Journal of Musculoskeletal Trauma

Operative Treatment of Avulsion Fractures of the Calcaneal Tuberosity: Ik Su Choi, Woo Il Kim, Hong Ju Ha, Jin Goo Kang, Seung Chan Ko; J Korean Soc Fract 1999;12(4):968-974. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.968

Abstract PDF: Avulsion fractures of the calcaneal tuberosity are rare injuries in extraarticular fractures of the calcaneus and were resulted from a separation of a shell of the posterior portion of the os calcis due to the pull of the Achilles tendon. Importance of anatomic reduction for the restoration of functional length of Achilles tendon were emphasized by many authors in the treatment of the fractures. The purpose of this study is to evaluate the results of operative treatment in avulsion fractures of the calcaneal tuberosity and to analyse the results in accordance with various prognostic factors. This article has reviewed a series of 6 avulsion fractures of calcaneal tuberosity, treated from March 1991 to November 1996. The results were as follows ; 1. In case of avulsion fracture of os calcaneus, open reduction and internal fixation was needed for the accurate anatomical reduction and maintenance of firm internal fixation. 2. The method of operative treatment was not significant influencing factor on the treatment result, however, it is more convenient to fix when cannulated screws were used because of the compressive effect on the fracture site. 3. Complications included superficial skin necrosis in one case, which resulted from the compression of bony fragment in case of avulsion fracture and another, wire fixation failure because of bone resorption resulted from wide soft tissue dissection.

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T-plate Fixation of Distal Radius Fractures in the Elderly: Ik Su Choi, Woo Il Kim, Su In Roh, Hong Ju Ha, Jin Goo Kang, Seung Chan Ko; J Korean Soc Fract 1999;12(2):452-460. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.452

Abstract PDF: Recently, distal radius fractures are recognized as very complex injuries with a variable prognosis according to the fracture type and the treatment. Especially, there are several problems, including joint stiffness and skin necrosis due to a long term immobilization, radial shortening and collapse due to the loss of reduction in the elderly. Thus, the anatomical reduction and rigid internal fixation and early rehabilitation were recommanded. We analyzed 16 patients with distal radius fractures in the elderly, who were treated with open reduction and internal fixation with T-plate from January, 1991 to June, 1997 and were followed up for more than 12 months. The results were as follows ; 1. According to the Fernandez classification, 3 cases were type I, 3 cases were type II, 7 cases were type III, 1 case was type IV and 2 cases were type V. 2. As complications, there were 2 cases of arthritic change, 3 cases of radial shortening, and 1 case of screw loosening. 3. Anatomically satisfactory results were obtained in 75%(12 cases). 4. Functionally and clinically satisfactory results were obtained in 87%(14 cases). 5. In the treatment of distal radius fractures in the elderly, three dimensional structure and recovery of joint congruency were related to the clinical prognosis.

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Treatment of Unstable Fracture of the Thoracolumbar Spine Using Kaneda Instrumentation: Ik Soo Choi, Woo Il Kim, Sung Lim, Seung Ho Lee; J Korean Soc Fract 1994;7(1):192-200. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.192

In cases of unstable thoracolumbar burst fractures, recently the operative treatments such as posterior stabilization and fusion, anterior decompression and fusion, and combined method have been used and choice of procedures is determined by neurologic deficit, instability, and interval between injury and operation. Kaneda instrumentation is rigid anterior spinal device that provides sufficient stability for anterior decompression through partial or total corpectomy and adequate correction of kyphosis as one stage operation by instrumentation. We have experienced 12 cases of Kaneda instrumentation via anterior approach for thoracolumbar fracture, from Aug. 1989 to Jun. 1991 Among them, 7 cases have been followed for more than 12 months and reviewed. The results were as followed: 1. There was no relationship between canal compromise and Frankel grade. Incomplete neurologlc deficit improved by 1.4 Frankel grade but complete neurologic deficit did not improve. 2. The mean preoperative kyphotIc angulation was 26.1, postoperative angulation 12.7, correction angle 13.4, and sorrection rate was 51.4%. 3. Anterior spinal approach for the unstable thoracolumbar fractures using Kaneda instrumentation provided 1) sufficient anterior spinal decompression and fusion 2) adequate correction of kyphotic deformity and 3) stability to enable early ambulation.

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Biomechanical Efficacy of Various Anterior Spinal Fixation in Treatment of Thoraco-lumbar Spine Fracture
Ye-Soo Park, Hyoung-Jin Kim, Choong-Hyeok Choi, Won-Man Park, Yoon-Hyuk Kim
Journal of the Korean Fracture Society.2007; 20(1): 70. CrossRef

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