Journal of Musculoskeletal Trauma

Intercondylar Fracture of Distal Humerus in Children: Woo Suk Lee, Whan Yong Chung, Woo Sik Kim, Yong Chan Kim, Taek Soo Jeon, Nam Hyun Kim, Kyoo Tae Kim; J Korean Fract Soc 2004;17(4):380-383. Published online October 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.4.380

Intercondylar fractures of the distal humerus are very rare in children. The pattern of the fracture would suggest that the mechanism of injury involves a fall directly on the flexed elbow. Most agree that the undisplaced fracture can be managed conservatively. With increasing displacement and comminution, the opinions tend to differ. We suggest that closed reduction with percutaneous K wire pinning and open reduction with percutaneous K wire pinning offer a satisfactory methods by which to treat displaced intercondylar fracture in children.

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Adolescent Distal Humerus Fractures: ORIF Versus CRPP
Phillip Bell, Brian P. Scannell, Bryan J. Loeffler, Brian K. Brighton, R. Glenn Gaston, Virginia Casey, Melissa E. Peters, Steven Frick, Lisa Cannada, Kelly L. Vanderhave
Journal of Pediatric Orthopaedics.2017; 37(8): 511. CrossRef

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Anterolateral Approach for the Distal Metaphyseal Fracture of the Tibia: Taek Soo Jeon, Jae Woo Lim, Whan Yong Chung, Woo Suk Lee, Woo Sik Kim, Cheol Mog Hwang, Yong Chan Kim, Nam Hyun Kim, Yong Sang Kim, Sung Kwan Jo; J Korean Fract Soc 2004;17(3):243-248. Published online July 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.3.243

Abstract PDF: PURPOSE
The purpose of this study is to evaluate the effectiveness of anterolateral approach of the ankle for the distal tibial fracture in aspect of preventing complication and acquiring union.
MATERIALS AND METHODS
Authors reviewed 21 patients of distal metaphyseal fracture of the tibia treated by anterolateral approach and lateral plating method from February, 2000 to May, 2002. Mean follow-up period was 17 months (12~29 months). There were twelve type A, two type B, and four type C patients according to AO/OTA classification. We have analyzed the bone union rate and Ovadia`s functional scale. We also reviewed the complication rate, such as soft tissue problem and postoperative infection.
RESULTS
In all cases union was achieved and mean time to union were 16 weeks. The functional result by Ovadia's scale were 17 excellent cases and 4 good cases in objective evaluation, and 19 excellent cases and 2 good cases in subjective evaluation. Wound infection occurred in one case, but the infection was controlled after plate removal and the union was acquired through cast immobilization. There was no other complication, such as soft tissue necrosis.
CONCLUSION
The anterolateral approach is a safe and worthwhile method for distal tibia fracture while avoiding some of the complication associated with standard anteromedial approach and plating method.

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Delayed Brachial Plexus Palsy due to Clavicular Fracture: A Case Report: Woo Suk Lee, Whan Yong Chung, Taek Soo Jeon, Yong Sang Kim, Nam Hyun Kim; J Korean Soc Fract 2003;16(2):230-234. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.230

Abstract PDF

The brachial plexus palsies secondary to nonunion of the clavicle fracture are extremely rare. The nonunions are hypertrophic and usually in the middle third of the clavicle. Hypertrophic callus produced during healing process will cause a compression of the neurovascular bundle. This lesion requires operative treatment for decompression of the brachial plexus and internal fixation of nonunion. We present a case of delayed brachial plexus palsy due to nonunion and excessive callus formation of a clavicular fracture.

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Progressive Brachial Plexus Palsy after Fixation of Clavicle Shaft Nonunion: A Case Report
Hong-Ki Jin, Ki Bong Park, Hyung Lae Cho, Jung-Il Kang, Wan Seok Lee
Journal of the Korean Fracture Society.2019; 32(2): 97. CrossRef

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Clinical Evaluation of Antibiotics Prophylaxis Against Infection in Clean Orthopaedic Surgery: Nam Hyun Kim, Soo Bong Hahn, Hong Jun Park; J Korean Soc Fract 1995;8(4):815-822. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.815

Abstract PDF: Prophylactic antibiotic treatment to prevent postoperative wound infection is an appealing routine to the orthopaedic surgeon. But, there has been no adequate guideline of prophylactic antibiotics in the field of ctean orthopaedic surgery. The purpose of this study was to investigate the method of effective administration of antibiotics and the factors affecting the postoperative infection in clean orthopaedic surgery. Two hundred and forty one patients were included in a prospective randomized double-blind trial comparing the efficacy of three days(group 1,42 patients) versus that of five days cefotiam(group II, 199 patients) injection for prophylaxis against wound infection in patients who had an operation using bone plate, Ender of Kiintscher nails, or other internal fixation devides. The two groups were similar in terms of mean age, sex ratio, duration of preoperative hospital stay, underlying risk factors and type of surgical procedure. A wound infection developed in one of the forty-two patients in group I(2.3%) and in nine of 199 patients in group II(4.5%). This difference of infection rate is not stati stically significant(p>O.05). Staphylococcus aureus, Staphylococcus epidermidis , Klebsiella pneumoniae and Enterobacter aerogenes were the common infecting organisms. And the infection rate in lower extremity operations was higher than that of other regions in the group II (p In conclusion. the recommended method of administration of prophylactic antibiotics in clean orthopaedic surgery to prevent postoperative wound infection is a high dosage injection of antibiotics one hour before surgery, intraoperative infusion of one dosage when the operation lasts more than one hour and then postoperatively within 72 hours. This will reduce the adverse effects of medication and will also reduce the costs.

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