Journal of Musculoskeletal Trauma

Recent Trends in Treatment of Supracondylar Fracture of Distal Humerus in Children: Soon Chul Lee, Jong Sup Shim; J Korean Fract Soc 2012;25(1):82-93. Published online January 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.1.82

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Surgical Timing of Treating Pediatric Trauma: Urgencies/Emergencies
Chang-Wug Oh, Joon-Woo Kim, Jong-Chul Lee
Journal of the Korean Fracture Society.2015; 28(2): 146. CrossRef

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Treatment for Intractable Infected Nonunion of Lower Extremity in Elderly People using External Fixator: Seung Jun Park, Jong Sup Shim, Sung Kee Shin; J Korean Fract Soc 2004;17(2):177-183. Published online April 30, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.2.177

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PURPOSE
To introduce and report the results of treatment of old patients' infected nonunion using external fixator.
MATERIALS AND METHODS
Nine patients more than 60 years old were included in the study. Four cases had combined medical problems of diabetes, hypertension, and vascular disorder. We used Ilizarov fixator in eight cases and uni-lateral external fixator in one. All patients were treated with debridement, broad sequestrectomy, segmental resection, bone graft and compression of fracture site about 1~1.5 cm. We evaluated the final results by functional result and complication according to the criteria of Paley.
RESULTS
Average length discrepancy was 1.7 cm before operation by initial bone loss and final follow-up shortening was average 2.6 cm. Mean duration of fixtor removal was 5.2 months. We acquired bony union lastly in 8 cases. Final functional result was 3 excellent, 2 good, 2 fair and 2 poor. Among them, 2 good, 1 fair and 1 poor cases had medical problem.
CONCLUSION
In old patients, compression of nonunion site and early joint motion using external fixator seemed to be very useful in the treatment of intractable infected nonunion of lower extremity and in minimizing duration of treatment.

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Treatment of Infected Nonunion
Sang-Ho Ha
Journal of the Korean Fracture Society.2007; 20(2): 206. CrossRef

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Treatment of the Children's Femur Shaft Fracture by Early Spica Cast: Kwang Hoon Chung, Jong Sup Shim, Ki Sun Sung, Seung Jun Park; J Korean Soc Fract 2003;16(2):270-277. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.270

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PURPOSE
To investigate the proper indication, technical point and complication of the early hip spica cast.
MATERIALS AND METHODS
Thirty-one children with thirty-two fractures more than 2-year follow up were included. The patient's average age and weight were 5 year 2 months and 19.1 Kg respectively. Spica cast was applied as follow. First short leg cast was applied, and then patient was placed on the spica cast table. During the cast incorporation, the hip and knee flexed sufficiently to maintain length and alignment of the fracture, and popliteal fossa was well molded and padded. The meticulous valgus molding of the fracture site was also needed.
RESULTS
Average bayonet overriding of the fracture was initially 1.1 cm, however it increased to 1.5 cm during cast immobilization. In the 9 patients (28.1%), cast wedging correction were needed to 3 to 14 days after initial cast immobilization and the cause of correction was related to patients weight. At the final follow up, there was no serious functional or cosmetic complications.
CONCLUSION
For the successful treatment, the proper patients selection, meticulous cast application and careful radiographic assessment after cast application were needed.

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Stiff Knee by Entrapment of Quadriceps Femoris Tendon at Fracture Site in Paediatric Distal Femur Shaft Fracture
Suk Kang, Jong Pil Kim, Chung Soo Hwang, Phil Hyun Chung, Young Sung Kim, Sang Ho Lee, Jin Wook Chung
Journal of the Korean Fracture Society.2007; 20(4): 339. CrossRef

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Treatment of Displaced Flexion Type Supracondylar Fractures of the Humerus in Children: Comparison with Extension Type: Jong Sup Shim, Min Wook Jung; J Korean Soc Fract 2000;13(4):1044-1052. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.1044

Abstract PDF: PURPOSE
We tried to compare the clinical and the radiologic features between the extension and the flexion type of supracondylar fractures of the humerus in children. MATERIAL AND METHODS: Between May 1995 to September 1999, 68 extension type and 7 flexion type fractures were treated surgically. Baumann's angle, humeroulnar angle, carrying angle, clinical result and clinical features were analyzed and the flexion types were compared with the extension types. Changes in Baumann's angle, humeroulnar angle and carrying angle were evaluated as Excellent or Good, Fair, Poor with reference to the opposite elbow by Kallio method. The Clinical results were evaluated as Excellent or Good, Fair, Poor by the modifying Kallio method.
RESULTS
Mean changes in Baumann's angle were 4.6degrees , 9.3degrees and those in the humeroulnar angle were 3.8degrees , 8.0degrees ( respectively in extension and flexion type (P=0.047, P=0.021, respectively). Changes in carrying angle were Excellent or Good( <10degrees ), Fair(10 ~15degrees ), Poor(> or =15degrees ) in 65, 1, 2 children in extension type and 3, 4, 0 children in flexion type, respectively. Clinical results were Excellent or Good, Fair, Poor in 59, 6, 3 children in extension type and 3, 4, 0 children in flexion type, respectively (P=0.002).
CONCLUSION
Changes of Baumann's angle and carrying angle in flexion type of supracondylar fractures of the humerus in children were greater than those in extension type. The clinical results were poorer in flexion type. We suggested that treatment for flexion type supracondylar fractures should be careful and meticulous with frequent radiologic checkups and follow-ups. Also, if a reduction is not satisfactory with closed method, open reduction should not be hesitated.

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Treatment of Displaced Lateral Condylar Fracture of the Humerus in Children: Jong Sup Shim, Sung Min Kim; J Korean Soc Fract 2000;13(2):201-207. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.201

Abstract PDF: PURPOSE
: We tried to define the complications related to the degree of injury and the treatment modalities in surgically treated lateral condylar fracture of the humerus in children. MATERIAL : We experienced 42 children under 15 years of age who were diagnosed lateral humeral condylar fracture and treated by operation. The follow up periods were from 6 months to 39 months, average 15.2 months. There were 4 cases of Milch type I fracture and 38 cases of Milch type II fractures. According to the displacement, there were 9 cases of stage I fracture, 20 cases of stage II fracture, and 13 cases of stage III fracture. The age distribution was from 1.5yrs. to 13yrs.(average ; 5.2years) and there were 26 male children and 16 female children.
METHOD
: 6 cases of stage I fracture and 2 cases of stage II fracture were treated by maunal reduction and percutaneous K-wire fixation. 3 cases of stage I fracture revealed incongruency of articular surface, 18 cases of stage II fractures and 13 cases of all stage III fracture were treated by open reduction and percutaneous K-wire fixation.
RESULT
: There 13 cases of lateral bony hypertrophic(30.9%), 4 cases of minimal limitation of elbow joint motion(9.5%), 3 cases of hypertrophic skin scar(7.1%), 2cases of pin tract infection(4.8%), one case of slight decrease of carrying angle(2.4%). Howerer there was no serious complication such as nonunio or cubitus valgus. Limitation of elbow joint motion occurred significantly higher in Milch type I fracture(2 cases, 50%) than Milch type II fracture(2 cases, 5.3%)(p<0.05). Lateral bony hypertroph occurred significantly higher in open reduction(12cases, 35.3%) than in manual reduction(one case, 12.5%)(p<0.05). Also lateral bony hypertrophy occurred higher in moderate and severe displaced fractures(stage II and III ; 12cases, 36.4%) than in minimal displaced fractures(stage I ; one cases, 11.1%)(p<0.05).
CONCLUSION
: In the displaced lateral humeral condylar fractures in children, the serious complications can be avoided through selecting adequate treatment modality. In the case of open reduction, the possibility, the possibility of lateral bony hypertrophy should be minded.

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Fat Embolism Syndrome: Current Concept: Byung Oh Chung, Won Hwan Oh, Jae Gon Seo, Jong Suh Lee, Jong Sup Shim; J Korean Soc Fract 1999;12(1):170-178. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.170

Abstract PDF: No abstract available.

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Treatment of Supracondylar Fracture of the Humerus in Children: by Early Closed reduction & K-Wire Fixation: Jong Sup Shim, Won Hwan Oh; J Korean Soc Fract 1998;11(3):634-643. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.634

Abstract PDF: We treated supracondylar fracture of the humerus in children by early closed reduction and K-wires fixation using two lateral parallel K-wires for partially displaced fractures(Gartland Ib, II) and three K-wires,two lateral and one additional medial crossed K-wire for type III fractures. This study is to analyze our method for the treatment of supracondylar fracture of the humerus in children. Sixty-two fractures(4 type Ib, 20 type II and 38 type III) underwent K-wires fixation after closed reduction of the fracture from October 1994 to April 1997 were included in this study. The patients age ranged from 2 years and 2 months to 12 years and 7 months, averaging 6 years and 2 months. All the fractures were treated within 24 hours after arrival in the hospital. After general anesthesia, each fracture was reduced manually and fixed by K-wires under fluoroscopic control. Two lateral parallel K-wire were used for fixation of all type Ib and II fractures. We tried to keep the gap between two K-wires be 1 cm or more. In type III fractures, fractures were fixed by two parallel lateral K-wires and followed by one medial crossed K-wire. The K-wires were removed after averaging 3.2 weeks after operation in out patient clinic. The follow-up period ranged from 6 months to 34 months. averaging 14 months. By Flynn's functional and cosmetic criteria, 37 fractures (97.4%) among 38 type III fractures resulted in satisfactory criteria. All of the type I and II fractures (100%) resulted in satisfactory criteria. In conclusion, our decision is considered as safe and reliable option for the treatment of supracondylar fractures of the humrus in children.

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Epiphyseal Injury of Long Bones: Review of Structure and Function of the Growth Pate: Won Hwan Oh, Jong Sup Shim; J Korean Soc Fract 1995;8(2):323-331. Published online April 30, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.2.323

Abstract PDF: No abstract available.

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