Journal of Musculoskeletal Trauma

A Comparison of Plate Fixation with Intramedullary Nailing in Humeral Shaft Fracture: Kwang Won Lee, Kyou Hyeun Kim, Ha Yong Kim, Young Sik Min, Hwan Jung Kim, Won Sik Choy; J Korean Soc Fract 1997;10(4):785-792. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.785

Abstract PDF: We evaluated prospectively ninety-two patients out of 130 humeral shaft fractures requiring surgical stabilization from January 1991 to December 1995. Among them, thirty-one patients received open reduction and internal fixation with plate & screws(PLT). Thirty-one patients received closed reduction & antegrade intramedullary nail fixation(IMN). Thirty patients received closed reduction & antegrade and retrograde endernail fixation(EN). Average follow-up period was 20.7 months. Eleven patients had primary radial nerve palsies. The higher incidence of nonunion was found on IMN(42%), and EN(20%), than PLT(8%). We concluded that the result of IMN was not superior to that of PLT or EN.

Fatigue Fracture of the Interlocking Nail in the Treatment of the Distal Part of the femoral Shaft Fractures: Won Sik Choy, Hwan Jung Kim, Kwag Won Lee, Young Sik Min, Ha Yong Kim, Moon Ho Shon; J Korean Soc Fract 1997;10(3):522-528. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.522

Abstract PDF: Closed intramedullary nailing with or without interlocking screws has been a widely accepted method for the fixation of fractures of the femoral shaft. The design of the interlocking nail introduces the potiential for high stress concentrations at the proximal and distal holes. The authors experienced six cases of metal failure of the interlocking nail in the treatment of fractures of the distal part of the femoral shaft from February 1992 to March 1995. The predisposing factors to fatigue fracture of the interlocking nail were studied. In all patients, the fracture of femur was five centimeters or less from the more proximal of the two distal screw-holes. The risk of fatigue failure may be minimized by using nails that have a larger diameter, by using nails long enough to be driven down to the subchondral area of the knee joint and by avoiding early weight-bearing.

The clinical analysis of acetabular fractures: Won Sik Choy, Kwang Won Lee, Hwan Jung Kim, Dong Hoo Koh, Bung Sun Baik; J Korean Soc Fract 1991;4(2):248-257. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.248

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