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Osteotomy Selection: Advantages, Disadvantages, and Indication.

Ki Chul PARK ; Hyun Uk KIM ; Young Sik SONG

Journal of the Korean Fracture Society.2017;30(3):167-172. doi:10.12671/jkfs.2017.30.3.167

Malunion causes not only cosmetic problems, but also degenerative osteoarthritis due to changes in the anatomical and mechanical axes. Corrective osteotomy may be required in some cases to prevent these complications. The corrective osteotomy is divided into two types: Straight and dome. The straight type is divided into open and closed wedge, in accordance with the correction method. Surgeons should understand the indication, surgical procedure, as well as the advantages and disadvantages of each osteotomy method. Deciding on the method of corrective osteotomy depends on the degree of angulation, soft tissue condition, approximate with joint, implant type, and the experience of the surgeon.
Joints ; Methods ; Osteoarthritis ; Osteotomy* ; Surgeons

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Clinical and Radiological Analysis of Angular Deformity of Lower Extremities.

Changhoon JEONG ; Jong Ho NOH

Journal of the Korean Fracture Society.2017;30(3):156-166. doi:10.12671/jkfs.2017.30.3.156

The alignment of lower extremities is an important consideration in many clinical situations, including fracture reduction, high tibia osteotomy, total knee arthroplasty, and deformity correction. Mal-alignment of lower extremities is not only a simple cosmetic problem, but it can also produce pain, limp, and early degenerative arthritis. An assessment of lower extremity alignment, including its location and magnitude of deformity, can be achieved via mal-alignment test and mal-orientation test, using a lower extremity standing full-length radiography. Proper evaluation allows the surgeon to determine an effective treatment plan for deformity correction.
Arthroplasty, Replacement, Knee ; Congenital Abnormalities* ; Lower Extremity* ; Osteoarthritis ; Osteotomy ; Radiography ; Tibia

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Surgical Treatment for Displaced Intra-Articular Calcaneal Fractures.

Chul Hyun PARK ; Oog Jin SHON

Journal of the Korean Fracture Society.2016;29(3):221-231. doi:10.12671/jkfs.2016.29.3.221

Calcaneal fractures are the most common type of tarsal fracture, and comminuted and bursting fractures are common due to the anatomic characteristics of the calcaneus. Assessment and treatment of calcaneal fractures has improved significantly over time. Despite advancements in surgical techniques and equipment, these fractures remain difficult to treat. In this review article, the physiopathology, classification, and surgical treatments of displaced intra-articular calcaneal fractures are updated.
Calcaneus ; Classification

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Treatment of Traumatic Soft Tissue Defect: Free Flap.

Jae Hoon LEE

Journal of the Korean Fracture Society.2010;23(2):257-262. doi:10.12671/jkfs.2010.23.2.257

No abstract available.
Free Tissue Flaps

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Reconstruction of Traumatic Soft Tissue Defect: Local Flap.

Jong Woong PARK

Journal of the Korean Fracture Society.2010;23(2):251-256. doi:10.12671/jkfs.2010.23.2.251

No abstract available.

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Management of Open Fracture.

Gu Hee JUNG

Journal of the Korean Fracture Society.2010;23(2):236-250. doi:10.12671/jkfs.2010.23.2.236

No abstract available.
Fractures, Open

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Fracture-Dislocation of S1 in 3-Year-Old Boy: A Case Report.

Sang Bong KO ; Sang Wook LEE

Journal of the Korean Fracture Society.2010;23(2):232-235. doi:10.12671/jkfs.2010.23.2.232

Fracture-dislocation of the sacrum that has not yet fully developed is common in the distal sacrococcygeal joint of children, but this injury is rarely seen in 1st Sacrum. Most of these patients have a severe neurological deficit, so this injury generally requires surgical decompression. We managed a three year old patient who had a S1 fracture-dislocation without a neurological deficit, and the patient was treated with simple skin traction and bed rest without surgery. The child had a satisfactory result, so we report on this case with reviewing the relevant literatures.
Bed Rest ; Child ; Decompression, Surgical ; Humans ; Joints ; Preschool Child ; Sacrum ; Skin ; Traction

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Bone Substitutes and the Advancement for Enhancing Bone Healing.

Dong Hyun LEE ; Ji Wan KIM

Journal of the Korean Fracture Society.2017;30(2):102-109. doi:10.12671/jkfs.2017.30.2.102

With an aging population and the development of surgical techniques, there is a growing demand for bone reconstruction in areas of trauma, arthroplasty, and spinal fusion Although autogenous bone grafting may be the best method for stimulating bone repair and regeneration, there are still problems and complications, including morbidity related to bone harvesting and limitation of harvest amount. Allogeneic bone grafts have a limited supply and risk of transmission of infectious diseases. Over the past several decades, the use of bone substitutes, such as calcium phosphate, has increased; however, they have limited indications. Biomedical research has suggested a possibility of stimulating the self-healing mechanism by locally transmitting the external growth factors or stimulating local production through a gene transfer. In this review, we evaluate recent advances, including bone graft, bone substitutes, and tissue engineering.
Aging ; Allografts ; Arthroplasty ; Bone Substitutes* ; Bone Transplantation ; Calcium ; Communicable Diseases ; Genes, vif ; Intercellular Signaling Peptides and Proteins ; Methods ; Regeneration ; Spinal Fusion ; Tissue Engineering ; Transplants

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Treatment Options for the Nonunions with Critical Sized Bone Loss.

Jin Kak KIM ; Soo Hyun KIM ; Jae Woo CHO ; Jong Keon OH

Journal of the Korean Fracture Society.2017;30(2):89-101. doi:10.12671/jkfs.2017.30.2.89

The management of nonunion with severe bone loss is a challenging task to both surgeons and patients. It often requires prolonged and potentially painful treatments. Moreover, it also represents serious socioeconomic issues for patients. Inadequate fracture stability, disrupted biology, such as blood supply and soft tissue, as well as severe bone loss or presence of infection are possible reasons for nonunion. Several different treatment modalities are available, including nail dynamization, plate osteosynthesis, exchange nailing, and adjuvant alternatives, such as electrical or ultrasound stimulation. Autogenous bone graft remains the standard method to reconstruct small defects. Distraction osteogenesis and induced membrane techniques are contemporary strategies of choice for the reconstruction of larger bony defects. Herein, we attempt to describe the key techniques that may be employed in treating nonunion with severe bone loss.
Biology ; Humans ; Membranes ; Methods ; Osteogenesis, Distraction ; Surgeons ; Transplants ; Ultrasonography

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Fracture of the Humeral Shaft Secondary to High-Velocity Gunshot (Machine Gun) Injury: A Case Report.

Ki Won LEE ; Joo Yul BAE ; Suk Kyu LEE

Journal of the Korean Fracture Society.2017;30(2):83-88. doi:10.12671/jkfs.2017.30.2.83

High-velocity gunshot injury (muzzle velocity greater than 609.6 m/s) is uncommon and primarily a military injury. Humerus shaft fracture, caused by a high-velocity gunshot, should be considered as a severe open fracture. The principles of treatment are immediate and aggressive irrigation, wide debridement, primary delayed wound closure, and broad-spectrum intravenous antibiotics. External fixation has been widely used for fracture fixation. We report a case of humerus shaft fracture secondary to high-velocity gunshot (machine gun) injury, with a literature review.
Anti-Bacterial Agents ; Debridement ; Fracture Fixation ; Fractures, Open ; Humans ; Humerus ; Military Personnel ; Wounds and Injuries ; Wounds, Gunshot

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