Journal of Musculoskeletal Trauma

Nontraumatic Myositis Ossificans with an Unusual Location: Case Report: Kwang Suk Lee, Sang Bum Kim, Dae Hee Lee, Hyung Joon Cho; J Korean Fract Soc 2005;18(4):481-484. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.481

Abstract PDF: Myositis Ossificans is known to be a benign heterotopic pseudomalignant bone formation in muscle and other soft tissue. When it is revealed as a localized form, 75% of the cases are associated with significant blunt trauma. We report a rare case of a nontraumatic ossificans in the lower leg of a 59-year-old woman, which has been spontaneously developed for 15 years.

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Displaced Supracondylar Fractures of the Humerus in Children Treated by Percutaneous Lateral K-wire Pinning: Soon Hyuck Lee, Sang Won Park, Kwang Suk Lee, Jong Ryoon Baek, Sang Won Lee; J Korean Soc Fract 2003;16(3):392-398. Published online July 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.3.392

PURPOSE
For the treatment of displaced children supracondylar fractures, closed reduction and lateral pinning were performed consecutively and their results were analyzed.
MATERIALS AND METHODS
During the period from January 1997 to May 2001, all children with displaced supracondylar fractures of the humerus were treated by closed reduction and lateral K-wire pinning. Among them, 44 fractures with more than 1 year follow up were selected. Carrying angle and range of motion were measured. Baumann angle and lateral humerocapital angles were measured from the anteroposterior and lateral radiograph 3 times (immediate post op, K-wire removal, last follow up).
RESULTS
Results were graded according to the criteria of Flynn et al. using both cosmetic and functional evaluation. According to the cosmetic factor, 36 cases (82%) were excellent and 8 cases (18%) were good. According to the functional factor, 39 cases (88%) were excellent and 5 cases (12%) were good. No statiscally significant differences, as seen on Baumann and humerocapital angle, between immediate post operative films and films taken at the time of K-wire removal (p=0.082, p=0.27). There was no significant differences in Baumann and humerocapital angle at the time of K-wire removal and last follow up (p=0.19, p=0.27).
CONCLUSION
Closed reduction and lateral K-wire pinning is considered as an acceptable modality of the treatment of displaced children supracondylar fractures.

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Treatment of displaced supracondylar fractures of the humerus in children by a pin leverage technique
H.-Y. Lee, S.-J. Kim
The Journal of Bone and Joint Surgery. British volume.2007; 89-B(5): 646. CrossRef

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Analysis of Elbow Injuries 'pattern in Children: Soon Hyuck Lee, Jong Woong Park, Sang Won Park, Kwang Suk Lee, Dang Jae Im, Tae Ha Kim, Sang Won Lee; J Korean Soc Fract 2003;16(1):98-103. Published online January 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.1.98

Abstract PDF: PURPOSE
The purpose of this report is to describe the pattern of elbow injuries and the incidence of the different fracture types in children.
MATERIALS AND METHODS
The records of 445 in-patient children treated for the elbow injuries for 5 years were reviewed and analyzed statistically.
RESULTS
The average age of 445 children was 6.7 years. The average age of boys(6.9 years) was about 1 year older than girls(5.9 years). The age group of 4 - 7 years is the majority(50%), followed by the age group of 8 - 11 years(22%). The boy to girl ratio was approximately 2:1. The male predominance changed with the age and appeared dramatically in the age group of 12-16 years( 6.7:1 ). Left elbow was injured more frequently(60%). Left side predominance was accentuated in girls compared to boys(69% vs 55%), especially in the age group of 8 - 16 years (80% vs 50%). Thirty percent of the fractures occurred during the summer, followed by 27% the autumn, 26% the spring months and 17% the winter. The most common fracture was the supracondylar fractures of the humerus(52.3%), followed by lateral condylar fractures(25.4%), olecranon fractures(5.3%), radial head fractures(4.8%), medial epicondyle fractures(4.6%), transphyseal fractures(2.8%) and Monteggia fractures(2.2%). Medial condylar fractures(1.1%) and elbow dislocation(0.8%) were rare injuries. The average age was higher in radial head fracture(10.6 years) and medial epicondylar fracture(12.4years). Closed reduction and percutaneous pinning was the method of treatment in more than half(52%). Open reduction was performed in 32%. Sixteen percent was treated by closed reduction and cast immobilization.
CONCLUSION
The incidence and pattern of elbow injuries in children, which needed operative treatment in the majority, occured closely correlated with the amount of injury prone play and the pattern of behavior during the causative accidents.

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The Result of Modified Bankart Operation with Suture Anchor in Traumatic Recurrent Anterior Dislocation of Shoulder Joint: Kwang Suk Lee, Jung Dae Seo, Kwang Jun Oh, Seung Joon Lee, Seung Yong Wang; J Korean Soc Fract 2001;14(3):484-490. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.484

Abstract PDF

PURPOSE
The purpose of this study was to evaluate the clinical result of modified Bankart operation repairing the Bankart lesion with capsular shifting using suture anchor in traumatic recurrent anterior dislocation of shoulder joint MATERIALS AND METHODS: All of the cases were treated with modified Bankart operation. The inferior and superior capsular flaps were advanced to the anterior aspect of glenoid neck and fixed with three suture anchors in 30 degrees abduction and external rotation of shoulder joint. Especially the inferior 1/3 capsular flap was sutured over the superior 2/3 capsular flap. We used the grading system of Rowe and Zarins as measuring function, pain, stability, range of motion of shoulder joint.
RESULT
The clinical results were excellent in 80%, good in 20%. The mean loss of motion at follow up study was 2% of flexion and 7% of external rotation.
CONCLUSION
This operative technique is useful in repairing the Bankart lesion and gaining adequate capsular tension. And the using of suture anchor could save the operation time.

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Result of Early Active Range of Motion Exercise after Bankart Repair of Traumatic Anterior Instability
Haeng Kee Noh, Jong Woong Park, Jung Il Lee, Jung Ho Park
Journal of the Korean Fracture Society.2007; 20(1): 53. CrossRef

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Vascularized Fibular Graft in the Treatment of Chronic Osteomyelitis of Long Tubular Bone: Kwang Suk Lee, Sang Won Park, Kyung Jo Woo, Jong Won Kim; J Korean Soc Fract 1997;10(2):365-370. Published online April 30, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.2.365

Abstract PDF: Previous management of chronic osteomyelitis has included antibiotic therapy, radical debridement, skin-grafting, distant cross-leg flaps, and local muscle flaps. Each of these modalities of treatment has limitations. However, over the last 20 years, vascularized fibular bone grafts have proved to be a valuable method of reconstruction of skeletal defects in the extremities following both infected and uninfected skeletal nonunions unresponsive to conventional methodology. We evaluated the efficacy of vascularized fibular graft in the treatment of chronic osteomyelitis of long bone. From August 1988 to June 1995, fourteen cases of chronic osteomyelitis of long bone which were followed for an average of 3 years duration were treated by vascularized fibular graft at the Department of Orthopaedic Surgery, Korea University Hospital. The results were as follows; 1. Even if the long tubular bone infection was uncontrolled, vascularized fibular graft could be performed and it was highly resistent to local infection. 2. Twelve cases (85.7%) out of a fourteen cases had primarily obtained bony union. 3. Free vascularized fibular graft is significant and reliable porcedure of bone grafting for the treatment of chronic osteomyelitis of long tubular bones.

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Reconstruction for Rupture of Popliteal Artery: Kwang Suk Lee, Young Soo Byun, Soon Hyuk Lee, Kyung Hwan Ha; J Korean Soc Fract 1997;10(1):16-24. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.16

Abstract PDF: The injury of popliteal artery is commonly produced by fracture or dislocation around the knee. Well established protocol for urgent diagnosis and treatment is essential to avoid amputation. The 14 cases of popliteal artery injury, treated between April 1987 and June 1995 at the Department of Orthopedic Surgery Korea University Hospital, were reviewed. The results were as follows. 1. In all 14 cases, 4 extremities(28%) were amputated. The amputation rate was closely correlated with the ischemic time since the accident. 2. The use of Doppler flowmeter after physical examination and emergency arteriography before exploration was recognized to be an exellent method in determination of arterial injury, 3. Among the patients who could avoid amputation(10 cases), the vein graft was performed in 8 cases(80%) and primary repair by end to end anastomosis in 2 cases(20%). 4. External fixation is recommended for its simplicity and low infection rate to provide the fixation and collateral circulation of fracture site. 5. The patients who were injured with the wide soft tissue defect by crushing could be treated by latissimus dorsi free flap transfer to avoid amputation.

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Multiple Knowles Pin Fixations of the Femoral Neck Fractures in Adults under 60 Years of Age: Sang Won Park, Kwang Suk Lee, Dae Gon Wie; J Korean Soc Fract 1996;9(4):859-868. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.859

Abstract PDF: Femoral neck fracture is more common in elderly even by minor trauma because of osteoporosis. In young adults, though the incidence is low, have a poor prognosis because of high incidence of non-union and aseptic necrosis. The treatment method of the femur neck fracture is widely divided into internal fination and replacelnent arthroplasty But there is still contrversies present in the treatment methods. The object of this study is to observe the relationships between the clinical outcomes and the age, the degree of displacement. the type of reduction, the time of operation and the bone density in the femoral neck fractures treated with mulliple Knowles pin fitation. The authors analyzed 29 cases of femoral neck fractures in adults under 60 years of age, who were treated with multiple pih (ixation and followed up more than 1 yearduration The results obtained were as follows; 1. The union of femoral neck fracture occured in 19 cases(65.5%) among the 19 cases and the mean duration of union was 4.8 months. 2. The complications were 8 cases(21.6%) of avascular necrosis, 2 cases(6.9%) of non-union, 2 cases of malunion and 1 case of post-traumatic arthritis. 3. The functional results by Lunceford criteria were satisfactory in 17 cases (58.6%). 4. In the patient group which were no avascular necrosis and non-union showed 89.5% of satisfactory functional end result. 5. There was a relationship between the complications such as avascular necrosis and non-union, and age of the patient, bone density, degree of initial displacement and type of reduction. But the duration between the injury and operation did not influence the complication rate. According to the above results, we concluded that multiple Knowles pin fination in femoral neck fracture is simple and safe method, and one of salvaging method of femoral head in adults under 60 years of age.

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Treatment of the Clavicle Fracture: Kwang Suk Lee, Jung Ho Park, Geol Choi; J Korean Soc Fract 1995;8(3):461-466. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.461

Abstract PDF: The clavicular fractures occur frequently and are treated conservatively, usually. But things are trending toward operative treatment in displaced cases due to nonunion. From June 1984 to November 1993, 153 patients(156 cases) among 297 patients with the clavicular fractures were analysed at Department of orthopedic surgery, Korea university hospital. The brief summary of the observations are as follows: 1. among 156 cases, the right side were 72 cases, the left side were 84 cases and both were 3 patients. The most common cause of injury was the the traffic accident and the most frequent site of the fracture was middle one-third. 2. According to the Allmans classification, the fractures were classified in three groups. Group Iwere 113 cases, Group II were 28 cases and Croup III were 15 cases and the average age of each groups were individually 28.7 yeara,35.4 years and 41.4 years respectively. 3. The average duration of the radiological union of the conservative treatment were 9.8 weeks in Group I ,9.7 weeks in Group II and 10.3 weeks in Group III. And of the operative treatment were 10.1 weeks in Group I , 10.1 weeks in Group II and 9.9 weeks in Group III Any difference between the conservative and the operative treatment was not observed. 4. The complications were nonunion in 2 cases, delayed union in 2 cases and refracture in 1 case after conservative treatment, and nonunion in 2 cases, delayed union in 1 case, refracture in 1 case and superficial wound infection in 1 case after operative treatment.

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A Clinical Study of Operative Treaenent for the Ankle Fractures: Sang Won Park, Young Soe Byun, Kwang Suk Lee, Jong Woong Park, Suk Ha Lee; J Korean Soc Fract 1992;5(2):227-235. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.227

Abstract PDF: The ankle is a complex, weight bearing joint and its injury results in a severe functional disturbance of complex anatomical characteristics. It is very important to understand the mechanism of the trauma in order to make defenite diagnosis and proper treatment. The authors analysed 92 cases(92 patients) of the ankle fractures which were operated in Orthopedic Department, Korea University Hospital from Sept. 1980 to Dec. 1991. The results obtained were as follows ; 1. Of the 92 cases, male was 61 cases(66.3%), female was 31 cases(33.7%) and average age of the patients was 39.9 years. 2. The causes of the injury were slipping down, traffic accident, sports injuries and falling down in orders. 3. Open fractures were 12 cases(13.0%) and closed fractures were 80 cases(87%). 4. The most common type of the ankle fracture was supination-external rotation type(32 cases, 34.8%) and next was pronation-external rotation type(26 cases, 28.3%), according to the classification of Lauge-Hansen. 5. The associated fractures with ankle fracture were 26 cases (28.3%). 6. The best result was supination-adduction type and the worst result was pronation dorsiflexion type, when assessed according to the criteria of Meyer. 7. There were 11 cases of complications(12.0%), in which 6 cases of traumatic arthritis, 4 cases of malunlon and 1 case of nonunion. 8. The accurate reduction and rigid internal fixation to the fracture of lateral malleolus of dlstal fibula and tibiofibular diastasis was important in the treatment of the ankle fractures.

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Anterior transposition of vascularized fibula for the segmentaldefects of both tibias report of one case: Kwang Suk Lee, Jong Woong Park; J Korean Soc Fract 1992;5(1):150-156. Published online May 31, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.1.150

Abstract PDF: No abstract available.

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