Journal of Musculoskeletal Trauma

Refractures of Upper Extremity in Children: Hui Wan Park, Dae Ya Kim, Hyun Woo Kim; J Korean Fract Soc 2004;17(4):389-394. Published online October 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.4.389

PURPOSE
To investigate the etiologic factors related to refractures of the upper extremity in children MATERIALS AND METHODS: 18 refractures of the upper extremity were divided into three groups according to the location of initial fractures: Supracondyle fractures of the humerus, lateral condyle fracture of the humerus, and the forearm bone fractures. They were analyzed in terms of the type of refractures (early refracture occurring at the immature callus and late refracture occurring at the remodeled bone), fracture patterns, and the existence of underlying deformity.
RESULTS
Nine supracondyle fractures had refractures at the supracondyle (2 cases) and the lateral condyle (7 cases), in which underlying cubitus varus were present in 6 cases. Three lateral condyle fractures had refractures at the supracondyle (1 case) and the lateral condyle (2 cases), in which one case had underlying cubitus varus. All but one case in the group of humerus fractures were late refractures and treated operatively except one. Of 6 refractures of forearm, 5 were early refractures and occurred within 9 weeks at the original site: 4 at the diaphysis of both bones of forearm and 1 at the diaphysis of ulna. All cases in the group of forearm fractures had volar angulation before the refracture, and treated conservatively except one CONCLUSION: In the humerus, underlying cubitus varus was the most important predisposing factor to refractures and the lateral condyle fractures were common. In the forearm, volar angulation of the diaphysis were related to refractures, and complete and circular consolidation of the primary fracture of forearm was thought to be important to prevent refracture.

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Characteristics and trends in heavy rainfall and storm damage to cultural heritage over the past 15 years (2007 ~ 2021)
Jisoo Kim
Journal of Climate Change Research.2023; 14(4): 425. CrossRef

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The Prefracture Factors on The Hip Fracture in Elderly: Jong Oh Kim, Yeo Hon Yoen, Young Do Ko, Jae Doo Yoo, Jun Mo Chung, Han Cheon Bang, Kyu Bok Kang; J Korean Soc Fract 2002;15(4):531-537. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.531

Abstract PDF

PURPOSE
We studied the co-relation on the causes of the hip fracture through the analysis of a relevance on the etiological factors as increased incidence according increasing old ages.
MATERIALS AND METHODS
Total 158 cases that treated on the hip fracture from 2001 Jan. to 2002 May were studied. The parameters were age, gender, smoking, obesity, type of fracture, place of fracture, other comorbidity, activity of daily living, bone marrow densitometry, hardness of floor, orientation, injury energy. And then, we analysis of difference between femur neck fracture and femur intretrochanter fracture and between stable femur intertrochanter fracture and unstable femur intertrochanter fracture.
RESULTS
The incidence of the femoral intertrochanteric fracture was larger significantly than that of the femoral neck fracture in the older than 80(p < 0.001). On the comparison of the pre-fractural activity of daily living, the group revealed lower activity had larger incidence of femoral intertrochateric fracture(p < 0.001). Also, the femoral intertrochanteric fracture was more larger in osteoporosis patient group(p < 0.005), and lower energy trauma(P<0.05). In a unstable femoral intertrochanteric fracture, 21 cases(77.7%) of total 27 cases were belong to the group of the activity of daily living scale below C(p < 0.05), 24 cases of 27 cases were belong to the osteoporosis patient who was estimated below -3.0 on T-score(p < 0.001).
CONCLUSION
In the hip fracture of the elderly patients, the femoral intertrochanteric fracture is more prevalance rather than the femoral neck fracture on the cases of older patient more than 80 year-old, lower activity of daily living scale, lower T-score less than -3.0 on BMD, lower energy trauma. Also, in femur intertrochanter fracture, unstable fracture is more common in low daily activity and osteoporosis

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The Daily Life Functions of Elderly Peritrochanteric Fracture Patients after Surgical Treatment
Dae Moo Shim, Tae Kyun Kim, Jong Yun Kim, Duk Hwa Choi, Joung Suk Lee, Seong In Lee
Journal of the Korean Fracture Society.2012; 25(1): 8. CrossRef
The Usefulness of Hip to Thigh Ratio as an Anthropometric Indicator for the Incidence of Hip Fracture
Jin Park, Kyu Hyun Yang, Seong Hwan Moon
Journal of the Korean Fracture Society.2009; 22(1): 1. CrossRef
Minimally Invasive Two-Incision Total Hip Arthroplasty for Treating Acute Displaced Femoral Neck Fractures in Active Elderly Patients
Chang-Ich Hur, Taek-Rim Yoon, Kyung-Soon Park, Sang-Gwon Cho, Ji-Hyeon Yim
The Journal of the Korean Orthopaedic Association.2008; 43(5): 643. CrossRef

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Prevention of Fracture During Removal of ILMN in Tibia Fracture: Bu Hwan Kim, Myoung Hee Choi, Sang Hun Yi, Mu Jung Heo; J Korean Soc Fract 2001;14(4):628-631. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.628

Abstract PDF: PURPOSE
Sometimes we experience refracture of tibia during removal of ILMN after complete union of fracture. We evaluated surgical technique in order to know how we can avoid the fracture of posterior cortex of tibia during removal of ILMN.
MATERIALS AND METHODS
From Jan. 1993 to Dec. 1999, we removed 86 cases of ILMN used for tibia fracture. Among them, 40 cases of Ace titanium ILMN were removed. We compared the fracture rate of tibia during removal of Ace titanium ILMN.
RESULTS
The refracture rate during removal of Ace titanium ILMN was 17.2% (5/29cases) previously, but after careful "slow and steady" removal of nail, the refracture rate was reduced to 0%(0/11 cases, P<0.05).
CONCLUSION
Take some cares during removal of ILMN is important to reduce the fracture rate of tibia during removal of Ace titanium ILMN.

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Traumatic Refracture : Report of 3 cases: Byung Ill Lee, Young Hoon Cho, Jae Eung Yoo, Soo Kyun Rah; J Korean Soc Fract 1997;10(4):940-944. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.940

Abstract PDF: Traumatic refracture refers to a recurrence of a fracture by a major trauma, after it had gained complete union from an earlier rracture through internal fixation. We report 3 cases of our experience in this relatively rare injury of long bone.

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Retrieval of a Broken Intramedullary Nail after Refracture of Femoral Shaft: A case report: Yung Khee Chung, Jung Han Yoo, Yong Wook Park, Ji Dong Lee; J Korean Soc Fract 1997;10(2):401-404. Published online April 30, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.2.401

Abstract PDF: As the use of intramedullary nail fixation for the long bone fracture has been increased over recent years, so has the rate of reported complications involving intramedullary nail devices. One of the most common complication is fatigue fracture of an intramedullary nail itself if there is delayed union or nonunion of the fracture. The retrieval of the distal segment of broken intramedullary nail had proved to be particularly troublesome. The authors experienced one case of the retrieval of a broken intramedullary nail after refracture of femoral shaft, using the closed method and report this case with review of literatures.

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Refracture of the Femur after Plate Removal: Sung Kwan Hwang, Jung Ho Rah, Hee Jeon Park, Yeo Seung Yoon, Jae Beom Han; J Korean Soc Fract 1995;8(4):799-806. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.799

Abstract PDF

Internal fixation with dynamic compression plate is an accepted method of treating diaphyseal fractures of the adult femur. Good results have been reported using the principles laid down by the AO group(Muller et al 1979). Refracture after secure union of a broken femur has been achieved is rare, but it is most devastating complication. There were 5 refractures out of 64 removals after fractures of the femur at the department of Orthopaedic Surgery, Yonsei University Wonju college of Medicine between January, 1988 and June, 1994. After clinical and roentgenographical analysis, following results were obtained. 1. The causes of the refracture were trivial injuries or slip down injury. 2. Among 5 cases, the average time from insertion to removal was 19.2 months, with a ranged from 16 to 28 months. 3. The internal from removal of implant to refracture was 5.6 wks, with a range from 3 to 9 weeks. 4. The incidence of refracture in out hospital(7.8%) was somewhat higher than reported incidence by others. 5. The femur plates should not be removed prior to 2 years postoperatively and its removal should be postponed, if possible. 6. It is reasonable to postpone its removal until bone strength is adequate for full activity.

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Refractures of the Upper Extremity in Children
Hui Wan Park, Ick Hwan Yang, Sun Young Joo, Kun Bo Park, Hyun Woo Kim
Yonsei Medical Journal.2007; 48(2): 255. CrossRef

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Refracture of long bones after implant removal report of 6 cases: Duck Yeon Cho, Jae Gon Seo, Hwan Cheon Hwang; J Korean Soc Fract 1991;4(1):139-146. Published online May 31, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.1.139

Abstract PDF: No abstract available.

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