K. Kong, Yong-Uk Kwon, Young-Kyung Min, Doo-Yeol Kim
{"title":"Ulnar Insufficiency Fractures in Patients on Prolonged Bisphosphonate Therapy: A Case Report","authors":"K. Kong, Yong-Uk Kwon, Young-Kyung Min, Doo-Yeol Kim","doi":"10.12671/JKFS.2019.32.3.143","DOIUrl":"https://doi.org/10.12671/JKFS.2019.32.3.143","url":null,"abstract":"Financial support: None. Conflict of interests: None. Atypical fractures associated with prolonged bisphosphonate (BP) therapy rarely occur outside the femur, and the diagnostic criteria, appropriate treatment principles, and fixation methods for atypical ulnar fractures have not been established. The authors experienced the use of internal fixation with a metal plate and a new internal fixation method with an intramedullary nail in the treatment of an atypical ulnar fracture in a patient who had been on BP therapy for 10 to 20 years. This paper reports findings along with a review of the relevant literature.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"239 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121027530","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}
{"title":"Anterior Approach for the Acetabular Fractures","authors":"Jae Youn Yoon, J. Cho, Ji Wan Kim","doi":"10.12671/JKFS.2019.32.3.157","DOIUrl":"https://doi.org/10.12671/JKFS.2019.32.3.157","url":null,"abstract":"Financial support: None. Conflict of interests: None. In the surgical treatment of acetabular fractures, the anterior approach is used widely for anterior column fractures with or without posterior column fractures. This paper reviews the anterior approach for the anatomical reduction and rigid fixation of acetabular fractures: traditional ilioinguinal approach, modified Stoppa approach, and new Pararectal approach.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124195879","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}
{"title":"Computed Tomography Image Analysis of the Fusion Site of Subtalar Arthrodesis for Traumatic Arthritis after a Displaced Intraarticular Calcaneal Fracture","authors":"H. Park, J. Sim, Han Soul Kim, Byung Hoon Lee","doi":"10.12671/JKFS.2019.32.3.121","DOIUrl":"https://doi.org/10.12671/JKFS.2019.32.3.121","url":null,"abstract":"Financial support: None. Conflict of interests: None. Purpose: The study examined the fusion site and characteristics of the subtalar arthrodesis after intraarticular calcaneal fractures using computed tomography. Materials and Methods: The clinical results and computed tomographic analysis of the fusion site were reviewed in 18 patients who were followed-up for a minimum of six months after undergoing subtalar arthrodesis due to traumatic arthritis caused by an intra-articular calcaneal fracture from December 2012 to April 2017. Results: An evaluation of clinical results after subtalar arthrodesis revealed statistically significant improvements. In all cases, arthritis was found in the injured articular surface, which was displaced superolaterally from the initial primary fracture line of the calcaneus. Six months after arthrodesis, the subtalar fusion rate was 80.0% (16/20). Of these, 14 cases had a cannulated screw inserted in the uninjured site that is medial to the primary fracture line. Joint fusion was observed on the uninjured articular surface in 17 cases (85.0%). Conclusion: Joint fusion was initially achieved at the uninjured posterior facet after subtalar arthrodesis due to traumatic arthritis caused by a displaced intra-articular calcaneal fracture. This suggests that meticulous surgical techniques and cannulated screw positioning at the uninjured site will promote joint fusion.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116815154","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}
Chan-Woo Park, H. Oh, Woo-Suk Lee, Youn-Soo Park, Seung-Jae Lim
{"title":"Principles for Management of Periprosthetic Acetabular Fractures after Hip Arthroplasty","authors":"Chan-Woo Park, H. Oh, Woo-Suk Lee, Youn-Soo Park, Seung-Jae Lim","doi":"10.12671/JKFS.2019.32.3.148","DOIUrl":"https://doi.org/10.12671/JKFS.2019.32.3.148","url":null,"abstract":"Financial support: None. Conflict of interests: None. Periprosthetic acetabular fracture (PAF) is an uncommon complication following hip arthroplasty. However, as the number of people needing hip prostheses continues to rise, the absolute number of PAF is expected to increase as well. These fractures may occur either intraoperatively or postoperatively. Postoperative fractures can be caused by traumatic events or by pathologic conditions related to periacetabular osteolysis. The management of PAF usually depends on the degree of displacement and the stability of the acetabular component. While most of non-displaced fractures can be managed nonoperatively by protected weight bearing, displaced fractures with unstable implants require surgical intervention, which is often technically challenging. This review summarized the latest findings on the epidemiology, the diagnosis, the classification, and the treatment of PAF.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129739526","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}
Hong-ki Jin, Ki-Bong Park, H. Cho, Jung-Il Kang, W. Lee
{"title":"Progressive Brachial Plexus Palsy after Fixation of Clavicle Shaft Nonunion: A Case Report","authors":"Hong-ki Jin, Ki-Bong Park, H. Cho, Jung-Il Kang, W. Lee","doi":"10.12671/JKFS.2019.32.2.97","DOIUrl":"https://doi.org/10.12671/JKFS.2019.32.2.97","url":null,"abstract":"Financial support: None. Conflict of interests: None. The brachial plexus palsy is a rare complication of a clavicle fracture, occurring in 0.5% to 9.0% of cases. This condition is caused by excessive callus formation, which can be recovered by a spur resection and surgical fixation. In contrast, only seven cases have been reported after surgical reduction and fixation. A case of progressive brachial plexus palsy was observed after fixation of the displaced nonunion of a clavicle fracture. The symptom were improved after removing the implant.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120943425","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}
{"title":"Safety and Effectiveness of the Anchor Augmentation with Bone Cement on Osteoporotic Femoral Fracture: A Systematic Reviews","authors":"S. Y. Kim","doi":"10.12671/JKFS.2019.32.2.89","DOIUrl":"https://doi.org/10.12671/JKFS.2019.32.2.89","url":null,"abstract":"Financial support: This study was supported by research funds of the Ministry of Health and Welfare. Conflict of interests: None. Purpose: This paper reviewed the safety and effectiveness of anchor augmentation with bone cement in osteoporotic femoral fractures. Materials and Methods: A systematic review was conducted by searching multiple databases including five Korean databases, Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library. Safety was assessed through the incidence of complication. The effectiveness was assessed through the failure rate of anchor fixation, improvement of function and radiological assessment (sliding distance of lag screw and cutout). The safety and effectiveness of anchor augmentation with bone cement were assessed by reviewing all articles reporting on the treatment. Two researchers carried out independently each stage from the literature search to data extraction. The tools of Scottish Intercollegiate Guidelines Networks were used to assess the quality of studies. Results: Six studies were considered eligible. The safety results revealed a small amount of cement leakage (1 case), but no other severe complications were encountered. Regarding the effectiveness, the failure rate of anchor fixation was 16.7% and the Harris’s hip score showed no significant improvement. The sliding distance of the anchor was similar in the cement augmentation group and noncement group but there was no cutout. Conclusion: The results of the assessment suggest that the safety is acceptable, but further research will be needed to verify the effectiveness of the treatment.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127403518","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}
{"title":"Subtrochanteric Fracture Reduction during Intramedullary Nailing: Technical Note","authors":"G. Kong","doi":"10.12671/JKFS.2019.32.2.107","DOIUrl":"https://doi.org/10.12671/JKFS.2019.32.2.107","url":null,"abstract":"Financial support: None. Conflict of interests: None. The subtrochanteric area is the place where mechanical stress is most concentrated in the femur. When a fracture happens, bone union is delayed and nonunion often occurs. The recommended treatment for atypical fractures is an anatomical reduction of the fracture site as the frequency of nonunion is higher than that of ordinary fractures. Various reduction methods have been suggested, and good results have been obtained. On the other hand, the occurrence of posterior displacement of the distal fragment during the insertion of an intramedullary nail is often overlooked. This is probably because the bone marrow of the femur tends to form an elliptical shape in the anteroposterior direction. The author attempted to insert a blocking screw into the distal part of the fracture to prevent posterior displacement of the distal fragment while performing intramedullary nailing of the femur fracture and achieved a good reduction state easily.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116766697","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}
S. Jo, G. Lee, Sang Hong Lee, J. Lee, Dong hwi Kim, Sung Hae Park, Young Min Cho
{"title":"Results of Exchange Nailing in Hypertrophic Nonunion of Femoral Shaft Fracture Treated with Nailing","authors":"S. Jo, G. Lee, Sang Hong Lee, J. Lee, Dong hwi Kim, Sung Hae Park, Young Min Cho","doi":"10.12671/JKFS.2019.32.2.83","DOIUrl":"https://doi.org/10.12671/JKFS.2019.32.2.83","url":null,"abstract":"Financial support: This study was supported by research fund from Chosun University, 2014 Conflict of interests: None. Purpose: This study examined the outcomes of exchange nailing for the hypertrophic nonunion of femoral shaft fractures treated with intramedullary nailing as well as the factors affecting the treatment outcomes. Materials and Methods: From January 1999 to March 2015, 35 patients, who had undergone intramedullary nailing with a femoral shaft fracture and underwent exchange nailing due to hypertrophic nonunion, were reviewed. This study investigated the time of union and complications, such as nonunion after exchange nailing, and analyzed the factors affecting the results. Results: Bone union was achieved in 31 cases (88.6%) after exchange nailing and the average bone union period was 22 weeks (14-44 weeks). Complications included persistent nonunion in four cases, delayed union in one case, and superficial wound infection in one case. All four cases with nonunion were related to smoking, three of them were distal shaft fractures, and one was a midshaft fracture with underlying disease. Conclusion: Exchange nailing produced satisfactory results as the treatment of hypertrophic nonunion after intramedullary nailing. Smoking is considered a factor for continuing nonunion even after exchange nailing. In the case of a distal shaft, where the intramedullary fixation is relatively weak, additional efforts are needed for stability.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"453 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123036047","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}
{"title":"Locked Plating in Elderly Patients with Distal Femur Fracture: How to Avoid Complications?","authors":"Chul-Young Jang, Jehyun Yoo","doi":"10.12671/JKFS.2019.32.2.112","DOIUrl":"https://doi.org/10.12671/JKFS.2019.32.2.112","url":null,"abstract":"Financial support: None. Conflict of interests: None. Distal femur fractures in elderly patients with osteoporosis are complicated because poor bone quality makes screw purchase and fixation less secure, presenting many clinical challenges to the orthopedic surgeon. Minimally invasive locked plating using an angularly stable locking compression plate has become an integral tool for achieving secure fixation in osteoporotic distal femur fractures with improved biomechanical performance. On the other hand, complications, such as implant failure and periplate fracture, have still occurred. This paper describes the principles of internal fixation in minimally invasive lateral locked plating in elderly patients with osteoporotic distal femur fractures as well as how to avoid complications.","PeriodicalId":436464,"journal":{"name":"Journal of the Korean Fracture Society","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115703657","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}