Journal of Musculoskeletal Trauma

The Angular Deformity of Interlocking Nailing in Tibial Fractures: Hwa Jae Jeong, Kyung Chul Kim, Jae Yeul Choi, Bon Seop Koo, Jung Hee Oh; J Korean Soc Fract 2000;13(4):905-911. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.905

Abstract PDF: PURPOSE
We studied the relationship between angular deformity and possibly contributing factors in the treatment of tibial fractures with interlocking nailing.
MATERIALS AND METHODS
Intramedullary nailing of the tibia was performed on 49 cases and were followed for the minimum of 12 months. We analyzed relationship between angular deformity and postoperative tibial alignment, operative technique and other factors.
RESULTS
Of the 49 cases, 19(38%) were angulated. Angular deformity was seen in 60%, 51.8% and 11.8% in the proximal, distal and middle third of tibial fractures respectively. With AO classification, Group A,B,C were angulated in 32.4%, 55.6%, 66.7%. In group A, 43.8% of spiral fractures, 28.6% of oblique fractures and 14.3% of transverse fractures were angulated. The cases combined with fibular fracture showed higher incidence of angular deformity than the cases with intact fibula. The opening of fracture and the nail insertion site were not significant to angular deformity.
CONCLUSION
Angular deformity of interlocking nailing in tibial fractures were more common in proximal, comminuted and spiral fractures. Precise attentions to operative technique i. e. accurate anatomical reduction and centromedullary nail orientation are recommended to prevent angular deformity. In proximal third tibial shaft fractures where muscles and patellar tendon has deforming force on fracture fragment, authors believe that use of interlocking nailing must be limited with fracture pattern.

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Treatment of Comminuted Supracondylar and Intercondylar Femoral Fractures with AO Dynamic Condylar Screw: Kyung Chul Kim, Jae Yeul Choi, Hwa jae Jeong, Bon Seep Koo, Kyung Ho Kim; J Korean Soc Fract 1999;12(2):253-258. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.253

Abstract PDF: Between 1990 and 1995, 22 comminuted supracondylar and intercondylar femoral fractures in 22 patients were treated with the AO dynamic condylar screw(DCS). Minimum twelve months of clinical and radiographic follow-up evaluation were available on all patients. All cases achieved clinical and radiographic bony union. Functional results were graded using a Schatzker and Lambert's criteria. Results were seen to be excellent to good to fair in 100% of A2 cases, 86% of C2 cases, 75% of A3 cases and 67% of C3 cases. The more comminuted fractures were found to have worse clinical results and more radiographic malunion. The ability to obtain good fixation in osteoporotic bone is distinct advantage of the DCS. The results of DCS fixation compare favorably with previous studies using other fixation devices in comminuted supracondylar and intercondylar femoral fractures

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Bipolar Hemiarthroplasty for the Treatment of Displaced Femoral Neck Fracture in Elderly Patients: Uncemented versus Cemented femoral stems: Jae Yeul Choi, Kyung Chul Kim, Hwa Jae Jeong, Bon Seop Koo, Ho Joong Lee; J Korean Soc Fract 1999;12(2):195-202. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.195

Abstract PDF: Forty five patients above the age of 60 with displaced femoral neck fractures were treated by bipolar hemiarthroplasty in Kangbuk Samsung hospital from January 1990 to January 1995. We evaluated these patients for comparison of the results between the cemented and uncemented femoral fixation, especially in elderly patients with medical illness or osteoporosis. During a follow up period of more than two years, the authors found less thigh pain(5.2% versus 38%) and slightly higher Harris hip scores(84.5 versus 80.0 points) in the cemented group in comparison with the uncemented group. Radiographic examination showed less radiolucent zones in the cemented group. Comparing the operative time(86.2 versus 83.8 minutes), hospital stay(4.7 weeks versus 5.3 weeks), blood loss(385 versus 381 ml) during the operation. The postoperative mortality rate was 2%, and the follow-up mortality rate was 11% in the first year. There was no significant difference between two groups in mortality rate. Thus in bipolar hemiarthroplasty in elderly patients with displaced femoral neck fracture, we have obtained satisfactory results despite of poor bone condition and osteoporosis except thigh pain. But the follow up period was too short to assess the late complications of the hemiarthroplasty such as acetabular erosion, implant loosening, so long-term follow up will be necessary

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Operative Treatment of the Tibial Condylar Fracture: Kyung Chul Kim, Jae Yeul Choi, Joon Sik Kim, Young Soo Jhe, Sang Yuon Woo; J Korean Soc Fract 1996;9(2):431-438. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.431

Abstract PDF: The tibial condylar fractures often produce disabilities of the knee joint because it is frequently accompanied by injuries of the ligaments and the menisci. Schatzker had reported that the most common type of the tibial condylar fracture was pure central depression, but we have obtained the result that the most common one of these fractures is cleavage combined with depression and satisfactory outcome. We have analyzed 28 cases of the tibial condylar fractures treated by operative method at the department of the orthopaedic surgery, Kangbuk Samsung hospital from Jan. 1990 to May 1994. We obtained the results as follows; 1. Males were predominant and the patients mean age was 42 years. 2. The most common cause of injuries was pedestrian traffic accident. 3. The most common fracture type according to Schatzkers classification was type II, which was different from the result of Schatzker. 4. We have obtained 68% of acceptable results bu Porters criteria.

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Treatment of the Pediatric Ankle Fracture: Kyung Chul Kim, Jae Yeul Choi, Joon Sik Kim, Young Soo Jhe, Beoung Chul Yun; J Korean Soc Fract 1996;9(2):341-348. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.341

Abstract PDF

The objectives of this study is to evaluate the incidence and the complicated results of pediatric ankle fracture. The injuries of the ankle in children occur mostly at physis rather than ligamentous structure, and the injuries of the physis may result in arrest of the growth of physis and these may lead to angular deformity, joint incongruity, and growth disturbance, which are frequently reported in the literatures. Accurate treatment under the clear understanding of mechanism of injury in very important for preventing this complications. We reviewed 17 cases of pediatric ankle fracture, from June 1990 to June 1994 and followed up for more than 1 year at department of orthopaedic surgery Kangbuk Samsung Hospital. We could obtain results as follows; 1. The mean age was 1 1 years old, and predominant in male. 2. Sports injury was the most common cause. 3. According to modified Dias and Tachdjan classification, supination inversion type was the most common and according to Salter Harris classification, type II was. 4. Eight cases were treated by closed reduction and immobilizatior in a plaster cast, and other nine by open reduction and internal fixation, among them, three cases had complications, such as angular deformity, Joint incongruity, and premature closure of physis.

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Interposition of Periosteum in Distal Tibial Physeal Fractures of Children
Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Jae Woo Cho
Journal of the Korean Fracture Society.2011; 24(1): 73. CrossRef

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The Type and Treatment of Elbow Fractrue in Children: Kyung Chul Kim, Jae Yeul Choi, Joon Sik Kim, Ahn Seok Choi; J Korean Soc Fract 1994;7(1):37-42. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.37

Abstract PDF

The elbow fractures in children are extremely common and sometimes its are quite difficult to determine the diagnosis. Failure to diagnose adequately and treat fractures of the elbow In children may result in severe complications, such as Volkmanns ischemec contracture, nerve injuries and angular deformity Therefore, accurate reduction without additional trauma and good maintenance are essential by closed or open method. A cllnical analysis was performed on 162 patients with elbow fractures and dislocations in Koryo General Hospital from Jan. 1985 to Jan. 1992. 1. The average age of children was 6 years 9 months, and sex ratio was predominently male(3:1) 2. The most common mechanism was fall from height in 142 cases(88%). 3. Fractures of supracondyle in children was common injuries of the elbow ; 89 cases(55%). 4. Although minimally dlsplaced lateral condyle fracture, the accepted method of treatment was open reduction.

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The Amount of Stemflow and Throughfall by the Rainfall in Pinus densiflora Forests
Kyoung-Jin Kim, Kun-Woo Chun, Tsugio Ezaki, Shoji Inoue
Journal of Rainwater Catchment Systems.2000; 5(2): 13. CrossRef

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