Journal of Musculoskeletal Trauma

Comparative Study of Bipolar Hemiarthroplasty and Second Generation Intramedullary Nailing on Treatment of Elderly Unstable Peritrochanteric Femoral Fractures: Ho Hyun Yun, Gil Yeong Ahn, Il Hyun Nam, Gi Hyuk Moon, Jae Wook Lee, Jae Cheol Kim; J Korean Fract Soc 2006;19(2):128-134. Published online April 30, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.2.128

Abstract: PURPOSE
To evaluate and compare the clinical and radiological outcome of bipolar hemiarthroplasty and second generation intramedullary nailing for elderly unstable peritrochanteric femoral fracutre.
MATERIALS AND METHODS
From January 2000 to July 2004, 56 elderly unstable peritrochanteric fractures were treated with a bipolar hemiarthroplasty (34 cases) or a ITST intramedullary nailing (22 cases). The fractures were classified using the OTA/AO classification. The clinical results were evaluated by walking capability, hip joint pain, and thigh pain. The radiological results were evaluated on the basis of the radiographs at follow-up.
RESULTS
In bipolar hemiarthroplasty group, The mean operation time was 134 minute, the mean blood loss was 648 ml. In intramedullary nailing group, The mean operation time was 103 minute, the mean blood loss was 386 ml. There were no different walking ability between prefracture and postoperative state in 22 cases (65%) of bipolar hemiarthroplasty group, 18 cases (80%) of intramedullary nailing group respectively. There were 5 cases (14%) hip joint pain in bipolar hemiarthroplasty group and 4 cases (18%) thigh pain in ITST intramedullary nailing group postoperatively.
CONCLUSION
Comparing the operation time, blood loss, and walking ability, ITST intramedullary nailing group show superior clinical outcomes than bipolar hemiarthroplasty group. However, The effort for decreasing postoperative thigh pain might be required.

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Reconstruction of Medial Collateral Ligament in Old Posterior Dislocation of the Elbow: Sang Soo Lee, Ho Yeun Hwang, Dong Hee Lee, Il Hyun Nam, Sang Un Lee; J Korean Soc Fract 2000;13(3):576-583. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.576

Abstract PDF: PURPOSE
To evaluate and analyse the operative results of reconstruction of medial collateral ligament(MCL) in old posterior dislocation of the elbow.
MATERIALS AND METHODS
Nine patients (from 1989 to 1999) with old posterior dislocation of the elbow treated by operation were reviewed. We analysed the pattern of dislocation, associated injury, method of operation, complication and functional results. All patients were treated with open reduction. Reconstruction of MCL was undertaken in three patients of nine.
RESULTS
All nine patients who had underwent open reduction were improved in the flexion-extension motion of elbow. Three patients of nine underwent reconstructive surgery of MCL were much improved in the flexion-extension motion. But there is no differences in improving the pronation-supination motion between of them(P>0.05, ttest).
CONCLUSION
Precise understanding of MCL anatomy and appropriate intraoperative technique are mandatory. We achieved much more range of motion in the cases of reconstruction and early motion rather than those of immobilization for 3 weeks with K-wire. We believe reconstruction of MCL is a useful addition to treatment options for old elbow dislocation of elbow.

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Nonunion of the Clavicular Fracture: Sang Eun Lee, Il Hyun Nam, Sang Soo Lee, Dong Hee Lee, Keum Joo Lee; J Korean Soc Fract 1999;12(3):741-748. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.741

We analysed 20 cases of clavicular nonunions, treated by internal fixation with plate and bone graft at the Pohang St. Marrys Hospital between 1993 and 1997. Among them, sixteen patients had been treated with conservative method and four with surgery initially. Radiologically, seventeen nonunions were atrophic and three hypertrophic. Interposition of the injured soft tissue, inadequate reduction and insecure fixation were etiologic factors of nonunion in this study. The complete unionswere achieved in eighteen by plating with iliac bone graft and in two by intramedullary fixation with S-pin or Rush-pin each The average time for union was 14.2 weeks. The average length of follow-up was 16.5 months. The complications were limitation of motion in three patients and brachial plexus injury in one. Associated symptoms of the nonunion including pain disappeared in all patients. In this study, we discuss the cause and treatment of clavicular nonunion with specific attention to the rigid internal fixation and the outcome of treatment. We concluded that symptomatic nonunion of the clavicle could be treated by operation, and rigid internal fixation with plate and bone grafts are thought to be a reliable treatment for the nonunion of the clavicle.

Citations

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Costoclavicular Syndrome: A Case Report
Sung Keun Sohn, Sung Soo Kim, Chang Geun Song, Jong Ill Kwak
Journal of the Korean Fracture Society.2007; 20(1): 86. CrossRef

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Treatment of the Acromion Fracture: Sang Soo Lee, Bo Gun Seo, Dong Hee Lee, Il Hyun Nam, Sang Un Lee; J Korean Soc Fract 1998;11(4):941-946. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.941

Abstract PDF: Fractures of the acromion process are relatively rare, then no accepted treatment method has been established. The puroose of this study was to review of the acromion fracture in our cases, to determine trends in the mechanism of injury, the fracture pattern, and treatment method, and to evaluate the clinical results. 1. The types of fracture were type I-A in 4 cases, type I-B in 6 cases, type II in 6 cases, type III in 3 cases. 2. Clinical results were excellent in 9 cases(52.9%), good in 6 cases(29.4%), fair in 3 cases, poor in 1 case. 3. Type III fractures suggesting that early surgical intervention may be indicated.

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The Treatment of the Intra-articular Fracture of Distal Radius: Joo Tae Park, Gil Yeong Ahn, Il Hyun Nam, Gyun Hwan Kim; J Korean Soc Fract 1996;9(1):193-199. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.193

Abstract PDF: Althougn not as common as the intra-articular fracture of distal radius, if present considerable challanges in management. Because the intra-articular fracture is frequently accompanied by comminution and intra-articular extension of fracture, it can produce rome disability of the wrist joint. Now there are wide consensus that more aggressive surgical treatments are needed in such complex fracture to fulfill the better results. So recently, anatomical reduction, rigid internal fixation and early rehabilitation was recommended. The authors analized sixteen causes of intra-articular fracture of distal radius that were treated with open reduction and internal fixation at the Department of Orthopedic Surgery of Pohang St, Marys Hospital from March,1990 to December,1993. The object of this study is to evaluated the correlation between the rigid internal fixation and early rehabilitation. The average follow up period was 18.3 months(from 14 to 21 month) The result were as follows, 1. Among 1st 2 weeks after operation, long arm cast was applied. During 2nd 2 weeks, monster cast was applied. At 4 weeks, we started R.O.M.exercise and additional night splint was applied during 4 weeks. 2. The radiological union was achieved at all cases and the average time of union was 9.5 months. 3. According the Cole and Obletz criteria, excellent were 11 cases, good 3 cases, fair 2 cases. 4. We obtained satisfactory result by rigid internal fixation and early rehabilitation.

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The Treatment of the Supracondylar-Intercondylar Fracture of the Femur: Joo Tae Park, Gil Yeong Ahn, Il Hyun Nam, Jung Kyu Ji; J Korean Soc Fract 1995;8(1):31-38. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.31

Abstract PDF: Although not as common as femoral shaft fracture, supracondylar-intercondylar fracture of the femur present considerable challanges in management. Because supracondylar-intercondylar fracture is frequently accompanied by severe soft tissue damage, comminution and intraarticular extension of fracture, it can produce some disability of the knee joint, So recently, early anatomical reduction, rigid internal fixation and early rehabilitation was recommended. The authors analyzed twenty cases of supracondylar-intercondylar fracture that treated at the Department of Orthopaedic Surgery of Pohang Saint Marys hospital from March, 1990 to December, 1993. The object of this study is to evaluate the corelation between the rigid internal fixation and early rehabilitation, The average follow up period was 18.3 months(form 14 to 27 months,) The results were as follows; 1, Among the twenty cases, male was more common than female and the prevalent age was 4th decade(50%). 2. The most common cause of injury was trafnc accident in 15 cases(75%). 3. During 1st 3weeks after operation, we started active R.0.M. exercise by using Thomas splint with Pearson attatchment and long leg brace with ischial weight bearing was applied from 3months to 6months (averge 4.2 months). We permit partial bearing Sweets after operation, 4. According to Schatzker and Lambert criteria, excellent were 16 cases, good 3 cases, feir 1 case. 5. We obtained satisfactory by rigid internal fixation and early rehabilitation.

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A clinical obsevation of ankle fracture dislocation: Joo Tae Park, Kil Yeong Ahn, Il Hyun Nam, Jong Myung Keum; J Korean Soc Fract 1993;6(2):296-302. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.296

Abstract PDF: No abstract available.

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A clinical survey of carpal scaphoid fracture and carpal dislocation: Joo Tae Park, Kil Yeong Ahn, Il Hyun Nam, Jeong Gyou Chi; J Korean Soc Fract 1993;6(1):77-84. Published online May 31, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.1.77

Abstract PDF: No abstract available.

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