss after weitht bearing. 5. Complications were reduction failure, supeficial infections, and screw breakages. In conclusion, interlocking nailing for tibial fractures was gained good results with low complications and early weight bearing, leads to excellent results.

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A Clinical Study of Ankle Diastasis with Fracture of flbula: Koon Soon Kang, Jun Seop Jahng, Hui Wan Park, Ho Jung Kang, Young Chul Cho; J Korean Soc Fract 1994;7(2):388-396. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.388

Abstract PDF: Ankle joint is important as a weight-bearing joint and ankle diastasis requires accurate diagnosis and treatment. The authors analysed 82 cases of ankle diastasis with fibular fracture during the year 1986 through 1992 at YoungDong Severance Hospital. The results obtained are as follows. 1. The most common cause of injury was slip down, and traffic accident and fall down in order. 2. By Weber classification, 42 cases were type BS(+) and 40 cases were type C. By Lauge-Hansen classification, supination-external rotation was most common (35 cases). 3. Open reduction was done in all cases for fracture of fibula. 45 cases of ankle diastasis were treated with one transfixation screw and 37 cases without transfixation after confirmation by Cotton test. 4. The result according to Cottons criteria, 39 cases(86.7%) were were good or fair in transfixation group, and 34 cases(91.9%) in nontransfixation group. In conclusion, the transfixation screw was not necessary in cases of ankle diastasis which was considered as stable by Cotton test after internal fixation for the fracture of fibula.

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Corrective corticotomy by Ilizarov technique in supramalleolar malunion of tibia: Hui Wan Park, Jun Seop Jahng, Koon Soon Kang, Weon Ik Lee; J Korean Soc Fract 1993;6(1):112-118. Published online May 31, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.1.112

Abstract PDF: No abstract available.

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Treatment of the defect nonunion of the tibia by Ilizarov internal transfer technique report of one case: Kyu Hyun Yang, Jun Seop Jahng, Hui Wan Park, Jin Woo Lee; J Korean Soc Fract 1991;4(1):106-111. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.106

Abstract PDF: No abstract available.

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Dislocation of Fifth Carpornetacarpal Joint: Two Cases Report: Jun Seop Jahng, Hui Wan Park, Kyu Hyun Yang, Chang Hoon Jeon; J Korean Soc Fract 1990;3(2):275-279. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.275

Abstract PDF

Dislocation of fifth carpometacarpal joint is an unusual injury. In First case, traumatic dislocation of fifth carpometacarpal joint, fracture of the shaft of fourth metacarpal bone and hamate were present. The diagnosis of dislocation of fifth carpometacarpal joint was missed initially. In second case, there was only dislocation of 5th CMC joint. In these cases, we treated the dislocation of fifth carpometacarpal joint with percutaneous K-wire fixation and short arm splint immobilization.

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Fracture-Dislocation of the Carpometacarpal Joint with the Fracture of Hamate
Jin Woong Yi, Whan Young Chung, Woo Suk Lee, Cheol Yong Park, Youn Moo Heo
Journal of the Korean Fracture Society.2008; 21(4): 297. CrossRef

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A Clinical Study on the Supracondylar and Intercondylar Fractures of the Femur: Koon Soon Kang, Jun Seop Jahng, Hui Wan Park, Kyu Hyun Yang, Seok Joo Moon; J Korean Soc Fract 1990;3(2):170-179. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.170

Abstract PDF: The fractures of the supracondylar and intercondylar region of the femur are difficult to manage because of the wide range of potential complications. Most studied over the past twenty years have attempted to compare the results of nonsurgical with those of surgical methods. The new fixation divices and techniques were developed. The accurate anatomical reduction, rigid internal fixation, and early motion of joint have more improved results of the treatments than past. The following clinical results were shown by analsis of 18 cases of supracondylar and intercondylar fractures of the femur treated in the Department of Orthopedic Surgery, Yonsei University, College of Medicine during the past 6 years from Jan. 1983 to Dec. 1988. 1. The prevalent age distribution was between 41 and 50 years of age(33.3%) and the ratio between male and female was 1.3:1. The most common cause of injury was traffic accidents(66.7%). 2. A classification of supracondylar and intercondylar fractures was divided according to ASIF classification, and the most common type was C2(55.5%). 3. Thirteen patients(72.2%) were associated with injuries of other parts and the most frequent associated fracture was tibial fracture and the most common associated other injury was cerbral consussion or contusion. 4. The satisfactory(excellent or goo) result of surgical treatment(14 cases) and conservative treatment(4 cases) was equal(50.0%). But severity of injury of conservative treatment group was milder than surgical treatment group. 5. Complications were deep infection of 2 cases(11%), delayed and nonunion of 4 cases (22%), Knee joint siffness below 90 rnage of motion of 8 cses(44.4%). 6. Finally, good results of treatment depend largely on early accurate anatomical reduction, rigid internal fixation, early joint motion.

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3 Cases of Open Comminuted Fracture of the Ankle with the Loss of the Lateral Malleolus: Hui Wan Park, Jun Sub Jahng, Koon Soon Kang, Yong Ho Kang; J Korean Soc Fract 1989;2(2):206-210. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.206

Abstract PDF: The importance of fixation of the medial malleolus was stressed in the treatment of ankle joint fractures in the early 60s; later more attention was paid to the effects of the treatment of the lateral malleolus. Fibular integrity is essential in stabilizing of the ankle joint. Loss of lateral malleolus may result in separation of inferior tibiofibular joint, ankle instability and talus displacement. Eventually this leads to traumatic arthritis. The authors experienced 3 cases of loss of lateral malleolus which were treated at Yongdong Severance hospital, Yonsei University College of Medicine. The results were obtained as follows; total loss of lateral malleolus leads to adductioin instability of talus and slightly lateral talar shift, and partial loss of lateral malleolus leads to no lateral talar shift. But the results are obtained for short term and long term follow up is needed.

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A Clinical Study of Femoral Neck Fracture Over Age of 50 Years: Hui Wan Park, Jun Seop Jahng, Koon Soon Kang, Kyung Hoon Kang; J Korean Soc Fract 1988;1(1):76-85. Published online November 30, 1988; DOI: https://doi.org/10.12671/jksf.1988.1.1.76

Abstract PDF: We clinically analysed 125 fractures of femoral neck which had been operated at the Department of Orthopedic Surgery, Yonsei University College of Medicine from January 1976 to December 1985. Of there, 45 fractures were treated with internal fixation, 43 fractures with primary hemiathroplasty, 37 freactures with total hip replacement arthroplasty. The criteria for internal fixation was fracture that could be reduced satisfactorilly and the age of the patients were under 65 years. The criteria for primary hemiarthroplasty was in elderly patient over 65 years, displaced, comminuted subcapital of trascervical fractures, irreducible fractures, pathological fractures and patients having generalised disease or senile psychosis. The criteria for total hip replacement arthroplasty was neglected fractured paients with significant medical problems and patients who had previous hip disease such as degenerative arghritis or rheumatoid arthritis. Following results were obtained. 1. Subcapital type(75%) according to anatomical classification and Graden type III,IV(80%) according to displacement were the most common type, respectively. 2. In cases of internal fixation, accurate medial cortical contact was required and redis-placement and collapse of fragments were prevented by supplementary fixation. 3. The overall rate of osteoporosis was reported to be 85%(below Singh index IV) in our series. The study should be directed not only on the fracture treatment but also on the prevention of refracture via the study of osteoporosis. 4. Good functional end results were obtained in 77% of the internal fixation group and primary hemiarthroplasy group. Internal fixation may be advantageous for femur neck fracture of elderly than arthroplasty in view of biomechanical status of hip joint.

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