Journal Detail Information

The infected nonunion of clavicle with bone defect is an uncommon complication following clavicle shaft fracture. There were a few reports regarding treatment of the infected nonunion after clavicle fracture. We report on a case of infected clavicle nonunion successfully treated with autologous bone graft and dual plate fixation.
Clavicle* ; Transplants

4

Cite

Share

Failure to Remove a Trochanteric Entry Femoral Nail and Its Cause in Adolescent Patients: Two Cases Report.

Ji Hwan KIM ; Seung Oh NAM ; Young Soo BYUN ; Han Sang KIM

Journal of the Korean Fracture Society.2015;28(1):71-76. doi:10.12671/jkfs.2015.28.1.71

Trochanteric entry femoral nails have been widely used for fixation of femoral shaft fractures because of easier identification of the entry point. Young patients usually request removal of the nail after healing of the fracture. We experienced a failure and difficulty in removal of the trochanteric entry nail in two adolescent patients. In the patient in which the nail could be removed with difficulty, dense compact bone was formed through the empty interlocking holes and the nail was held just like a latch. This finding was quite similar to the computed tomography findings of the patient in which the nail could not be removed. In order to remove the nail, the newly formed, dense compact bone in the interlocking holes must be broken and detached from the femur itself. We suggest that dense compact bone through the empty interlocking holes might be a clue for difficult removal of the trochanteric entry nail.
Adolescent* ; Femur* ; Humans

5

Cite

Share

Irreducible Open Dorsal Dislocation of the Proximal Interphalangeal Joint: A Case Report.

Youn Tae ROH ; Il Jung PARK ; Hyoung Min KIM ; Jae Young LEE ; Sung Lim YOU ; Youn Soo KIM

Journal of the Korean Fracture Society.2015;28(1):65-70. doi:10.12671/jkfs.2015.28.1.65

Dorsal dislocation of the proximal interphalangeal joint is a common injury in the orthopedic department. In most cases, the joint is reduced simply by closed manipulation. However, in rare cases, the joint is not reducible by closed manipulation, therefore, surgery is required. We report on a case of irreducible open dorsal dislocation of the proximal interphalangeal joint which was surgically treated. Because the flexor tendon interposed between the head of the proximal phalanx and the base of the middle phalanx, we could reduce the joint only after repositioning of the flexor tendon.
Dislocations* ; Head ; Joints* ; Orthopedics ; Tendons

6

Cite

Share

Treatment of Olecranon Fractures with Proximal Ulna Comminution Using Locking Compression Plates.

Ki Do HONG ; Tae Ho KIM ; Jae Cheon SIM ; Sung Sik HA ; Min Chul SUNG ; Jong Hyun JEON

Journal of the Korean Fracture Society.2015;28(1):59-64. doi:10.12671/jkfs.2015.28.1.59

PURPOSE: The purpose of this study is to evaluate the clinical results of locking compression plate (LCP) fixation for olecranon fractures with proximal ulna comminution. MATERIALS AND METHODS: We review 10 cases of olecranon fractures with proximal ulna comminution treated with LCPs from August 2011 to August 2013. Follow-up period was from 12 months to 18 months. Mean age was 63.1 years (35-84 years). According to the Mayo classification, there were eight type IIB, and two type IIIB fractures. We used Mayo classification. Clinical evaluation was performed based on radiographic union of olecranon and measurements of range of motion at last follow-up. Disability of the arm, shoulder and hand (DASH) score and Mayo elbow performance score (MEPS) were used for evaluation of functional recovery. RESULTS: All patients had bone union. According to the MEPS, nine of ten patients had a good or excellent outcome. The mean DASH score was 18.6. All cases started postoperative range of motion (ROM) within 14 days. Elbow ROM was more than 110degrees in all cases except one. Mean radiological bony union time was 4.2 months (2.5-6.0 months) postoperatively. Complication was hardware irritation in three patients. CONCLUSION: Internal fixation using LCP for olecranon fractures with proximal ulna comminution can be a good treatment option which obtains good clinical results and enables early ROM.
Arm ; Classification ; Elbow ; Follow-Up Studies ; Hand ; Humans ; Olecranon Process* ; Range of Motion, Articular ; Shoulder ; Ulna*

7

Cite

Share

Perioperative Blood Loss in Intramedullary Hip Screw for Intertrochanteric Fracture: Analysis of Risk Factors.

Jai Hyung PARK ; Hwa Jae JUNG ; Hun Kyu SHIN ; Eugene KIM ; Se Jin PARK ; Taeg Su KO ; Jong Hyon PARK

Journal of the Korean Fracture Society.2015;28(1):53-58. doi:10.12671/jkfs.2015.28.1.53

PURPOSE: We compared visible blood loss and calculated blood loss after intramedullary fixation in intertrochanteric fracture, and evaluated correlation between blood loss and its risk factors. MATERIALS AND METHODS: A total of 256 patients who underwent closed reduction and intramedullary fixation in femoral intertrochanteric fracture between 2004 and 2013 were enrolled in this study. The total blood loss was calculated using the formula reported by Mercuiali and Brecher. We analyzed several factors, including fracture pattern (according to Evans classification), gender, age, body mass index (BMI), anesthesia method, cardiovascular and cerebrovascular disease, preoperative anemia, American Society of Anesthesiologists (ASA) score and use of antithrombotic agents. RESULTS: Total calculated blood loss (2,100+/-1,632 ml) differed significantly from visible blood loss (564+/-319 ml). In addition, the blood loss of unstable fracture patient was 2,496+/-1,395 ml and multivariate analysis showed a significant relationship between blood loss and fracture pattern (p<0.01). However, other factors showed no statistically significant difference. CONCLUSION: Total calculated blood loss was much greater than visible blood loss. Patients with unstable intertrochanteric fracture should be treated with care in order to reduce blood loss.
Anemia ; Anesthesia ; Blood Loss, Surgical ; Body Mass Index ; Femur ; Fibrinolytic Agents ; Fracture Fixation, Intramedullary ; Hip Fractures ; Hip* ; Humans ; Multivariate Analysis ; Risk Factors*

8

Cite

Share

Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate.

Jae Cheon SIM ; Sung Sik HA ; Ki Do HONG ; Tae Ho KIM ; Min Chul SUNG

Journal of the Korean Fracture Society.2015;28(1):46-52. doi:10.12671/jkfs.2015.28.1.46

PURPOSE: The purpose of this study is to evaluate outcome of variable-angle volar locking plate for treatment of distal radius fractures. MATERIALS AND METHODS: We retrospectively analyzed the results in 45 cases treated by variable-angle volar locking plate. We evaluated the clinical results according to the Mayo wrist performance scoring system and radiographic results. RESULTS: All cases had bony union. The mean Mayo wrist performance scoring system was 84.8. Between preoperative and immediate postoperative radiographic measurement, the mean radial length improved from 8.4 to 11.8 mm, radial inclination from 14.2degrees to 22.4degrees, volar tilt from -4.5degrees to 9.6degrees, and intraarticular step-off from 1.8 to 0.3 mm (p<0.05). Between immediate postoperative and latest follow-up radiographic measurements, the mean loss of radial length measured 0.8 mm, radial inclination 0.4degrees, and volar tilt 0.9degrees (p>0.05). All cases showed bone union with no evidence of malunion, nonunion, or metal failure. CONCLUSION: Treatment of distal radius fractures using variable angle volar locking plate showed satisfactory outcomes. It is a good option to obtain stable fixation without significant loss of reduction.
Follow-Up Studies ; Radius Fractures ; Radius* ; Retrospective Studies ; Wrist

9

Cite

Share

The Surgical Outcome of Unstable Distal Clavicle Fractures Treated with 2.4 mm Volar Distal Radius Locking Plate.

Suk Kyu CHOO ; Ji Ho NAM ; Youngwoo KIM ; Hyoung Keun OH

Journal of the Korean Fracture Society.2015;28(1):38-45. doi:10.12671/jkfs.2015.28.1.38

PURPOSE: This study evaluated the surgical outcomes of unstable distal clavicular fractures treated with a 2.4 mm volar distal radius locking plate. MATERIALS AND METHODS: From August 2009 to August 2012, 16 patients with distal clavicle fractures underwent surgical treatment. Mean age was 36 years (18-62 years) and mean follow-up period was 12.9 months (6-32 months). Two cases were Neer type I, six cases IIa, three cases IIb, three cases III, and two cases V. For the radiologic assessment, union time and metal failure were evaluated, and coracoidiologic assessment, union time and metal failure were evaluatethe acromioclavicular joint. The clinical results were evaluated by range of motion, postoperative complication, and University of California at Los Angeles (UCLA) score. RESULTS: Mean time to fracture union was 7.4 weeks (6-14 weeks) in all cases. No statistical difference in coracoid-clavicle distance was observed between immediate post-operation group and contra-lateral group (p=0.6), but an increase of 2.1 mm was observed in the last follow up group compared with the contra-lateral group (p<0.01). The UCLA scoring system showed excellent results in 15 cases and good results in one case. Acromial-clavicle instability occurred in one case so that metal removal and distal clavicle resection were performed. CONCLUSION: A 2.4 mm volar distal radius locking plate can provide rigid fixation through several screw fixation in the short distal fragment and lead to satisfactory clinical outcomes in unstable distal clavicular fractures.
Acromioclavicular Joint ; California ; Clavicle* ; Follow-Up Studies ; Humans ; Postoperative Complications ; Radius* ; Range of Motion, Articular

10

Cite

Share

Olecranon Nonunion after Operative Treatment of Fracture.

Ho Jung KANG ; Ji Sup KIM ; Myung Ho SHIN ; Il Hyun KOH ; Yun Rak CHOI

Journal of the Korean Fracture Society.2015;28(1):30-37. doi:10.12671/jkfs.2015.28.1.30

PURPOSE: Olecranon nonunion after surgical management is relatively rare, but it leads to limitation of motion of joint or instability. This retrospective study was conducted in order to analyze the cause and result of treatment. MATERIALS AND METHODS: We analyzed 11 cases treated for nonunion of olecranon fractures. Nonunion was classified according to the spot of the lesion and the extent of articular surface damage. Evaluation was performed using Mayo elbow performance score (MEPS), Oxford elbow score (OES), Disabilities of the Arm, Shoulder and Hand (DASH) scores, and the range of motion. RESULTS: According to the spot of the lesion and the extent of articular surface damage, nonunion was categorized as IA (2 cases), IIA (5 cases), and IIIA (4 cases). One case of IA underwent nonunion fragment excision and the remaining cases were treated by bone grafting. A plate was used in seven cases and the other three cases had both plate and tension band wiring fixation. All nonunions finally became union. The 11 patients with one year follow-up had average MEPS of 87.7 points (range: 60-100 points), average OES of 43.2, and average DASH score of 18.8 points. Complications included limitation of motion (2 cases) and ulnar nerve symptoms (3 cases). CONCLUSION: Bone grafting and fixation by plate may be beneficial. In addition, excision can be useful in type I.
Arm ; Bone Transplantation ; Elbow ; Follow-Up Studies ; Hand ; Humans ; Joints ; Olecranon Process* ; Range of Motion, Articular ; Retrospective Studies ; Shoulder ; Ulnar Nerve

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share