Journal of the Korean Fracture Society最新文献

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Osteotomy Selection: Advantages, Disadvantages, and Indication 截骨术的选择:优点、缺点和适应证
Journal of the Korean Fracture Society Pub Date : 2017-07-01 DOI: 10.12671/JKFS.2017.30.3.167
Ki-Chul Park, Hyun Uk Kim, Young-Sik Song
{"title":"Osteotomy Selection: Advantages, Disadvantages, and Indication","authors":"Ki-Chul Park, Hyun Uk Kim, Young-Sik Song","doi":"10.12671/JKFS.2017.30.3.167","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.3.167","url":null,"abstract":"Financial support: None. Conflict of interests: None. 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.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124099469","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}
引用次数: 0
Extensive Multiple Morel-Lavallée Lesions: A Case Report 广泛多发性morel - lavallsamade病变1例报告
Journal of the Korean Fracture Society Pub Date : 2017-07-01 DOI: 10.12671/JKFS.2017.30.3.142
K. Shim, Won Choi, Ye-Soo Park
{"title":"Extensive Multiple Morel-Lavallée Lesions: A Case Report","authors":"K. Shim, Won Choi, Ye-Soo Park","doi":"10.12671/JKFS.2017.30.3.142","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.3.142","url":null,"abstract":"Financial support: None. Conflict of interests: None. Morel-Lavallée is a rare lesion caused by post-traumatic soft tissue injury. It usually occurs around the greater trochanter, and it occurs very rarely in the lumbar region. It is often difficult to be diagnosed in the emergency room. Delayed diagnosis may result in the need for open surgery. The authors report a patient with extensive multiple Morel-Lavallée lesions in the thoracolumbar, buttock, and thigh after trauma and provide a literature review.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130084232","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}
引用次数: 0
Reduction Technique of Dome Impaction Using the Modified Stoppa Approach: A Technical Note 采用改良的止损法减少圆顶撞击的技术要点
Journal of the Korean Fracture Society Pub Date : 2017-07-01 DOI: 10.12671/JKFS.2017.30.3.131
Ji Wan Kim, Y. M. Seo, H. Jang
{"title":"Reduction Technique of Dome Impaction Using the Modified Stoppa Approach: A Technical Note","authors":"Ji Wan Kim, Y. M. Seo, H. Jang","doi":"10.12671/JKFS.2017.30.3.131","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.3.131","url":null,"abstract":"Financial support: None. Conflict of interests: None. In elderly acetabular fractures, central dislocation of the femoral head and impacted superior dome of the acetabulum is common. Unreduced dome impaction can lead to degenerative arthritis and results in poor results. Herein, we present a case of operative reduction and fixation performed via the modified Stoppa approach in acetabular fracture with superior dome impaction.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131813074","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}
引用次数: 2
Minimal Invasive Plate Osteosynthesis versus Conventional Open Plating in Simple Humeral Shaft Fracture (AO Type A, B1, B2) 微创钢板接骨术与常规开板接骨术治疗单纯性肱骨骨干骨折(AO型A, B1, B2)
Journal of the Korean Fracture Society Pub Date : 2017-07-01 DOI: 10.12671/JKFS.2017.30.3.124
Boseon Kim, G. Lee, Hyunwoong Jang
{"title":"Minimal Invasive Plate Osteosynthesis versus Conventional Open Plating in Simple Humeral Shaft Fracture (AO Type A, B1, B2)","authors":"Boseon Kim, G. Lee, Hyunwoong Jang","doi":"10.12671/JKFS.2017.30.3.124","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.3.124","url":null,"abstract":"Financial support: This study was supported by research fund from Chosun University, 2014. Conflict of interests: None. Purpose: The purpose of this study is to evaluate the efficacy of minimally invasive plate osteosynthesis (MIPO) by comparing the results between open plating and MIPO conducted by simple humeral shaft fractures. Materials and Methods: From September 2010 to February 2015, we evaluated humeral shaft fractures that 26 cases underwent MIPO and 41 cases underwent open plate fixation (OPEN). Operation time, amount of blood loss, and radiative exposure time were examined. Radiographically, bone union time and angulation were compared. At last, UCLA shoulder score and MEPI were used to compare the clinical results of shoulder and elbow and complications were examined. Results: The average operation time 82±23 minutes in MIPO, 119±20 minutes in OPEN (p=0.007) and amount of bleeding 238±67 ml in MIPO, 303±48 ml in OPEN (p=0.003), radiation exposure time 201 ±85 seconds in MIPO, 20±5 seconds in OPEN (p=0.000) were statistically significant. Bone union time and angulations, clinical results were not statistically significant. In Complication, iatrogenic radial nerve paralysis occurred 2 cases, nonunion occurred 1 case in MIPO. Nonunion and soft tissue infection occurred 2 cases each in OPEN. Conclusion: MIPO in simple humeral shaft fractures gave us radiologically and clinically satisfactory results, and may be useful by understanding the anatomical knowledge and using appropriate implants and skills.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130800241","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}
引用次数: 1
Posterior Dual Plating for Distal Shaft Fractures of the Humerus 后路双钢板治疗肱骨远端骨干骨折
Journal of the Korean Fracture Society Pub Date : 2017-07-01 DOI: 10.12671/JKFS.2017.30.3.117
C. Cho, K. Jeong, Beom-Soo Kim
{"title":"Posterior Dual Plating for Distal Shaft Fractures of the Humerus","authors":"C. Cho, K. Jeong, Beom-Soo Kim","doi":"10.12671/JKFS.2017.30.3.117","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.3.117","url":null,"abstract":"Financial support: None. Conflict of interests: None. Purpose: To evaluate the results and efficacy of posterior dual plating for distal shaft fractures of the humerus. Materials and Methods: We retrospectively analyzed 12 patients, who underwent open reduction and internal fixation using posterior dual plating for distal shaft fractures of the humerus, between July 2007 and July 2015, with at least 6 months of follow-up. After locating the radial nerve without dissection via posterior triceps splitting, the fracture was stabilized using a short 3.5 mm locking compression plate. Then additional fixation, using a long 3.5 mm locking compression plate, was performed. The clinical outcomes were assessed in accordance with the Mayo Elbow Performance Index (MEPI) scoring system, and the radiological outcomes were assessed using serial plain radiographs. Results: Eleven patients (91.7%) had bony union, and the mean union period was 13.9 weeks. In one patient, delayed union was treated by autogenous iliac bone graft at 8 months after surgery, which resulted in bony union. The mean MEPI score was 95.8, and the clinical outcomes were excellent in 9 patients and good in 3 patients. Postoperative complications included 1 elbow stiffness by heterotopic ossification and 1 temporary radial nerve palsy. One patient with temporary radial nerve palsy was completely recovered within the first 4 days after surgery. Conclusion: Posterior dual plating for distal shaft fractures of the humerus revealed satisfactory clinical and radiological outcomes. It can be a useful alternative to provide stable fixation without the need for a dissection of the radial nerve.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133869899","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}
引用次数: 0
Atypical Fracture-Like Insufficiency Fracture of the Tibia with Prolonged Bisphosphonate Drug: A Case Report 非典型骨折样不全胫骨骨折伴长时间双膦酸盐治疗1例
Journal of the Korean Fracture Society Pub Date : 2017-07-01 DOI: 10.12671/JKFS.2017.30.3.137
M. Park, Su Jin Lee, J. Kam, Y. Lee, J. Yoo, H. Oh, J. Ha, Yung Park, Sang Hoon Park, Seong Hoon Kim, H. Yoon
{"title":"Atypical Fracture-Like Insufficiency Fracture of the Tibia with Prolonged Bisphosphonate Drug: A Case Report","authors":"M. Park, Su Jin Lee, J. Kam, Y. Lee, J. Yoo, H. Oh, J. Ha, Yung Park, Sang Hoon Park, Seong Hoon Kim, H. Yoon","doi":"10.12671/JKFS.2017.30.3.137","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.3.137","url":null,"abstract":"Financial support: None. Conflict of interests: None. Atypical femoral fracture related to a long-term bisphosphonate therapy has commonly been reported; however, a fracture at the site other than the femur has rarely been reported to date. Herein, we report a case of a patient on long-term bisphosphonate therapy who presented atypical tibial insufficiency fracture at the anterolateral aspect of diaphysis, without trauma. We, for the first time in Korea, present this case with a literature review.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123620765","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}
引用次数: 0
Oncogenic Osteomalacia with Multiple Insufficiency Fractures: A Case Report 致癌性骨软化伴多处不全骨折1例报告
Journal of the Korean Fracture Society Pub Date : 2017-07-01 DOI: 10.12671/JKFS.2017.30.3.146
Young-Chang Park, Joon-Oh Seo, K. Yang
{"title":"Oncogenic Osteomalacia with Multiple Insufficiency Fractures: A Case Report","authors":"Young-Chang Park, Joon-Oh Seo, K. Yang","doi":"10.12671/JKFS.2017.30.3.146","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.3.146","url":null,"abstract":"Financial support: None. Conflict of interests: None. Oncogenic osteomalacia is a rare paraneoplastic syndrome, characterized by hypophosphatemia, renal phosphate wasting, osteomalacia, and multiple insufficiency fractures, as a result of the tumor. A wide excision of the causative tumor is considered as the treatment of choice, following which, a dramatic recovery is expected. Authors report a case in which the symptoms and bone mineral density were dramatically recovered after an excision of the causative tumor around the tibialis posterior muscle in oncogenic osteomalacia.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127542172","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}
引用次数: 0
Bone Substitutes and the Advancement for Enhancing Bone Healing 骨替代物和促进骨愈合的进展
Journal of the Korean Fracture Society Pub Date : 2017-04-01 DOI: 10.12671/JKFS.2017.30.2.102
Dong Hyun Lee, Ji Wan Kim
{"title":"Bone Substitutes and the Advancement for Enhancing Bone Healing","authors":"Dong Hyun Lee, Ji Wan Kim","doi":"10.12671/JKFS.2017.30.2.102","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.2.102","url":null,"abstract":"Financial support: None. Conflict of interests: None. 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.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121772647","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}
引用次数: 2
Ultrasonographic Assessment of the Pronator Quadratus Muscle after Surgical Treatment for Distal Radius Fractures 桡骨远端骨折术后旋前方肌的超声评价
Journal of the Korean Fracture Society Pub Date : 2017-04-01 DOI: 10.12671/JKFS.2017.30.2.69
Dong-Hyuk Choi, H. Chung, Ji-Won Lee, Cheol-hwan Kim, Yong-Soo Choi
{"title":"Ultrasonographic Assessment of the Pronator Quadratus Muscle after Surgical Treatment for Distal Radius Fractures","authors":"Dong-Hyuk Choi, H. Chung, Ji-Won Lee, Cheol-hwan Kim, Yong-Soo Choi","doi":"10.12671/JKFS.2017.30.2.69","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.2.69","url":null,"abstract":"Financial support: None. Conflict of interests: None. Purpose: This study was to assess the morphological changes of the pronator quadratus (PQ) muscle using an ultrasonography in the volar locking plate fixation group and in the percutaneous K-wire fixation group for distal radius fracture, and to evaluate the impact on clinical outcomes. Materials and Methods: Fifty-four patients who received surgical treatment for distal radius fracture were enrolled in this study. They were divided into two groups according to treatment modality: Group 1 included 34 patients who underwent internal fixation with volar locking plate and Group 2 included 20 patients with percutaneous K-wire fixation. Thickness of the PQ muscle was measured using an ultrasonography at the final follow-up. We evaluated the outcomes using the Mayo wrist score, wrist range of motion, and grip strength at the final follow-up. Results: Compared with the uninjured side, thickness of the PQ muscle showed 31.9% of mean atrophy in Group 1 and 11.4% in Group 2. The atrophy of PQ muscle was severe in Group 1 (p=0.01). However, there was no significant difference in the mean Mayo wrist score between the two groups (83.1±10.9 in Group 1 and 80.2±8.9 in Group 2, p=0.28), except a mild limitation of pronation in Group 1. Conclusion: The healed PQ muscle from fracture itself after distal radius fracture revealed a morphological atrophy. Moreover, the volar locking plate resulted in greater atrophy of the PQ muscle, but there was no specific impact on clinical outcomes.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127528514","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}
引用次数: 0
The Result of Using an Additional Mini-Locking Plate for Tibial Pilon Fractures 附加微型锁定钢板治疗胫骨Pilon骨折的效果
Journal of the Korean Fracture Society Pub Date : 2017-04-01 DOI: 10.12671/JKFS.2017.30.2.75
S. Jo, J. Lee, Boseon Kim, K. Ryu
{"title":"The Result of Using an Additional Mini-Locking Plate for Tibial Pilon Fractures","authors":"S. Jo, J. Lee, Boseon Kim, K. Ryu","doi":"10.12671/JKFS.2017.30.2.75","DOIUrl":"https://doi.org/10.12671/JKFS.2017.30.2.75","url":null,"abstract":"Financial support: None. Conflict of interests: None. Purpose: We evaluated the usefulness of an additional, 2.7 mm mini-locking plate for tibial pilon fractures. Materials and Methods: We studied 21 patients (14 males and 7 females), who were treated with a 2.7 mm mini-locking plate via the anterolateral approach for tibial pilon fractures between September 2012 and April 2014. The mean age was 43.85 years, and the mean follow-up period was 16.6 months. The radiologic outcomes were graded by the Burwell and Charnley modified system and clinical outcomes were evaluated by the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hind foot score and visual analogue scale (VAS) score. Results: The mean union period was 14.3 weeks. At the final follow-up, radiologic results showed 16 excellent results, 4 fair results, and 1 poor result. The average VAS was 3.4 points; the average AOFAS score was 81.8 points. During the follow-up period, there were three cases of posttraumatic osteoarthritis and one case of superficial skin infection. Conclusion: Additional anterolateral, 2.7 mm mini-locking plate may be a good treatment method to manage tibial pilon fractures.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125507920","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}
引用次数: 0
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