Journal of Musculoskeletal Trauma

Operative Treatment of Bilateral Tibial Tuberosity Fractures in Adolescent: A Case Report: Hong Kyun Kim, Jung Han Yoo, Yong Wook Park, Jin Soo Park, Kyu Cheol Noh, Kook Jin Chung, Keun Jong Jang, Ji Hyo Hwang; J Korean Fract Soc 2010;23(3):317-320. Published online July 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.3.317

Abstract PDF: Bilateral avulsion fractures of the tibial tubercles are extremely rare. There is no case report about this in Korean literature. We present simultaneous bilateral tibial tuberosity fractures in 14-year-old adolescent male fell on the ground during running. These fractures were managed by open reduction and screw fixation. We gained complete union and removed metal after 6 months. Functional results were excellent 6 month after surgical treatment.

Treatment for the Supracondylar Fractures of the Distal Humerus with Cannulated Screw: Jin Soo Park, Young Khee Chung, Jung Han Yoo, Kyu Cheol Noh, Kook Jin Chung, Dong Nyoung Lee; J Korean Fract Soc 2007;20(1):58-63. Published online January 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.1.58

Abstract PDF: PURPOSE
To evaluate the results of the treatment of the supracondylar fractures of the humerus according to the fixation methods with cannulated screw.
MATERIALS AND METHODS
Eight patients, aged 49 to 82 years (average, 65 years), were reviewed after a mean follow-up of 16 months (range, 12~24 months). According to AO classification all fractures were classified as type A2 (simple transverse supracondylar fracture). All patients underwent closed reduction. Percutaneous fixation with cannulated screws was performed in 8 patients. Three of 8 patients had associated medical problems and one patient had distal radius fracture. The functional results were assessed by the Mayo Elbow Performance Score.
RESULTS
Mean operation time was 59 minutes (45~75) and all the patients with cannulated screw fixation had bony union and were able to early ROM exercise. Mean ranges of motion was 5~120 degrees with excellent functional results. Functional evaluation of elbow joint by Mayo method showed mean value of 88 (75~95).
CONCLUSION
The cannulated screw fixation of supracondylar fracture of humerus, especially in the elderly aged group with medical disease had excellent functional results (rigid fixation & early ROM exercise) due to shortening of surgery time and anesthesic time, combined with decreased technical difficulties of the surgical procedure

Interlocking Intramedullary Nailing of the Humerus Shaft Fractures: Ji Ho Lee, Jin Soo Park; J Korean Soc Fract 2000;13(4):982-991. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.982

Abstract PDF: PURPOSE
The purpose of this study is to document the results of the interlocking nailing of the humerus fractures which is still controversial.
MATERIALS AND METHODS
Twenty three cases of interlocking intramedullary nailing was done. 13 nails were inserted through the shoulder, 10 nails through the olecranon fossa. We used a closed technique for the 22 cases of the nailing.
RESULTS
Most patients who had antegrade nailing complained of shoulder pain. The bony union was obtained in 8 patients(61.5%) with antegrade nailing patients, somewhat high rate of nonunion compared to other methods of treatment. Criticism of the procedure is because of the trauma that can occur to the rotator cuff and possible impingement syndrome, which can occur after antegrade insertion. As for the retrograde nailing patients, the union rate was 90%, higher than that of antegrade nailing patients, but without statistical significance. Fracture propagation(3 cases), limitation in elbow extension(1 case) and rotational deformity(1 case) were occurred in retrograde nailing patients.
CONCLUSION
Though interlocking intramedullary nailing are an attractive alternative for humeral fracture stabilization because of the limited surgical exposure, there must be further considerations for the insertion site problems and improvement in bony union rate.

Fractures of the Femur associated with the Hip Arthroplasty: Sung Kwan Hwang, Young Sang Lee, Jin Soo Park; J Korean Soc Fract 1999;12(4):837-843. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.837

Abstract PDF: Periprosthetic fractures as a complication of hip arthroplasty are uncommon. However, the incidence has been increafed recently especially in cementless or press-fit arthroplasties. The need to achieve a tight fit of the prosthesis in the bone when using cementless component has led to increased risk of periprosthetic fractures. We have experienced periprosthetic fractures occurred in 52 cases(51 patients) among 814 hip arthroplastic from January 1990 to December 1997. Among the 52 cases of periprosthetic fractures, 5 cases were occurred in cemented femoral stem(5 cases among the total 236 cases of cemented femoral stem : 2.1%), and 47 cases were occurred in the cementless type of femoral stem(47 cases among the total 578 cases of cementless type of femoral stem : 8.1%). There were 43 cases of intraoperative fracture and the rest was occurred postoperatively. According to the Johannson classification, type I fractures were 28 cases, type II fractures were 20 cases, and type III fractures were 4 cases. In postoperative periprosthetic fractures, according to the Vancouver classification, type A fracture was 1 case, typeB 1 fractures were 4 cases, typeB2 fractures were 2 cases, and type C fractures were 2 cases. The accurate preoperative templating and prophylactic managemnet of the risk factors are important for reducing the incidence of periprosthetic fractures.

Fractures of the carpal scaphoid: Sung Kwan Hwang, Jin Soo Park; J Korean Soc Fract 1993;6(1):65-76. Published online May 31, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.1.65

Acromioclavicular dislocation treated by weaver and drum operation: Dae Yong Han, Yeo Hon Yun, Jin Soo Park; J Korean Soc Fract 1992;5(1):14-21. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.14

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