Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.551
H. Kang, H. Kim, D. Shim, S. Hahn, E. Kang
{"title":"Double Tension Band Osteosynthesis in Supracondylar Fractures of the Humerus","authors":"H. Kang, H. Kim, D. Shim, S. Hahn, E. Kang","doi":"10.12671/JKSF.2002.15.4.551","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.551","url":null,"abstract":"","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123645554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.558
C. Choi, Koing Woo Kwon, Shin-Kun Kim, Sang Wook Lee, D. Shin, Seung Jin Lee
Purpose : We reclassified three- and four-part proximal humerus fractures by Neer ’ s classification into valgus & varus type, and compared the results of these groups. Materials & methods : 21 cases classified as three- and four-part fracture in Neer ’ s classification were treated surgically and followed for 12 months. We reclassfied the 21cases valgus and varus type fractures, according to angulation of fractures, facing of humeral head, and dominant displaced tuberosity. Functional evaluation was done by UCLA shoulder rating scale. R e s u l t s : Neer ’ s three- and four-part proximal humerus fractures could be reclassified based on angulation, facing of humeral head, and dominant tuberosity displacement. The functional results according to UCLA shoulder rating scale were good or excellant in 8 of 9 cases of valgus type(89%), and at 4 in 10 cases of varus type(40%). The clinical result of the valgus type was better than that of the varus type. C o n c l u s i o n : Based on reclassification system of proximal humerus fractures, clinical results and radiographic findings including angulation, facing of head, and dominant tuberosity displacement showed close relationship. Neurovascular complication were more frequent in the varus type. Therefore, careful evaluation including surgical approach and soft tissue status should be considered in the varus type of complex proximal humerus fracture.
{"title":"Comparison study between valgus and varus type in Neer 's 3 and 4 part proximal humerus fracture","authors":"C. Choi, Koing Woo Kwon, Shin-Kun Kim, Sang Wook Lee, D. Shin, Seung Jin Lee","doi":"10.12671/JKSF.2002.15.4.558","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.558","url":null,"abstract":"Purpose : We reclassified three- and four-part proximal humerus fractures by Neer ’ s classification into valgus & varus type, and compared the results of these groups. Materials & methods : 21 cases classified as three- and four-part fracture in Neer ’ s classification were treated surgically and followed for 12 months. We reclassfied the 21cases valgus and varus type fractures, according to angulation of fractures, facing of humeral head, and dominant displaced tuberosity. Functional evaluation was done by UCLA shoulder rating scale. R e s u l t s : Neer ’ s three- and four-part proximal humerus fractures could be reclassified based on angulation, facing of humeral head, and dominant tuberosity displacement. The functional results according to UCLA shoulder rating scale were good or excellant in 8 of 9 cases of valgus type(89%), and at 4 in 10 cases of varus type(40%). The clinical result of the valgus type was better than that of the varus type. C o n c l u s i o n : Based on reclassification system of proximal humerus fractures, clinical results and radiographic findings including angulation, facing of head, and dominant tuberosity displacement showed close relationship. Neurovascular complication were more frequent in the varus type. Therefore, careful evaluation including surgical approach and soft tissue status should be considered in the varus type of complex proximal humerus fracture.","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130290937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.545
Do-Young Kim, Y. Park, G. Im, C. Lim, Sang-Soo Lee, Hyun-Chul Park
{"title":"Internal fixation with K-wires for the clavicular shaft fractures in young women.","authors":"Do-Young Kim, Y. Park, G. Im, C. Lim, Sang-Soo Lee, Hyun-Chul Park","doi":"10.12671/JKSF.2002.15.4.545","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.545","url":null,"abstract":"","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128791717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.439
D. Shim, Tae Kyun Kim, S. Chae, S. Kweon
Purpose : To evaluate the radiological and clinical results of closed reduction and cannulated screw percutaneous fixation of intraarticular calcaneal fractures combined with multiple injuries. Materials and Methods : We reviewed 15 cases of 13 patients intraarticular calcaneal fractures combined with multiple injuries which were treated with closed reduction and cannulated screw percutaneous fixation between June 1998 to June 2001 and minimum follow up period of 12 months(12-27 months). The results were based on the assessment criteria of Salama and the analysis of Bohler ’ s angle, states of subtalar joint and deformities of calcaneus. Based on the Sanders classification, there were 2 cases(13%) of type Ⅰ , 9 cases(60%) of type Ⅱ and 4 cases(27%) of type Ⅲ . Results : The preoperative Bohler ’ s angles were between 5 ° to 35 ° , postoperative Bohler ’ s angles were between 15 ° to 45 ° and the last follow up Bohler ’ s angles were between 15 ° to 40 ° . The postoperative complication of subtalar arthritis were developed in 5 cases and deformities of calcaneus were developed in 4 cases. Based on the assessment criteria of Salama, the functional results were excellent in 2 cases, good in 8 cases, fair in 3 cases, and poor in 2 cases. Conclusion : The closed reduction and cannulated screw percutaneous fixation of intraarticular calcaneal fractures combined with multiple injuries was thought to be a useful method of treatment at the state of not delayed operating time and not position changing.
{"title":"Operative Treatment of Intraarticular Calcaneal Fractures Combined with Multiple Injuries using Closed Reduction and Cannulated Screw Fixation","authors":"D. Shim, Tae Kyun Kim, S. Chae, S. Kweon","doi":"10.12671/JKSF.2002.15.4.439","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.439","url":null,"abstract":"Purpose : To evaluate the radiological and clinical results of closed reduction and cannulated screw percutaneous fixation of intraarticular calcaneal fractures combined with multiple injuries. Materials and Methods : We reviewed 15 cases of 13 patients intraarticular calcaneal fractures combined with multiple injuries which were treated with closed reduction and cannulated screw percutaneous fixation between June 1998 to June 2001 and minimum follow up period of 12 months(12-27 months). The results were based on the assessment criteria of Salama and the analysis of Bohler ’ s angle, states of subtalar joint and deformities of calcaneus. Based on the Sanders classification, there were 2 cases(13%) of type Ⅰ , 9 cases(60%) of type Ⅱ and 4 cases(27%) of type Ⅲ . Results : The preoperative Bohler ’ s angles were between 5 ° to 35 ° , postoperative Bohler ’ s angles were between 15 ° to 45 ° and the last follow up Bohler ’ s angles were between 15 ° to 40 ° . The postoperative complication of subtalar arthritis were developed in 5 cases and deformities of calcaneus were developed in 4 cases. Based on the assessment criteria of Salama, the functional results were excellent in 2 cases, good in 8 cases, fair in 3 cases, and poor in 2 cases. Conclusion : The closed reduction and cannulated screw percutaneous fixation of intraarticular calcaneal fractures combined with multiple injuries was thought to be a useful method of treatment at the state of not delayed operating time and not position changing.","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"271 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114675027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.595
S. Choo, G. Park
{"title":"Neurologic Complications of Elbow Fractures in Children.","authors":"S. Choo, G. Park","doi":"10.12671/JKSF.2002.15.4.595","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.595","url":null,"abstract":"","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128214459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.531
Jong Oh Kim, Yeo Hon Yoen, Young Do Ko, J. Yoo, J. M. Chung, Han Cheon Bang, K. Kang
{"title":"The Prefracture Factors on The Hip Fracture in Elderly","authors":"Jong Oh Kim, Yeo Hon Yoen, Young Do Ko, J. Yoo, J. M. Chung, Han Cheon Bang, K. Kang","doi":"10.12671/JKSF.2002.15.4.531","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.531","url":null,"abstract":"","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129754461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.538
Jung-Ro Yoon, J. Shim, Taek Seon Kim, S. Lee, Young Bae Kim, H. J. Kim, Kuk Whan Ahn, J. Chang, M. P. Hong
{"title":"The Cause of the Nonunion of the Mid-clavicle Fractures","authors":"Jung-Ro Yoon, J. Shim, Taek Seon Kim, S. Lee, Young Bae Kim, H. J. Kim, Kuk Whan Ahn, J. Chang, M. P. Hong","doi":"10.12671/JKSF.2002.15.4.538","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.538","url":null,"abstract":"","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132732781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.489
K. Song, K. Yang, Joo Hong Lee
Introduction : The purpose of this study was to analyze the results, prognosis and complications in the treatment of proximal tibia plateau fractures, and to suggest the guideline for the proper management in the difficult cases of tibial plateau fractures. Materials and Methods : We have analyzed 27 cases, which surgically treated during recent five years with average 36.6 months follow-up. Patients ranged in age from 24 to 83 years at the time of hospitalization, consisting of 19 males(70.4%) and 8 females(29.6%). The type of fracture by Schatzker classification revealed in type I 3 cases(11.1%), type II 1 case(3.7%), type III 0 case(0%), type IV 3 cases(11.1%), type V 1 case(3.7%) and type VI 19 cases(70.4%). The associated injury occurred in 22 cases(81.5%), most of them were ipsilateral fibular, ipsilateral femoral and radioulnar fractures. The results were evaluated by Blokker ’ s criteria. R e s u l t s : Screw fixation was done in 4 cases(18%) and plate fixation in 23 cases(85.2%), and bone grafting was done in 10 cases(37.0%). There were 10 postoperative complications with 3 cases of knee ankyosis, 3 cases of angular deformity, 3 cases of infection, and 1 case of traumatic arthritis. According to Blokker ’ s criteria, 22 cases(81.5%) had satisfactory results. Conclusions : Accurate anatomical reduction and rigid internal fixation of the proximal tibial plateau fracture enabled early motion and normalization of injured soft tissues, and also provided functional improvement of the knee.
{"title":"The results of Operative Treatment in the Proximal Tibial Plateau Fracture","authors":"K. Song, K. Yang, Joo Hong Lee","doi":"10.12671/JKSF.2002.15.4.489","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.489","url":null,"abstract":"Introduction : The purpose of this study was to analyze the results, prognosis and complications in the treatment of proximal tibia plateau fractures, and to suggest the guideline for the proper management in the difficult cases of tibial plateau fractures. Materials and Methods : We have analyzed 27 cases, which surgically treated during recent five years with average 36.6 months follow-up. Patients ranged in age from 24 to 83 years at the time of hospitalization, consisting of 19 males(70.4%) and 8 females(29.6%). The type of fracture by Schatzker classification revealed in type I 3 cases(11.1%), type II 1 case(3.7%), type III 0 case(0%), type IV 3 cases(11.1%), type V 1 case(3.7%) and type VI 19 cases(70.4%). The associated injury occurred in 22 cases(81.5%), most of them were ipsilateral fibular, ipsilateral femoral and radioulnar fractures. The results were evaluated by Blokker ’ s criteria. R e s u l t s : Screw fixation was done in 4 cases(18%) and plate fixation in 23 cases(85.2%), and bone grafting was done in 10 cases(37.0%). There were 10 postoperative complications with 3 cases of knee ankyosis, 3 cases of angular deformity, 3 cases of infection, and 1 case of traumatic arthritis. According to Blokker ’ s criteria, 22 cases(81.5%) had satisfactory results. Conclusions : Accurate anatomical reduction and rigid internal fixation of the proximal tibial plateau fracture enabled early motion and normalization of injured soft tissues, and also provided functional improvement of the knee.","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133152775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.607
S. Hahn, H. Kang, J. Park
{"title":"Differential diagnosis and its treatment of gas forming infections","authors":"S. Hahn, H. Kang, J. Park","doi":"10.12671/JKSF.2002.15.4.607","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.607","url":null,"abstract":"","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133808846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2002-10-01DOI: 10.12671/JKSF.2002.15.4.446
K. Song, K. Yang, Joo Hong Lee
Purpose : This study was designed to investigate the usefulness of lateral approach for accurate reduction and rigid internal fixation in comminuted intra-articular fractures of calcaneus. Material and Method : Twenty patients(21 cases) who had intra-articular fracture of calcaneus and underwent an open reduction and internal fixation using lateral approach were enrolled. Using Essex-Lopresti classification, all cases were intra-articular fracture, which joint depression type was 17 cases and 4 of severe comminuted tongue type. We compared the preoperative and postoperative change of B o h l e r ’ s angle and clinical results were analyzed using Paley and Halls evaluation protocol and scoring system. Results : The average B ohler’ s angle was restored from 2.8 to 25.1 after operations and clinical results classified 4 well, 12 good, 4 fair, 1 poor cases. Postoperative complications were 2 cases of wound dehiscence, 1 of infection and one had sural nerve injury. Late complications included 3 cases of limitation of motion of ankle that disturb usual activity, 3 of sustained pain and 2 of traumatic arthritis and 2 cases had 2 complications at the same patients. Conclusion : The lateral approach is valuable for the comminuted intra-articular fractures of calcaneus that enables accurate anatomical reduction and rigid internal fixation by providing direct exposure of subtalar joint, and also with little morbidity of neurovascular injury. Abstract .. ..
目的:本研究旨在探讨外侧入路对跟骨粉碎性关节内骨折的精确复位和刚性内固定的作用。材料与方法:选取20例(21例)经外侧入路切开复位内固定的跟骨关节内骨折患者。采用Essex-Lopresti分型，所有病例均为关节内骨折，其中关节凹陷型17例，重度粉舌型4例。我们采用Paley和Halls评价方案及评分系统，比较B - o - l - r角术前、术后的变化，并对临床结果进行分析。结果:术后B ohler角平均由2.8恢复到25.1，临床结果:好4例，好12例，一般4例，差1例。术后并发症创面裂开2例，感染1例，腓肠神经损伤1例。晚期并发症包括踝关节活动受限干扰正常活动3例，持续性疼痛3例，外伤性关节炎2例，2例合并2种并发症。结论:外侧入路对跟骨粉碎性关节内骨折有一定的治疗价值，可通过直接暴露距下关节实现准确的解剖复位和刚性内固定，且神经血管损伤发生率低。摘要
{"title":"Open Reduction using Lateral Approach in Displaced Intra-articular Fracture of Calcaneus","authors":"K. Song, K. Yang, Joo Hong Lee","doi":"10.12671/JKSF.2002.15.4.446","DOIUrl":"https://doi.org/10.12671/JKSF.2002.15.4.446","url":null,"abstract":"Purpose : This study was designed to investigate the usefulness of lateral approach for accurate reduction and rigid internal fixation in comminuted intra-articular fractures of calcaneus. Material and Method : Twenty patients(21 cases) who had intra-articular fracture of calcaneus and underwent an open reduction and internal fixation using lateral approach were enrolled. Using Essex-Lopresti classification, all cases were intra-articular fracture, which joint depression type was 17 cases and 4 of severe comminuted tongue type. We compared the preoperative and postoperative change of B o h l e r ’ s angle and clinical results were analyzed using Paley and Halls evaluation protocol and scoring system. Results : The average B ohler’ s angle was restored from 2.8 to 25.1 after operations and clinical results classified 4 well, 12 good, 4 fair, 1 poor cases. Postoperative complications were 2 cases of wound dehiscence, 1 of infection and one had sural nerve injury. Late complications included 3 cases of limitation of motion of ankle that disturb usual activity, 3 of sustained pain and 2 of traumatic arthritis and 2 cases had 2 complications at the same patients. Conclusion : The lateral approach is valuable for the comminuted intra-articular fractures of calcaneus that enables accurate anatomical reduction and rigid internal fixation by providing direct exposure of subtalar joint, and also with little morbidity of neurovascular injury. Abstract .. ..","PeriodicalId":298665,"journal":{"name":"Journal of the Korean Society of Fractures","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133922108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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