Journal of Musculoskeletal Trauma

Adverse Effect of the Absorbable Rods in Treatment of the Radial Head & Neck Fractures: Weon Ik Lee, Jun Dong Chang, Soo Joong Choi, Byeong Kook Lee, Young Jin Seo, Chang Ju Lee; J Korean Soc Fract 2002;15(3):414-420. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.414

Abstract PDF: PURPOSE
We report complications occurred from 6 patients among 14 patients who received the operation for their radial head and neck fractures by using the absorbable rod made by poly-glycolic acid(PGA).
MATERIALS AND METHODS
We analyze the postoperative results of 14 patients who recieved fixation by absorbable rod for the radial head and neck fractures from March 1991 to March 2000. All of the fractures were are reducible and modified Mason 's type II.
RESULTS
After average 15 months follow up, flexion contracture was average 20 degrees and full flexion was average 130 degrees. Complications were occurred in 6 cases. Osteolysis was occurred in 3 cases and in 2 cases among theses 3 cases, radial head excision was performed. Synovitis was occured in other 3 cases and in one case joint fluid was drainaged from operation wound for 2 weeks and in other 2 cases, synovitis was progressed to arthritis.
CONCLUSION
The absorbable rod made of PGA in radial head and neck fracture have relatively high rate of adverse tissue responses. So surgeon should consider adverse tissue response of PGA. Development of more biocompatible absorbable and slow degrading material should be needed.

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Supracondylar Intramedullary Nail for Femoral Supracondylar Fracture following TKA: 3 Cases Report: Jun Dong Chang, Hyun Min Han, Suck Woo Kim, Won Ik Lee, Soo Joong Choi, Chang Ju Lee; J Korean Soc Fract 2000;13(4):891-896. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.891

Abstract PDF: A periprosthetic supracondylar femoral fracture is one of the complications of the total knee arthroplasty(TKA). The periprosthetic supracondylar femoral fracture after TKA occurs approximately 0.3% to 2.5% and various methods have been introduced to treat this fracture. We report three cases of supracondylar femoral fractures following TKA, with brief review of pertinent literatures, in which retrograde supracondylar intramedullary nail provided satisfactory results. In severe osteoporotic patient, firm fixation of the nail was obtained by using cement and early motion of the knee joint was possible. In addition, we found that the supracondylar intramedullary nail could be used without insertion difficulty in all PCL retaining TKA systems which were available in use in our country.

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Metacarpal Shaft Fracture Treated by Closed Reduction and Percutaneous Intramedullary K-wire Fixationv: Soo Joong Choi, Chang Kyun Lim, Ho Guen Chang, Jun Dong Chang, Chang Ju Lee; J Korean Soc Fract 1998;11(1):100-106. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.100

Abstract PDF: The metacarpal shaft fracture has been reported as a stable fracture relatively, but operative treatment is indicated when there happens reduction loss, or is in need of early exercise. Intramedullary K-wire fixation has been used for unstable transverse or long oblique diaphyseal fracture of the metacarpal bone. The fracture site is not opened and the K-wires are introduced under X-ray control. The techniques can stablize the fracture site and allow immediate exercise postoperatively. We experienced 9 cases of 4th metacarpal shaft fracture treated by percutaneous intramedullary K-wire frxation with modified technique. The K-wire was used one or two ezch metacarpal fracture. The types of fracture were 4cases of transverse, 3 of oblique, 2 of comminuted. The average clinical union period were 5 weeks. There were not severe complications in all cases.

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The 5th Metacarpal Neck Fracture Treated by Closed Reduction and Percutaneous Intramedullary K-wire Fixation: Soo Joong Choi, Young Ho Lee, Ho Guen Chang, Chang Ju Lee, Won Ho Cho; J Korean Soc Fract 1995;8(3):696-704. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.696

Abstract PDF

The fifth metacarpal neck fractures are unstable and often heals with angulation and deformity. So, after closed reduction and immobilization with splint or cast, they have often been lost reduction and healed with posterior angulation and cosmetic deformity. We conducted a prospective study of 11 patients who underwent percutaneous retrograde intramedullay K-wire fixation for a fracture of the neck of the fifth metacarpal during four years period. We used a closed reduction technique derived from Jahss maneuver or three point fixation maneuver. And, the fracture was maintained with two cross or parallel smooth intramedullary K-wire. The proximal side of K-wire was placed back wound side near the wrist joint. The last follow up (postoperative 14Â±2 weeks) radiographic results were dorsal angualtion 7Â±4 , corresponded to preoperative 48Â±7 , and immediately postoperative 6Â±4 The complications such as limitation of movement, increase of dorsal angulation, rotational malalignment, shortening, and depression of the head of metacarpal were not occurred. Rotational deformity was always well controlled. Correction of angulation was good and K-wire insertion and fixation technique were easy. We recommend this technique in case of over 40 dorsal angulation of fracture site due to absence of contact between the palmar fractured ends, and patients who dont accept the cosmetic deformity or want early exercise.

Citations

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Comparative Evaluation of the Efficacy of Combined Intramedullary Pinning with K-Wires Pinning in the Treatment of Fifth Metacarpal Neck Fractures versus Conventional Techniques—K-Wires Pinning and Intramedullary Pinning
Dong-Eun Kim, Tong-Joo Lee, Yeop Na, Ye-Geon Noh
Medicina.2023; 59(11): 1944. CrossRef
Modified Bouquet Technique for Treatment of Metacarpal Neck Fractures
Yong-Gyu Sung, Seok-Whan Song, Yoon-Min Lee
Journal of the Korean Society for Surgery of the Hand.2016; 21(3): 137. CrossRef
Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
Jae-Hak Jung, Kwan-Hee Lee, Yong-Ju Kim, Woo-Jin Lee, Sung-Hyun Choi
Journal of the Korean Fracture Society.2012; 25(4): 317. CrossRef
Treatment of Metacarpal Fractures using Transverse Kirschner-wire Fixation
Nam Yong Choi, Hyun Seok Song
The Journal of the Korean Orthopaedic Association.2007; 42(5): 608. CrossRef
Bouquet Pin Intramedullary Nail Technique of the 5th Metacarpal Neck Fractures
Myung-Ho Kim, Moon-Jib Yoo, Jong-Pil Kim, Ju-Hong Lee, Jin-Won Lee
Journal of the Korean Fracture Society.2007; 20(1): 64. CrossRef

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Clinical Investigation of the Proximal Humerus Fracture: Chang Ju Lee, Won Ho Cho, Ho Guen Chang, Soo Joong Choi, Byung Il Min, Yong Jee Park; J Korean Soc Fract 1992;5(2):334-341. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.334

Abstract PDF: Proximal humerus fractures respond satisfactorily to conservative treatment, but in old age group, there are difficulties in managing it. So we analyzed 42 cases of proximal humerus fractures according to age and the method of treatment. The results were as follows; 1. Eighteen one part fractures were treated conservatively except one case and show satisfactory result except one. 2. Fifteen two-part fractures were treated by open reduction except one case and show satisfactory result except one. 3. Six three-part fractures were treated by open reduction in all cases and show satisfactory result except one. 4. Three four-part fractures were treated by open reduction or total shoulder arthroplastT 2. respectively in two ceses and show satisfactory result except one. 5. In old age group. loosenings of plate and screws were found in 2 cases. 6. In young age group, loosening of plate and screws was not found. 7. Tension band wire was not related loosening of wire in all cases.

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