Journal of Musculoskeletal Trauma

Original Articles

Scaphoid nonunion Ireated by Bone Graft and Internal Fixation: Jae Sung Seo, Myun Whan Ahn, Woo Seok Jang; J Korean Soc Fract 1996;9(2):257-263. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.257

Abstract PDF: There is difficuity in the treatment of scaphoid nonunion, because of it is not easy to diagnosis scaphoid fracture after affecting the damage, and also of inadequate treatment. We have performed wedge bone Graft and internal fixation in treatment of 52scaphoid nonunions from April, 1986 to June, 1994. We got result as below by analysis of 27 cases which could follow up more than one year. 1. The most frequent age of fracture is the 3rd decade and the fracthre is more frequent in men (26 cases)than in woman (1 case). 2. The X-ray fingings of nonunion are bony sclerosis (13 cases), cystic change(3 cases), and absorption of fracture line (11 cases). 3. The mean period of bony union is 14.7 weeks. 4. In 8 cases there has been dorsal intercalated segmental instability(DISI) on preoperative X-ray finding and which is corrected after operation. 5. In evaluatory system by Herbert and Fischer about degree of patients satisfaction, the grade 0 is 15 cases, grade 1 is 11 cases and grade 2 is 1 case, in clinical results, grade 0 is 15 cases, grade lis 9 cases and grade 2 is 3 cases, in radiographic result, grade 0 is 22 cases, grade 1 is 4 cases, grado 2 is 1 case.

Treatment of the Long Bone fractures Assuiated with Vascular Injuries: Myun Whan Ahn, Yong Seok Choi, Jong Chal Ahn; J Korean Soc Fract 1994;7(1):113-121. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.113

Abstract PDF: Vascular injuries combined with long bone fractures have been infrequent and difficult to manage. Despite of recent advancement in the vacular repalr and fixation of fracutres, it is not easy to save the limb. In order to identify the factor associated with amputation or salvage of the affected limb, a retrospective study of 14 patients whose injured vessels were repaired primarily at the time of bone fixation was perfomed. The ischemic time, the degree of soft tissue or bone injury and the method of treatment were evaluated with relation to the limb salvage, 4(28.6%) of that 14 long bone fractures needed secondary amputation due to a vascular insufficiency. In 3 of 4 fractures, in which vascular repair were delayed over 24 hours, afftected limbs were amputated later. Thus, the ischemnic time was determined as an important factor for limb salvage after the vascular injury associated with the long bone fracture(p<0.05). However, the dogree of the soft tissue of bone injury and the method of treatment were not correlated with the limb salvage.

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