Journal of Musculoskeletal Trauma

Delayed Diagnosed Thrombosis Associated with Closed Fractures Around the Knee: Byung Moon Park, Hyung Koo Yoon, Kwang Pyo Jeon, Kyung Hoom Kang, Jin Il Kim, Dong Soo Kim, Yong Jae Lee; J Korean Soc Fract 2000;13(2):289-295. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.289

Abstract PDF: PURPOSE
: The goal of this study is to decrease the chance of the lower limb loss resulting from the delayed diagnosis of arterial thrombosis after first operation in a patient of the closed fractures around the knee by early diagnosis and proper management via studying several prognostic factors.
MATERIALS AND METHODS
: We have reviewed 8 cases of delayed diagnosed arterial thrombosis patient who was follow up for 1 year or more March 1987 to February 1997, retrospectively. We have followed ip the clinical results.
RESULTS
: The amputation rate was 50%(4/8), and among associated injuries, tibial or peroneal nerve palsy was combined in 75%(6/8). The time interval from initial trauma to diagnosis was significantly different between amputation group(77hours) and non amputation group(34.25hours). Better results were obtained in cases who had early diagnosis and treated with end to end anastomosis than vein graft.
CONCLUSION
: It is very important that the vascular status should be assessed not only at the first examination but also repeatedly over the ensuing hours and days with caution, even though there was absence of ischemic sign.

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Flexible Intramedullary Nailing for Femoral Shaft Fracture in Children: Kwang Pyo Jeon, Kyung Hoon Kang, Jin Il Kim, Dong Soo Kim, Hyung Koo Yoon, Chul Weon Kang; J Korean Soc Fract 1999;12(4):1051-1057. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.1051

Abstract PDF: PURPOSE
: In children, fractures of the femoral shaft have been traditionally treated by immobilization in a spica cast, either immediately or after a period in traction except open fracture or for patient with head injuries. More recently, there has been a growing trend towards surgical treatment with widening of the indications including isolated femoral fractures. To evaluate the clinical, radiological results of surgical treatment for femoral shaft fractures in children, we reviewed 13 cases of femoral shaft fractures in children treated with flexible intramedullary nailing and followed for more than 12 months. MATERIALS & METHODS : The average age of the patients was 11 years and 4 months(range 10- 14 years). The average follow-up period was 1 years and 3 months(range 1 years-1 years and 8 months)after surgery. 10 cases and 3 cases were inserted through antegrade and retrograde entry, RESULTS: No major complications were found except 1 intraoperative iatrogenic fracture and 2 postoperative bursitis ;all fractures were united and radiologic union was obtained at 9.5 weeks after surgery.
CONCLUSION
: The clinical results obtained using flexible intramedullary nails for the stabilization of femoral shaft fracture in children are comparable to non-operative treatment, but with less disruption to family life and a shorter hospitalization while achieving near anatomic alingment, maintaining lengh, and allowing early active motion at the hip and knee.

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Essex-Loprestis Axial Pinning in the Treatment of Intraarticular Calcaneal Fracture: Hyung Koo Yoon, Kwang Pyo Jeon, Kyung Hoon Kang, Jin Il Kim, Dong Soo Kim, Kyung Soub Song; J Korean Soc Fract 1999;12(2):344-350. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.344

Fracture of the calcaneus is the most commonly encountered among fracture of tarsal bone and it is difficult to obtain accurate reduction because the calcaneus has cancellous trabecular enclosed with thin cortical bone. In the past, the result of treatment was poor. Recently, closed reduction and axial pin fixation for tongue type fracture and open reduction and internal fixation for joint depression type fractures are considered as generally accepted treatment methods. The purpose of this study is to evaluate the efficacy of axial pin fixation in joint depression(group A) and tongue type(group B). Retrospective study was performed in 20 patient(23 feet) with intraarticular calcaneal fractures which were treated with axial pin fixation from July 1993 to June 1996. Minimum follow up period was 1 year(average 20 months). The obtaining results were as follows : 1. Cause of injury was fall down in the 18 cases(90%). 2. We obtained excellent or good results from the performance of operation within 2 weeks on trauma patient, in the 16 cases(69%). And we obtained excellent or good results in the 14 cases, showing above 20degreesof postoperative B.. ohler angle. 3. In fracture of joint depression type, there is no relationship between clinical result and degree of joint depression in follow up CT. 4. The complications were subtalar arthritis and two neuroma in sural nerve. We propose our experience obtained in 23 cases that axial pin fixation was a good method for treatment of intraarticular fracture, joint depression type as well as tongue type.

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Joint Depression Type of Intraarticular Calcaneal Fractures Treated with Essex-Lopresti Method
Gyu Min Kong, Byoung Ho Suh, Dong Joon Kim
Journal of the Korean Fracture Society.2007; 20(2): 178. CrossRef

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A Clinical Comparative Study of Reamed and Unreamed Nail of Femoral Shaft Fracture: Hyung ku Yoon, Kwang Pyo Jeon, Kyung Hun Kang, Jin Il Kim, Dong Soo Kim, Young Kwan Koh; J Korean Soc Fract 1998;11(3):495-500. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.495

Abstract PDF

The purpose of this study is to verify the clinical efficacy of unreamed nails compared to reamed nails. The cases of 31 parients in whom 32 fractures of the femoral shaft had been treated by intramedullary nailing with reamed or unreamed nails were prospectively reviewed. Reamed nailing was done for 17 cases, and unreamed nailing was done for 15 cases. The following results were obtained. 1. According to Winquist-Hansen classification, type 1 was 9 cases, type 2,3,4 were 4,2,2 cases 2. The average operation time was 70.5 minutes in reamed group, and 62.5 minutes in unreamed group(p-value=0.638). the average bleeding amount was 450ml in reamed group, and 218ml in unreamed group(p-value=0.000). 3. The mean times to partial weight bearing and full weight bearing were 4.4 weeks, 7.7 weeks in reamed group retrospectively, and 7.2 weeks, 13.7 weeks in unreamed group(p-walue=0.039,0.002). 4. The mean union time was 15.2 weeks in reamed group, and 17.7 weeks in unreamed group(p-value=0.237). 5. According to Denker's functional classification, 15 cases were excellent, 1 case was satisfactory, 1 case was very poor in reamed group, and 13 cases were wxcellent, 1 case was satisfactory, 1 case was poor in unreamed group(p-value=0.545).

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Bursting Fracture of the Proximal Femur during Insertion of Unreamed Femoral Nail for Femur Shaft Fracture - A Case Report -
Ji Wan Kim, Seong-Eun Byun, Won-Hyuk Oh, Jung Jae Kim
Journal of the Korean Fracture Society.2010; 23(2): 227. CrossRef

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Treatment with Unleamed Interlocking Intramedullary Nail for Tibial Shaft Fracture: Hyung Ku Yoon, Kwang Pyo Jeon, Dae Eun Jung, Ho Seung Jeon, Man Je Park; J Korean Soc Fract 1996;9(2):466-474. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.466

Abstract PDF: Recently intramedullary nailing has become the most common method treating tibial fractures. Reamed intramedullaiy nailing technique leaves the problem of destorying the endosteal blood supply, which associated with delayed union and postoperative infection. Recent reports have shown excellent rate of union and low rate of intection with unlearned interlocking intramedullary nail. Author reviewed 58 cases of tibia shaft fractures that were treated with unrealned interlocking nail from Feb. 1992 to Feb. 1994. 1. Furty nine fractures were closed and 9 were open (Gustilo-Andersonl;3,II;5, IIIa;1). Thrity one fractures involved the distal portion, 19 fractures the middle portion, 6 fractures tile proximal portion and 2 fractures were segmental. 2. Thirty six cases were male and 22 were female. The most common age was 3rd decade (25.8%). 3. The most common caute was traffic accident. 4. Average interval from injury to operation were 5.7 days in close fracture and 11.3 days in open fracture. 5. The mean duration of bone union were 15.7 weeks in closed fracture and 19.5 wreks in open fracture. 6. Complications include 1 case of delayed union, 1 case of joint stiffness and 1 case of screw failure. 7. According to the functional results by Klemm and Borner, 42 cases were excellent, 15 cases were good and 1 was fair.

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Overall Review of the Treatment of Tibial Fracture by Endernailing: Technical Consideration of Ender Nailing on Tibial Fracture: Hyung Ku Yoon, Kwang Pyo Jeon, Dae Eun Jung, Ho Seung Jeon, Dae Young Jaang; J Korean Soc Fract 1995;8(2):370-377. Published online April 30, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.2.370

Abstract PDF: Fractures of the tibia are one of the most common injury encountered by orthopaedic surgeons and their treatments are considered to be difficult due to serious complications. Many treatment modalities were introduced. Among them, Ender nailing is considered one of the useful modality because it is a relatively simple and, 3ess invasive procedure Authors analized 123 tibial fractures treated with Endr nails from Feb. 1986 to Feb. 1992 to solve the problems during Ender nailing. The follow up ranged from 12months to 51 months with an average of 11 months. The results are as follows; 1. Among 123 patients,93 cases are male and 30 cases are female. Traffic accident is the most common cause of injury. 2. Average interval from injury to operation is 9 days and average 2.1 Ender nails are used. The mean duration of the bone union is 19.1 weeks. 3. To prevent knee joint pain, more distal medial and lateral portal of entry and more posteriorly located lateral portal of entry were used. 4. To provide stability of distal 1/3 fracture,3 or more nails are introduced with fanning in AP and lateral plane. 5. to provide stability of the comminuted fractures, convexities of at least 2 nails are located at the comminuted site. 6. To prevent rotation of the middle fragments of segmental fractures, technique of temporary Steinmann pin fixation for handling the middle fragment during operation were used.

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Clinical Study on Monteggia fracture in Adults: Hyung Ku Yoon, Kwang Pyo Jeon, Kuk Whan Oh, Dae Eun Jung, Kyung Hoon Kang, Nam Kil Cho; J Korean Soc Fract 1994;7(1):29-36. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.29

Abstract PDF: In 1814, Monteggia first desHribed a fracture of proximal third of the ulna with dislocation of radial head, and Bado classified and included all fracture of ulna at any level with a dislocation of radial head under the name of Monteggla lesion In 1967. In adults, the prognosis Is poor due to many complications such as nerve injury, unreduced radial head, heterotrophic ossification, nonunion and malunion. The most important factors In achieving good results in adult Monteggia lesions are early accurate diagnosis, rigid internal fixation of the ulna and complete reduction of the radial head as soon as possible. The authors reviewed 12 cases of Monteggia fracture In adults who were treatod at department of orthopaedic surgery, Sung-Ae General hospital from 1989 jan. to 1991 Dec. with 17 months mean follow-up. The results obtained were as follows: 1. Male was 10 cases and female 2 cases. 2. The causes of injury were traffic accident In 9 cases, machinery injury in 2, fall down in 1 3. Location of ulna fracture was as follows; metaphysis was 4, proximal 1/3 in 6 cases, proximal 1/3 junction in 1, metaphysls and proximal 1/3 in 1. 4. According to Bado classificatlon, type I was 58%. type II 25%, tyre III 17%, type IV 0%. 5. Treatments of dislocated radial head were closed reduction in 9 Gases open reduction in 1 case, and excision in 2 cases. 6. Fractures of ulna were all treated with open reduction and internal fixation with plate in 9 cases. IM nailing in 1 case, tension band wiring in 2 cases. 7. Palsy of posterior interosseous nerve was in 2 cases with complete recovery within 6 months. 8. The results(Bruce, et. at) 17 month follow-up in average were 2 excellent, 5 good, 2 fair and 3 poor.

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A clinical study of open fractures of the tibia in children: Hyung Ku Yoon, Kwang Pyo Jeon, Kuk Hwan Oh, Dae Eun Jung, Dong Jun Kim, Han Linm Kim; J Korean Soc Fract 1993;6(2):289-295. Published online November 30, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.2.289

Abstract PDF

No abstract available.

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Analysis of Treatment Outcomes for Open Fractures of the Tibia in Children
Jong-Hyuk Park, Jung Ryul Kim, Dong Hun Ham, Hyung Suk Lee, Sung Jin Shin
Journal of the Korean Orthopaedic Association.2010; 45(6): 440. CrossRef

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