Journal of Musculoskeletal Trauma

A Clinical Experience of 5-part fracture of the Distal Femur: Report of 2 cases: Se Il Suk, Sang Chul Sung, Young Moon; J Korean Soc Fract 1990;3(2):202-208. Published online November 30, 1990; DOI: https://doi.org/10.12671/jksf.1990.3.2.202

Abstract PDF: Many different systems of classification have been used for fractures of the distal part of the femur, but no one system was so perfect as to describe all the types and to ease the fracture treatment. Supracondylar-intercondylar fractures of the femurs should be treated separately from other fractures of the distal part of the femurs becasue of their intricate fracture shape involiving the joint surface and associated injuries about the knees. Authors have experienced two cases of unusual supracondylar-intercondylar fracture. It put another complexion on the classification and treatment. Therefore it was tentatively named as 5-part fracture of the distal femur, which is not described in any other classification ever proposed.

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Treatment of Nonunion Using Electrical Stimulation Only: Se Il Suk, Moon Sang Chung, Sang Hoon Lee, Phil Hyun Chung, Moon Sung Han, Yong Min Kim; J Korean Soc Fract 1989;2(2):274-280. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.274

Abstract PDF: Negative electric charge is known to induce osteoblastic activity in bone. Therefore, electrical stimulation can be used clinically to promote more active new bone formation in the fracture site. Among many methods in the treatment of fracture nonunion, electrical stimulation can be emplyed as one of the useful methods, which is less of noninvasive and rather simple. We experienced 10 cases of fracture nonunion managed with EST without surgery in the Department of Orthtopedic Surgery of Seoul National University Hospital from September 1980 to March 1987. Of these, 6 cases were managed with semiinvasive direct current method and resulted in union of all cases. 4 cases were managed with nonivasive capacitively coupled electric field method and resulted in union iin 3 cases but in1 case, nonunion persisted till 22 months follow-up. In the 9 cases of satisfactory results, union time varied from 2 months to 9 months with mean of 4 months. No remarkable complication was found in these cases. In conclusion, electrial sitmulation therapy is thought to be one of the useful and hopeful methods in the treatment of fracture nonunion cases in which surgery is not absolutely indicated.

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Analsis of the Distal Tibial Physeal and Epiphyseal Injury: In Ho Choi, Choon Ki Lee, Duk Yong Lee, Se Il Suk, Song Choi, Yong Hoon Kim, Suk Kee Tae, Seong Il Kim; J Korean Soc Fract 1989;2(2):164-173. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.164

Abstract PDF: We have reviewed 21 cases of physeal and epiphyseal fracture of the distal tibia including one case of juvenile Tillaux fracture and four cases of triplane fracture. The patterns of fracture were correlated with the mechanism of injury using the modified Lauge-Hansen method and sysemic classification of the triplane frature was proposed. Treatment included closed reduction and cast(9 cases), closed reduction and percutaneous pin fixation(4 cases), and open reduction(8 cases). Two of the nine patients treated by means of closed reduction and cast had ankle joint incongruity or progressive varus deformity requiring corrective ost eotomy. These two patients had either Salter-Harris Type III ro Type IV fracture after supination-inversion injury. In one patient, who had 100 per cent displacement of the distal tibial epiphysis and degloving injury of the ankle, premature physeal arrest developed after open reduction and internal fixaion for Salter-Harris Type Tyre I fracture. If there are triagular metaphseal ledge along with the juvenile Tillaux fracture-like vertical epiphyseal fracture line on the antero-posterior view and Salter-Harris Type II or Type IV frature on the lateral view, a certain type of triplane fracture is strongly suggested. Plain radiographs, however, could not accurately demontrate the detailed configuration of the triplane fracture, instead computerized axial tomography was very helpful us to analyse the true dimensions of the triplane fracture. We agree that displace Salter-Harri Type III or Type IV and transitional fractures with a fracture gap of more than two millimeters in the weight-bearing portion of the epiphysis regure open reduction.

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A Study of Classification of Ankle Fractures: Se Il Suk, Choon Ki Lee, Soo Ho Lee, Suk Kee Tae, Song Choi; J Korean Soc Fract 1989;2(2):155-163. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.155

Abstract PDF: Lauge-Hansens classification system and Webers classification system are the two most commonly used systems in ankle fractures. both are based on causative mechanism but both have some deficiencies. Authors intended to decide which is easily applicable in clinical practice and shwich provides more information about treatement, especially that of diastasis. So we analysed 143 cases of ankle fractures in Seoul National University Hospital, Kang-nam General Hospital and Namseoul Hospital from January 1983 to December 1988. The results obtained are as follows. 1. Webers type A fractures correspond not only supination-adduction but also to pronation-abduction and pronation-dorsiflexion. Type B fractures correspond most closely to supination-external rotation and possibly to pronation abduction and pronation external rotation. Type C fractures show the nearest equivalence to pronation-external rotation and occasionally correspond to supination-external roation or pronation-abduction. 2. Diastasis was noted in 16 cases(28%) of type B and in 18 cases(74%) of type C and this lower incidence was seemed to be due to neglect of diastasis at physical examination or during operation. 3. It seemed to be more reasonable to fix the diastasis with tibiofibular fixation screw especially in type C. 4. Webers simpler classification system, which can explain the hidden ligamentous injury such as diastasis, was more easily applicable in daily use than Lauge-Hansen classification.

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Cotrel-Dubousset Pedicular Screw in the Treatment of Unstable Dorsolumbar fracture: comparison with Harrignton SSI: Se Il Suk, Byung Joon Shin, Choon Seong Lee, Myung Chul Lee; J Korean Soc Fract 1989;2(1):91-100. Published online June 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.1.91

Abstract PDF: Twenty four patients with unstable dorsolumbar spine fractures were treated with C-D pedicular screw from March 1987 to Dec. 1988 in Seoul National university Hospital and 19 patients were followed-up more than 4 months, average 7.9 months. The results of these 1 9 patients were compared with those treated with Harrington SSI from Feb. 1985 to March 1987 and following conclusions are obtained. 1. The average fixation with C-D pedicular screw was 2 segments. Even the short segments fixation, C-D pedicular screw gave better correction and stability of fractures as compared with Harrington SSI. 2. Anatomical reduction with restoration of normal spinal sagital curvature was possible using C-D pedicular screw. 3. C-D pedicular screw permitted early ambulation with minumum immobilization and slight loss of correction.

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Treatment of the Proximal Humeral Fractures: Se Il Suk, Sang Hoon Lee, In Joon Kim, Min Jong Park; J Korean Soc Fract 1989;2(1):1-8. Published online June 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.1.1

Abstract PDF: Thirty-four patients with proximal humeral fratures were treated at department of orthopedic surgery, college of medicine, Seoul National University between 1978 and March, 19 99. They were followed up between six months and three and half years with average of 1.2 years. Mean age was 52.9 years and traffic accidents was the most common cause of injury. According to the Neers classification, there were seven one-part(20%), sixteen two-part(48%), seven three-part(20%) and four four-part(12%) fractures or fracture-dislocations. The methods of treatment and its results were analyzed according to the Neers classificatioin and they were summarized as follows; 1. Seven one-part fractures were treated conservatively and showed satisfactory results in all. 2. Sixteen two-part fractures were treated conservatively except tow old cases and showed satisfactory results except one. 3. Seven three-part fractures were tried to be reduced by closed means but unacceptable five cases were treated by open reduction. They showed satisfactory results except one. 4. Four four-part fractures were treated by open reduction in two, by prosthesis in headsplitting and severely comminuted cases. They showed satisfactory results except one.

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Treatment of Unstable Thoracic and Lumbar Spine Fracture with Harrington SSI(Segmental Spinal Instrumentation): Se IL Suk, Choon Ki Lee, Chong Suh Lee; J Korean Soc Fract 1988;1(1):54-63. Published online November 30, 1988; DOI: https://doi.org/10.12671/jksf.1988.1.1.54

Abstract PDF: This is a retrospective clinical and roentgenographic study to measure the correction of deformity and rigidity of Harrington SSI in the stabilization of unstable thoracic and lumbar spine fractures. 35 patients with unstable thoracic and lumbar spine fracture were treated with Harrington SSI from Feb. 1985 to Mar. 1987 in SNUH and 29 patients were followed up for more than 1 year, average 15.6 months. At final follow up of these 29 patients, 73.1% of patents gained neurologic improvment. Measurement of correction of anterior, middle and posterior coumn height, local kyphosis and anteroposterior offset were 29.7%, 5.2%, 31.2%, 12.8Â° and 5.3mm and loss of correction of these were 6.5%, 0.1%, 5.8%, 3.1Â° and 1.1m.

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Clinical Study of the Trans-Scaphoid Perilunar Dislocation: Moon sang Chung, Choon Seong Lee, Se IL Suk; J Korean Soc Fract 1988;1(1):43-53. Published online November 30, 1988; DOI: https://doi.org/10.12671/jksf.1988.1.1.43

Abstract PDF

It is possible to diagnose trans-scaphoid perlunar dislocation(TSPD) with simple anteroposterior and lateral roetgenograms, But, there are many cases in which we make a wrong diagnosis as simple scaphoid fracture or perilunar dislocation. Most of the 7 cases among the 11 cases who visited Seoul Natioinal University Hospital from 1981 to 1987 were delayed 3 or more weeks because they were misdiagnosed as simple fracture, sprain or dislocation. It is important to identify the relationship of scaphoid with capitate or radius with simple lateral roetgerogran and we nust suspect accompanying perilunar dislocation if there is rotationary deformity in scaphoid fracture. We consider open reduction and internal fixation is better than closed reduction as treatment of TSPD because scaphoid fracture is easy to displace due to instability of fracture fragments in most cases. And we also suggest it is better to try open reductioin and internal fixation first than salvage operation as initral tratment of old fractures, if there is no osteoporosis and resorption of scaphoid fragment.

Citations

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Treatment of Anchor Suture with Kirschner Wires Fixation for Chronic Perilunate Dislocation
Gab-Lae Kim, Yoon-Suk Hyun, Sung-Il Shin, Jung-Seob Park, Kyul Han, Sung-Yup Hong
Journal of the Korean Society for Surgery of the Hand.2014; 19(4): 200. CrossRef
Surgical Treatment of the Perilunate Dislocation and the Lunate Dislocation with Dorsal Approach
Soo-Hong Han, Jin-Myoung Dan, Dong-Hoon Lee, Young-Woong Kim
Journal of the Korean Fracture Society.2011; 24(4): 347. CrossRef

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