Journal of Musculoskeletal Trauma

Operative Treatment of Bilateral Tibial Tuberosity Fractures in Adolescent: A Case Report: Hong Kyun Kim, Jung Han Yoo, Yong Wook Park, Jin Soo Park, Kyu Cheol Noh, Kook Jin Chung, Keun Jong Jang, Ji Hyo Hwang; J Korean Fract Soc 2010;23(3):317-320. Published online July 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.3.317

Abstract PDF: Bilateral avulsion fractures of the tibial tubercles are extremely rare. There is no case report about this in Korean literature. We present simultaneous bilateral tibial tuberosity fractures in 14-year-old adolescent male fell on the ground during running. These fractures were managed by open reduction and screw fixation. We gained complete union and removed metal after 6 months. Functional results were excellent 6 month after surgical treatment.

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Treatment for the Supracondylar Fractures of the Distal Humerus with Cannulated Screw: Jin Soo Park, Young Khee Chung, Jung Han Yoo, Kyu Cheol Noh, Kook Jin Chung, Dong Nyoung Lee; J Korean Fract Soc 2007;20(1):58-63. Published online January 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.1.58

Abstract PDF: PURPOSE
To evaluate the results of the treatment of the supracondylar fractures of the humerus according to the fixation methods with cannulated screw.
MATERIALS AND METHODS
Eight patients, aged 49 to 82 years (average, 65 years), were reviewed after a mean follow-up of 16 months (range, 12~24 months). According to AO classification all fractures were classified as type A2 (simple transverse supracondylar fracture). All patients underwent closed reduction. Percutaneous fixation with cannulated screws was performed in 8 patients. Three of 8 patients had associated medical problems and one patient had distal radius fracture. The functional results were assessed by the Mayo Elbow Performance Score.
RESULTS
Mean operation time was 59 minutes (45~75) and all the patients with cannulated screw fixation had bony union and were able to early ROM exercise. Mean ranges of motion was 5~120 degrees with excellent functional results. Functional evaluation of elbow joint by Mayo method showed mean value of 88 (75~95).
CONCLUSION
The cannulated screw fixation of supracondylar fracture of humerus, especially in the elderly aged group with medical disease had excellent functional results (rigid fixation & early ROM exercise) due to shortening of surgery time and anesthesic time, combined with decreased technical difficulties of the surgical procedure

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Arthroscopic Reduction and Percutaneous Cannulated Screw Fixation for Longitudinal Fractures of Patella: Jung Han Yoo, Yung Khee Chung, Yong Wook Park, Jin Sub Kim, Deuk Soo Jun, Ho Jin Lee; J Korean Soc Fract 2000;13(1):103-108. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.103

Abstract PDF: A variety of surgical modalities for fractures of patella have been described. We used arthroscopic reduction and percutaneous screw fixation for six cases of longitudinal fracture of patella. Ages of the patients ranged from 25 to 33 years. the postoperative regimen was one week long leg splint for reducing the pain, followed by continuous passive range of motion exercise of the knee including active one and quadriceps strengthening exercise until the full range of motion was gained, with progressive partial to full weight bearing with crutches. The follow-up period was from 12 to 54 monhts. Results were assessed subjectively and objectively with retrograde study. The full range of knee motion was recovered from 20 to 35 days postoperatively, The radiographic bone union was achieved from 31 to 42 days. And all patient had good results according to Lysholm and Gillquist scoring system. We had no experience of complication except one which is prominence of screw end. So, we believed that the arthroscopic reduction and percutaneous cannulated screw fixation for longitudinal fractures of patella is the useful surgical method.

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Interlocking Intramedullary Nail Fixation for Tibiotalocalcaneal Fusion(2 cases): Young Ki Chung, Jung Han Yoo, Sung Il Shin, Yong Wook Park, Dong Cheol Pyo; J Korean Soc Fract 1997;10(4):860-865. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.860

Abstract PDF: Multiple fixation techniques for tibiotalocalcaneal arthrodesis have been introduced. The interlocking intramedullary nailing for tibiotalocalcaneal osteoarthritis with osteoporosis permits excellent internal fixation. We had two retrograde interlocking intramedullary nail fixation for tibiotalocalcaneal arthrodesis. One patient is chronic infectious osteoarthritis of the ankle and subtalar joints. And the other is non-union of the distal tibia with arthrofibrosis of the ankle and subtalar joints. Two patients also had osteoporosis due to long immobilization. The follow up period were 12 and 22 months respectively. The leg and foot is aesthetically pleasing and the musculature around the ankle and foot is maintained in the normal balanced position after the tibiotalocalcaneal fusion. So, we believed that the interlocking intramedullary nailing is an excellent treatment method for tibio talocalcaneal arthritis with osteoporosis.

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Retrieval of a Broken Intramedullary Nail after Refracture of Femoral Shaft: A case report: Yung Khee Chung, Jung Han Yoo, Yong Wook Park, Ji Dong Lee; J Korean Soc Fract 1997;10(2):401-404. Published online April 30, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.2.401

Abstract PDF: As the use of intramedullary nail fixation for the long bone fracture has been increased over recent years, so has the rate of reported complications involving intramedullary nail devices. One of the most common complication is fatigue fracture of an intramedullary nail itself if there is delayed union or nonunion of the fracture. The retrieval of the distal segment of broken intramedullary nail had proved to be particularly troublesome. The authors experienced one case of the retrieval of a broken intramedullary nail after refracture of femoral shaft, using the closed method and report this case with review of literatures.

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Operative Treatment of Comminuted Fraeture of the Patella: Yung Khee Chung, Jung Han Yoo, Yong Wook Park, Gyu Cheol Roh; J Korean Soc Fract 1996;9(4):970-976. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.970

Abstract PDF

The patella, lying within the quadriceps tendon mechanism and subcutaneous in position, is susceptible to the effects of both direct and indirect trauma. Patella fractures are intra-articular injuries and have a significant effect on knee function. The tension band wiring technique is widely used for treating fractures of the patella and is often the treatment of choice. We reviewed tweenty nine cases of cemminuted fracture of the patella treated with surgical methods from Jan. 1989 to Mar. 1995 and fellowed up more than one year, from the department of of hopedic surgiry, Kangnam Sacred Heart Hospital, Hallym University. The results were as follows: 1. According to the classincation of Bostman, there were 6 cases(20.7%) of type 1.16(55.2%) of II A, 5(17.2%) of II B and 2(6.9%) of III. 2. Of tweenty nine cases, tweenty six(89.7%) were treated by modified tension band wiring with cerclage wiring (MTBW with CW) and three(10.3%) by partial patellectomy with cerclage wiring(PP with CW). 3. Among tweenty six cases treated with MTBW with CW. tweenty one cases(76.9%) revealed a good or exellent result according to the Cincinnati rating system. 4. Especially, among 5 cases of type II B & 2 cases of type III comminuted fracture treated with MTBW with CW, 5 cases(73.4%) revealed good result. We concluded that the use of modified tension band wiring with cerclage wiring for the comminuted fracture of patella has been shown to be a satisfactory method.

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Results of Tension Band Wiring and Additional Circumferential Wiring in Treatment of Comminuted Patella Fracture
Young Min Lee, Kook Jin Chung, Ji Hyo Hwang, Hong Kyun Kim, Yong Hyun Yoon
Journal of the Korean Fracture Society.2014; 27(3): 206. CrossRef

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A Clinical Experience of Surgical Treatment for Type C of AO Classification of Supracondylar Fractures of the Femur: Yung Khee Chung, Jung Han Yoo, Myung Ryool Park, Baek Yong Song, Yong Wook Park, Jun Tae Kim; J Korean Soc Fract 1995;8(1):22-30. Published online January 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.1.22

Abstract PDF: The treatment of supracondylar fractures of the femur remains many problem because of its complications. Particularly, the type C fracture of AO classification causes the traumatic arthritis, limitation of motion, shortening, as well as angular deformity, especially varus. In the past, there has been a reluctance toward treatment of supracondylar fractures of the frmur with internal fixation. But, recently, a trend toward internal fixation has become evident and good results has been reported by several authors. We studied 9 cases of type C of AO classification of supracondylar fracture of the femur at our hospital from January,1989 to February, 1993. The longest follow up was 49 months and the shortest was 12 months, the average being 22.2 months And the results were as follows 1. Age distribution was between 29 and 60 years old, and the ratio between male and females was 5:4. The most common cause of injury was traffic accident. 2. Seven patients were associated with injuries of other parts and the most frequent associated fracture was patellar fracture and the most common associated injury was cerebral contusion. 3. The average time of clincal union was 22 weeks in operative treatment and 13 weeks in conserv alive treatment. 4. In type C AO classification, 6 out of 9 cases treated by anatomical reduction and early motion achieved good to excellent results(50%), but all type C3 fractures is healed in slightly varus position. 5. In conclusion, type C3 of the supracondylar fracture of femur should be reduced to the neutral or slightly valgus position, or the ends of distal cancellous screws should be penetrated the medial femoral cortex because of progressing varus deformity after operation.

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Free Fibular Graft to the Segmental Dedect of Long Bone: Yung Khee Chung, Jung Han Yoo, Yong Han Woo; J Korean Soc Fract 1989;2(2):281-287. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.281

Abstract PDF: Since the documentation of bone graft techniques by Walther in 1820, it has been used widely for the treatment of nonunion, and bone defect due to osteomyelitis, neoplasm, or trauma, and ofr arthrodesis. But many problems are still remained in the treatment of the extensive bone defect. Therefore, varous techniques have evolved to conventional autogenous graft, fresh allograft bone trandsplantation, or free vascularized bone graft. According to Dell P.C. et al, the vascularized grafts were transiently stronger than the conventional nonvascularized ones at six weeks postoperatively because of the differences in the repari mechanisms but thereafter there were no appreciable differences. Therefore, except an inadequate soft tissue bed such as in a chronically infected nonunion, a congenital pseudarthosis, and a previously irradiated or heavily scrred soft tissue bed, we expect good result with conventional nonvascularized fibular graft when there is a segmental bone defect less than 12cm, and/or inadequate fascilities for the microvascular surgery. The four patients with the segmental defect of long bone were treated with conventional nonvascularized fibular graft at Kang Nam Sacred Heart Hospital between July 1980 and October 1988, and are reported with reviews of literatures.

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Treatment of Fracture and/or Dislocation of the Tarsometatarsal Joint, using AO Screws: Two cases Report: Yung Khee Chung, Jung Han Yoo, Baek Yong Song; J Korean Soc Fract 1989;2(1):107-112. Published online June 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.1.107

Abstract PDF: Fracture and/or dislocations of the tarsometatarsal joint are rare yet carry such a high potential for chronic disability. These injuries have been frequently followed by poor end results by the failure of timely diagnosis, incomplete reduction, or redislocation after inadequate treatment. These disappointing results have made us to give an aggressive approach for thses injuries consisting of open reduction and temporary rigid internal fixation using AO screws.

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A Clinical Experience of Limited Wrist Arthrodesis (Radioscapholunate arthrodesis): Yung Khee Chung, Jung Han Yoo, Baek Yong Song; J Korean Soc Fract 1988;1(1):20-23. Published online November 30, 1988; DOI: https://doi.org/10.12671/jksf.1988.1.1.20

Abstract PDF: The principle of treatment in patient with fracture involving articular surface is necessary for anatomical reduction, rigid fixation and early motion. However, on the occasion of the unsatisfactory results such a post-traumatic arthritis of the wrist joint, in 1981, Watson and coworkers reported the good results by limited wrist arthrodesis for relief of pain and allowance of some range of motion. Recently, we have experienced two cases of post-traumatic arthritis of the wrist joint which was treated by limited wrist arthrodesis, especially, radioscapholunate arthrodesis with good results.

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