Journal of Musculoskeletal Trauma

Clinical Results of Unreamed Static Interlocking Intramedullary Nailing In Clsed Tibial Shaft Fractures: Sang Yeon Lee, Young Shik Shin, Jeong Ho Yang, Heun Young Park; J Korean Soc Fract 1998;11(2):449-455. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.449

Abstract PDF: For the treatment of tibial shaft fracures interlocking intramedullary nailing has been used widely. Recently choosing between reamed or unreamed interlocking nailing for closed tibial shaft fracture is still controversial. The purpose of this study is to evaluate the results and complications of unreamed interlocking nailing for closed tibial shaft fractures. We reviewed 28 closed tibial shaft fractures that were treated with unreamed static medullary nailing from May 1993 to December 1996 at the Deparment of Orthopaedic surgery, Pohang St. Mary's Hospital. The results were as follows 1. In all 28 cases, union of the fracture was achieved at average 19.6 weeks and tere was no malunion. 2. We performed additional procedures in 4 cases(14.3%) for union : autogenous iliac bone graft in 1 case(3.5%) that was unstable segmental fracture and dynamization in 3 cases(10.7%) 3. There was breakage of distal locking screw in 1 case but no breakage of intramedullary nail.

129 View
0 Download

Brachial Plexus Injury Secondary to Exuberant Callus Formation of Fracture of Clavicle : Two Cases Report: Song Eon Lee, Young shik Shin, Jeong Ho Yang, Joon Ho Lee; J Korean Soc Fract 1998;11(2):427-434. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.427

Abstract PDF: Brachial plexus neuropraxia is a rare complication of the fractured clavicle although neurovascular injury following clavicular fracture is significant problem. The clavicular midshaft fracture can almost always be treated by conservative methods with a high rate of healing. There are some operative indication for clavicular fracture, which contains severe angulation or comminution of clavicle fracture, neurovascular compromise that is progressive, open fracture and closed method of immobilization are immpossible. Nearly all fracture was healed without complications such as infection, neurovascular compromise and nonunion. The authors describe two cases of brachial plexus injury secondary to exuberant callus formation of the clavicular fracture.

104 View
2 Download

The Operative Treatment of Scapula Fracture: Joo Tae Park, Gil Yeong Ahn, Young Shik Shin, dong Keun Kim; J Korean Soc Fract 1998;11(1):41-46. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.41

Abstract PDF: Fractures of the scapula are rare and those were treated conservatively, in general. But, some instances, conservative care cases remain limitation of range of motion, long standing pain and insufficiency of the muscle power. The purpose of his study is to evaluate the clinical results of the operative treatment on the scapular fracture. From May 1989 to December 1994, we treated 17 scapular fractures by the open reduction and internal fixation. We were able to follow up 14 cases, of which 11 cases(79%) had complete functional recovery. The other 3 cases (21%) had varying degree of pain, loss of mobility and weakness. Overall, however, 13 cases (93%) patients had good to excellent results.

108 View
0 Download

A Clinical Analysis of the Tibial Pilon Fractures with Open Reduction: Joo Tae Park, Gil Yeong Ahn, Young Shik Shin, Young Tae Lee; J Korean Soc Fract 1997;10(4):816-822. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.816

Abstract PDF

A Pilon fracture, which is defined as a comminuted intra-articular fracture of distal tibia, violates the articular region and the metaphysis with occasional extension into the diaphysis, and renders the bone difficult to restore to its anatomic shape. Now there is wide consensus that more aggressive surgical treatment is needed to fulfill better result in such complex fracture. The authors analized 22 cases of pilon fracture of distal tibia that treated by the prinicple of anatomical reduction, rigid internal fixation and early rehabilitation at the Department of Orthopaedic Surgery, Pohang St. Marys Hospital from March 1989 to October 1995. The average follow up period was 54 months(from 16 to 90 months). The results were as follows ; 1. We obtained bone union in all cases and average union period was 19 weeks(from 12 to 26 weeks). 2. The most frequent type of fractures was type III(12 cases . 55%) according to Ruedi and Allgower classification. 3. According to the clinical results that classified by the criteria of the Ovadia and Beals subjective evaluation classification, type I and II were excellent and good, and type III excellent in 5 cases, good in 4 cases, fair in 1 case and poor in 2 cases. 4. The most important variables that influenced in the clinical result were the type of fracture and severity of soft tisuue injury.

Citations

Citations to this article as recorded by

Comminuted Pilon Fractures: Comparative Outcome Analysis according to Surgical Techniques
You-Jin Kim, Hong-Geun Jung, Joo-Hong Lee, Woo-Sup Byun, Sung-Tae Lee
Journal of the Korean Fracture Society.2007; 20(1): 6. CrossRef

142 View
0 Download
1 Crossref

Search