Journal of Musculoskeletal Trauma

Management of Displaced-Extension Type Supracondylar Fractures of Humerus in Children: Suk Myun Ko, Myung Ku Kim, Kyoung Ho Moon, Ryuh Sup Kim, Kyu Jung Cho, Dong Hun Choi; J Korean Soc Fract 1999;12(2):351-360. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.351

Abstract PDF: From June 1996 to February 1998, we reviewed the cases of 27 patients who had a displaced - extension type supracondylar fracture of the humerus retrospectively. The mean length of follow-up was 1.3 years. According to Gartland classification, type II was 7 cases (26%), type III-A was 11 cases (41%), type III-B was 9 cases (33%). We treated with three different methods, including closed reduction and percutaneous Kirschner-wire fixation, skeletal traction, and cast application after closed reduction. In type II fractures, we used two parallel lateral pins. In type III fractures, we used 2 lateral parallel pins followed by 1 medial crossed pin predominantly. The results of treatment were assessed using the criteria of Flynn et al. We graded cosmetic and functional factors separately. Satisfactory results were achieved by percutaneous K-wire fixation(96%). There were seven neural lesions. These were the result of injury and not of the treatment, with exception of one case. Neural injuries spontaneously resolved at a mean of 2.5 months(range 1.5 to 5 months) after injury. Varus deformity was present in one patient. There was no Volkman's ischemic contracture. Percutaneous Kirschnerwire fixation is advocated as the method of choice for the majority of displaced-extension type supracondylar humerus fractures in children.

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Treatment of Tibial Fractures with the Ilizarov External Fixator: Suk Myun Ko, Myung Ku Kim, Jung Yoon Lee, In Suk Oh, Sang Eun Kim; J Korean Soc Fract 1998;11(4):833-840. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.833

Abstract PDF: Between June 1996 and July 1997, 29 tibial fracture patients were treated using the Ilizarov method and apparatus. The mean follow-up petiod was 18 months. Among 29 cases, 11 were closed fractures with comminution and 18 were open fractures. There were 2 Gustilo-Anderson type I, 5 type II, and 11 type III open tibial fractures. Complications included 4 pin tract average time from application of the device to complete fracture healing was 26.3 weeks. According to Tucker's functional criteria, the results were 14 excellent, 9 good, 4 fair, 2 poor. No practical contraindications to the use of the Ilizarov device in the management of tibial fractures were encountered. We concluded that Ilizarov method is indeed a useful adjunct for the treatment of either open or closed tibial fractures.

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Femoral Stress Fractures in Civilians who are not military recruits and athlethes :Two cases report: Myung Ku Kim, Suk Myun Ko, Kyung Ho Mun; J Korean Soc Fract 1998;11(4):784-789. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.784

Abstract PDF: We reports two cases of femoral stress fractures, one at femoral neck, the other at distal femur. Femoral stress fracture is not uncommon in reported literature, but most of reported cases limited in military recruits and athlethes. There are few reports about femoral stress fractures of civilians. Early dignosis is difficult because complaints are vague and poorly localized, so displacement occurs and misdiagnosis is made. The purpose of this report is to call attention to the importance of early diagnosis of stress fracture of the femur so that displacement and misdiagnosis, which may lead to prolonged in capacitation or to the necessity for surgical intervention, may be prevented.

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Treatment of Intraarticular Fractures of the Distal Radius with Dynamic External Fixator: Myung Ku Kim, Nam Hong Choi, Jun Seop Jahng, Hyoung Kook Ahn; J Korean Soc Fract 1995;8(3):688-695. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.688

Abstract PDF: The treatment of intra articular fractures of distal radius is difRcult and has various problems. Over the past few years, the importance of alignment correction, preservation of normal radial length and reconstruction of congruity of both radiocarpal and radioulna joints have been emphasized. The end redults of closed reduction and rigid fixation with dynamic external flxator include 13 cases(86.6%) with excellent and good results. Roentgenograms of 15 of these patient show accurate alignment of the healed fractures. One patient had a poor functional result although roentgenograms demonstrated good alignment of the healed fractures. The dynamic external fixator is both a useful and convenient method for the reconstruction and treatment of comminuted intraaricular fractures of the distal radius.

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Treatment by modified huntington fibula transference operation in fracture and non union of tibia diaphysis with extensive bone defect: Chan Soo Park, Kang Hyun Lee, Myung Ku Kim, Geon Woo Lee; J Korean Soc Fract 1993;6(1):128-134. Published online May 31, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.1.128

Abstract PDF: No abstract available.

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Report of four cases of fracture and dislocation of the hip with ipsilateral fracture of the femoral shaft: Myung Ku Kim, Kang Hyun Lee, Chan Soo Park, Kyu Ho Sin, Ju Hyoung Kwon; J Korean Soc Fract 1991;4(2):267-274. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.267

Abstract PDF: No abstract available.

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Open reduction and Internal Fixation of Calcaneus Fractures by Staples and Screws: Myung Ku Kim, Soo Ill Kang, Kang Hyun Lee, Chan Soo Park, Jae Woo Ryuh; J Korean Soc Fract 1990;3(1):22-33. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.22

Abstract PDF: Clacaneal fractures involving subtalar joint can be associated with prolonged and severe disability. Many different methods have been tried for the treatment in order to search for better results. From October 1987 to October 1989, five cases of calcaneal fractures involving subtalar joint were treated by open reduction and internal fixation, and the results were as follows: 1. The causes of fractures of the calcaneus were fall from a height in all five cases. 2. The medial approach was used usually and, when the anatomical reduction was impossible by medial approach only, the lateral approach was combined. 3. The average Bohlers angle was 4.6 before reduction and 24.6 after open reduction. The Bohlers angle was increased to average 20 4. Satisfactory results were botained in all but one, who was not followed up for over 1 year. 5. The open reduction and internal fixation through the medial approach was valuable treatment method of the intraarticular calcaeal fracture.

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The Supracondylar Osteotomy for the Angular Dformity followed by a Fracture Around the Elbow: Soo Ill Kang, Kang Hyung Lee, Chan Su Park, Myung Ku Kim, Myung Seon Kim; J Korean Soc Fract 1990;3(1):103-109. Published online May 31, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.1.103

Abstract PDF: The fracture around the elbow is frequent in the children. The cubitus varus and cubitus valgus deformities are the common late complications of the elbow fracture. The reason of correction for these problem is not the elbow fuction, but the cosmetic problem of tardy ulnar nerve palsy. We performed five supracondylar osteotomies that are modification of Milch osteotomy from Mar, 1988 to Jan, 1989 of which four cases were cubitus varus and one case was cubitus valgus at In Chon Christian Hospital. The results were as follows; 1. the cubitus varus deformities were four cases and the cubitus balus deformity was one. 2. The injuries were supracondylar fractures of the humerus for the cubitus varus and lateral condyle fracture of the humerus for the cubitus valgus. 3. The result was excellent by modified Milch osteotomy with derotation in the case of rotational deformity. 4. In adult, the bone healing was promoted by deepening the triangular shaped notch in the Milch osteotomy by widening the contact surface.

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