Journal of Musculoskeletal Trauma

Operative Treatment of Intraarticular Fractures of the Distal Radius: Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Jong Oh Kim, Dong Jun Kim, Jong Keon Oh, Han Cheon Bang; J Korean Soc Fract 1998;11(1):56-62. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.56

Abstract PDF: Intraarticular fractures of the distal part of the radius comprise a distinct subgroup of fractures that are difficult to manage and are associated with a high frequency of complication and represent one of the greatest challenges to the orthopaedic surgeon. We reviewed 30 cases(28 patients) of intraarticular fractures of the distal radius treated surgically in orthopaedic department of Ewha medical center between January 1993 to May 1996 and analyzed the correlation between the clinical end results and radiographic parameters. The clinical end results were significantly worse when radia inclination didn't exceed 15, or radial length was less than 10mm or dorsal tilt exceeded 0. Ulna styloid fractre did adversely affect the clinical results. In our study 2mm articular step off did not show any difference in clinical results. But this is thought to be the result of relatively short period of follow up. Therefore we need to analyse this factor with long term follow up data.

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Ankle Arthrodesis by Internal Fixation with Cancellous Screws and Fibula Strut Graft: Report of Two Cases: Jin Man Wang, Kwon Jae Roh, Yeo Hon Yun, Dong Jun Kim, Joo Seok Eom; J Korean Soc Fract 1997;10(3):480-484. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.480

Abstract PDF: We present two cases of ankle arthrodesis in which tibiotalar fixation was achieved by two cancellous-bone screws across the ankle joint and a lateral fibular strut graft fixed with a proximal and a distal screw. This operation is a technique described by Thordarson and his associates, who performed only an in vitro biomechanical study using fresh-frozen cadaver. Through the recent clinical trial, we could get excellent results in both of our cases. We feel the fibular strut graft provides additional stability to tibiotalar internal fixation. This technique may have a special value for those cases with poor bone quality or osteoporosis.

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Treatment of Intertrochanteric Fractures of femur in Elderly Patient with Osteoporosis: Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Jong Oh Kim, Yeo Hon Yun, Seok Beom Lee, Dong Jun Kim, Chung Hyok Choi, Dong Wook Kim, Seok Woo Kim; J Korean Soc Fract 1994;7(2):404-411. Published online November 30, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.2.404

Abstract PDF: With the age of our population advancing, the number of elderly osteoporotic patients with comminuted intertrochanteric fractures of the femur has increased dramatically. Intertrochanteric fractures of the femur usually occur in a more elderly age group than femoral neck fractures of the femur usually occur in a more elderly age group than femoral neck fractures. Intertrochanteric fractures are best treated by intenal fixation, since this mehod provides satisfactory positioning of the fragments and obviates the hazards of recumbency. However, in some caces with severe osteoporosis, arthroplasty is an excellent altemative to the internal fixation. From 1987 to 1992, thirty-six intertrochanteric fractures of femur in the elderly patients(over 60 years of age) were treated by operation at the department of orthopaedic surgery in the Ewha Womans University Hospital. Thirty-three caces were internally fixated with the sliding-compression hip screws-plates(30), the Gamma interlocking intramedullary nails(2), the Rohs plate(1), and in three caces endoprosthetic or total hip replacement arthroplaties were performed.

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Primary Open Reduction of the Clavicular Shaft Fractures in Adults: Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Yeo Hon Yun, Dong Jun Kim, Cheol Min Kim; J Korean Soc Fract 1994;7(1):87-94. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.87

Abstract PDF: The clavicle plays very important role in the motion of the shoulder girdle and maintenance of power and stability of the arm. The most clavicular shaft fractures can be treated by conservative methcds with a high rate of union and low rate of complications. The operative treatment in clavicular fracture is limited in such as wide separation of the fragments with soft tissue interposition, nonunion, or neurovascular involvements. From 1989 to 1991, eighty six consecutive patients with clavicular shaft fractures were treated at Ewha Womans University Hospital. Fifty eight patients were treated conservatively(Group I) and twenty eight patients operatively(Group II) Authors compared both groups and obtained the following results; 1. The most common cause of injuries was the traffic accident and the most common associated skeletal injury around the shoulder was the rib fracture. 2. The degree of comminution and displacement of the clavicular shaft fracture were more severe in Group II. 3. The average time to union was 8.7 weeks in Group I and 10.3 weeks in Group II. 4. The average rate of union at 4 months was 93.1% in Group I and 96.4% in Group II 5. The functional result was good or excellent in over 90% in both Groups according to the Kangs criteria. 6. The rate of complication was 8.0% in Group I (one nonunion, three delayed unions and one malunlon) and 3.6% in Group II(only one case of nonunion) 7. The immobilization period was between 6 to 8 weeks In Group I and within 4 weeks in Group II in most cases.

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Multiple K Wires fixation of the intercondylar fracture of humerus in adults: Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Yeo Hon Yun, Do Yearn Cho; J Korean Soc Fract 1993;6(2):325-330. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.325

Abstract PDF

No abstract available.

Citations

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A Retrospective Comparative Study of Internal Fixation with Reconstruction Plate Versus Anatomical Locking Compression Plate in Displaced Intercondylar Fractures of Humerus
Tong-Joo Lee, Young-Tae Kim, Dae-Gyu Kwon, Ju-Yong Park
Journal of the Korean Fracture Society.2014; 27(4): 294. CrossRef
Operative Treatment of Displaced Intercondylar Fracture of the Distal Humerus with Reconstruction Plate
Ryuh Sup Kim, Tong Joo Lee, Kyoung Ho Moon, Seung Rim Park, Moon Lee
Journal of the Korean Fracture Society.2007; 20(2): 172. CrossRef

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A clinical study of the tibial condylar fractures associated with the ligament injuries: Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Yeo Heon Yun, Yu Dong Kim; J Korean Soc Fract 1993;6(1):135-145. Published online May 31, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.1.135

Abstract PDF: No abstract available.

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Clinical Results of the Nonunion of Tibia: Chung Nam Kang, Jin Man Wang, Kwen Jae Roh, Yeo Hon Yun, Han Chul Kim; J Korean Soc Fract 1992;5(2):275-281. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.275

Abstract PDF: Tibia is anatomically predisposed to an open fracture because of inadequate covering of soft tissue, and fracture of tibial shaft is more frequently complicated by nonunion than any oter fractures. Although the methods of treatment for nonunion are varied, tibial fractures failed to heal within expected time can constitute a major orthopedic problem. Twenty-six patients of the nonunion of tibia were treated at the Department of Orthopedic Surgery, Ewha Womans University Hospital from January 1983 to December 1990, and were analysed. The results were as follows ; 1. Of twenty-six cases, 21 cases were injured by traffic accident. 2. Most common fracture site & type were middle 1/3 and comminuted fracture. 3. Among fifteen cases of open fracture, seven were Gustilo Type I injury 4. Seventeen cases were associated with injury of other part of the body. 5. Hypertrophic type nonunion were treated intramedullary nailing with fibular osteotomy and then early weight bearing, and these union and satisfactory results were obtained. 6. Atrophlc type nonunion were treated plate and screws with bone graft, and also satisfactory results were obtained.

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Comparative analysis of the surgical treatment in the fracture offemoral neck: Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Jin Rok Oh; J Korean Soc Fract 1991;4(2):215-226. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.215

Abstract PDF: No abstract available.

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Treatment of Extra-articular Proximal Tibial Fracture: Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Sang Kyum Lee; J Korean Soc Fract 1990;3(2):223-231. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.223

Abstract PDF: The management of extra-articular proximal tibial fracture remains controversy. Many reporters recognized that the proximal tibial facture are best treated by closed reduction and long leg cast, however delayed union with this method have frequently been documented in spite of anatomical characteristics of proximal tibia. Thirty patients of the fracture of extra-articular Froximal tibia were treated and managed at the Department of Orthopaedic Surgery, Ewha University Hospital from January, 1583 to December 1989. The following results were obtained: 1. According to Gerard classification, anterior long oblique & posterior long oblique fracture were 18 cases(60%) and 8 cases(27%) respectively. Delayed union developed in 9 cases(50%) of 18 cases anterior long oblique fracture and 2 cases(25%) of 8 cases posterior long oblique fracture. 2. All cases of deleyed union of tibia developed through or below the tuberosity. 3. Among 30 cases, the fractures were managed with closed method at 23 cases, open method at 7 cases, internal fixation at 12 cases without delayed union and external fixator at 10 cases. The all cases using external fixator resulted in delayed union. 4. Among 30 cases, 16 cases(53%) were open fracture, and the most common type was type IIIb. Delayed union developed in 8 cases(50%) of 9 cases(56%) type IIIb. 5. The 24 cases (80%) of fibular fracture were concurred with proximal tibial fracture, and delayed union developed in 10 cases (42% ) of 24 cases fibular fracture and one case of 6. cases without fibular fracture. In conclusion, many delayed unions were frequent. In our experience, in case of GradeIII open comminuted fractures, we used external fixation methods mostly, so delayed unions were developed. But after management of soft tissue injury, healing time were short with bone graft as soon as possible, We consider that in cases in which internal fixation was possible according to soft tissue injury, delated unions are prevented by internal fixation using plate and screws or retrograde flexible nails.

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Operative Treatment on Fracture of Distal Third of Femoral Shaft: Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Roh, Kang Deuk Koh; J Korean Soc Fract 1990;3(1):53-61. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.53

Abstract PDF: The fracture of distal third of femoral shaft difficult to choose method of treatment and timing of wt. bearing because of increrment of communited fracture, anatomic characteristics and complication such as metal faulure, shortening and angulation. After analysis of 52 cases of fracture of distal third femoral shaft treated operatively in the Department of Orthopaedic Surgery, Ewha Womans University Hospital during 5.5yrs from. Jan. 1984 to June 1989 except pathologic fracture, the following results were obtained. 1. By Reis and Hirschberg classification, type I, II and III fracture wore seen in 16 patients (31%), 12 patients(23%) and 24 patients(46%) respectively. 2. The rate of complication was 29%(15 cases) with 46%(7 cases) of the complication related to the nature of the implant. 3. Among the 7 cases of metal faulure, four cases was caused by early wt. bearing and uncarefulness of patients in type III fracture.

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Acase of Fatigue Fracture of the Interlocking nail in the Treatment of Fracture of the Femoral Shaft: Ki Hong Choi, Chung Nam Kang, Jin Man Wang, Kwon Jae Roh; J Korean Soc Fract 1988;1(1):71-75. Published online November 30, 1988; DOI: https://doi.org/10.12671/jksf.1988.1.1.71

Abstract PDF: Closed intramedullary nailing with or without interlocking screws has been a widely accepted method for the fixation of fracture of the femora shaft. Certain complex fractures in which now are commonly treated by dynamic or static locking of the nail by using screws. Interlocking nail introduces the potential for high concentration of stress at both its proximal and its distal end. This paper describes a patient who had at fatigue fracture of the distal part of interlocking nail in the treament of fracture of the femoral shaft.

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