Journal of Musculoskeletal Trauma

Byoung Ho Lee

9 Articles

Operative treatment of humeral shaft fracture: Comparision of plate fuation and intramedullary nailing: Sang Ho Ha, Jae Won You, Sang Hong Lee, Dong Min Shin, Young Bae Pyo, Byoung Ho Lee, Min Hyok Choi; J Korean Soc Fract 1999;12(3):712-719. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.712

PURPOSE
Examine a humeral shaft fracture which had been treated with a plate and screw fixation or intramedullary nailing and compare these two methods with each other according to clinical and radiologic results and access the clinical avaliablity.
MATERIALS AND METHODS
Take 116 cases of humeral shaft fracture which had been treated with plate and screw fixation(73 cases) or intramedullary nailing(43 cases) and compare these two methods with each other according to bone union time, average operation time and nonunion rate.
RESULTS
Bony union in plate fixation was achieved 1.2 weeks earlier than intramedullary nailing(P>0.05). The average time of operation in intramedullary nailing was 58 minutes, which was shorter than that in plate fixation(P<0.05). The prevalence of nonunion was higher in intramedullary nailing than that in plate fixation, which was thought due to the fanning relaxation, fracture site distraction and/or inappropriate operative technique. Limitation of shoulder motion occasionally occurred in intramedullary nailing, so approriate device selection and surgical technique should be considered.
CONCLUSIONS
We concluded that the results of interlocking IM nailing were not superior to the results of plate fixation. But it is an attractive technique for the rapid closed stabilization of polytrauma patients and segmental and communited fractures.

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Clinical and Radiographical Follow-up for Residual Displacement of Fracture Fragments after Interlocking Intramedullary Nailing in Humeral Shaft Fractures
Jae-Kwang Yum, Dong-Ju Lim, Eui-Yub Jung, Su-Een Sohn
The Journal of the Korean Shoulder and Elbow Society.2013; 16(2): 107. CrossRef

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Treatment of fracture-dislocation of talar neck or body: Byoung Ho Lee, Sang Ho Ha, Min Hyuk Choi; J Korean Soc Fract 1999;12(2):307-313. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.307

Abstract PDF: From January 1992 to December 1996, authors analyzed 26 cases of fracture-dislocation of talar neck or body, treated at Chosun University Hospital retrospectively. There were 20 males and 6 females and the average age was 34 years old. The follow up period was at least 14 months. There were 19 neck fracture-dislocations, 6 body fractures and total dislocation of talus. Three type I talar neck fractures were treated conservertively. In six cases, in which either three cases of severe open type III talar neck fracture or three cases of severly comminuted talar body fracture, primary fusion was performed. Other seventeen cases of fracture-dislocation were treated by open reduction and internal fixation. Excellent results were observed in 6 cases, good in 7 cases, fair in 11 cases and poor in 2 cases. The result of primary arthrodesis for severe injury of talus was relatively good. Complications were avascular necrosis in 7 cases, posttraumatic arthritis in 5 cases, skinnecrosis in 3 cases, wound infection in 2 cases and malunion in 2 cases.

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The Comparative Sturdy of Treatment between the Skeletal Traction and the Operation of the Supracondylar Fracture in Children: Eu Sub Chung, Young Kee Lee, Byoung Ho Lee; J Korean Soc Fract 1998;11(4):970-976. Published online October 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.4.970

Abstract PDF: The most common fracture about the elbow joint in children is supracondylar fracture. That treatment has many fitsfalls and had writtened about its method and the prevention of serious complication such as Volkmann ischemic contractre and cubitus varus deformity. the authors analyzed the follow-up results of 58 cases of supracondylar fractures treated by skeletal traction, percutaneous pinning and open reductionin Persbyterian Medical Center from March 1992 to November 1996. The average follow-up was 20 months(12-54 months). The results were as follows. 1. The mean age was 7.8 years, ranged from 1 year to 15 years, and the male and the female ratio was 1.9:1. 2. Seventeen cases were treated with skeletal traction group, thirty cases with closed reduction and percutaneous pinning group, eleven cases with open reduction and internal fixation group. 3. The average duration of admission in skeletal traction group was 23.5 days, 5.2 days in percutaneous pinning group and 14.7 days in open reduction and internal fixation group. 4. The ration of hospital cost to that in the skeletal group were 0.85+/-0.18 in the percutneous pinning group, and 1.43+/-0.21 in the open reduction and internal fixation group. 5. According to the Mitchell and Adams' criteria, the results of skeletal tracion group were excellent in 58.8%, good in 35.3% and poor in 5.9%; the results of percutaneous pinning group were excellent in 60%, good in 36.7% and poor in 3.3% ; and those of open reduction group were excellent in 54.5%, good in 27.3% and poor in 18.2%, respectively, on mean follow-up of 1 year and 8 month. So, our result indicated that the closed reducion and percutaneous pinning is a simple and cost-effective method for treatment of supracondylar fractures of the humerus in children, but some instances, the skeletal traction might be another treatment method in supracondylar fractures.

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Treatment of Long Bone Fracture Using LC-DCP: Byoung Ho Lee, Sang Ho Ha, Seung Kim; J Korean Soc Fract 1997;10(1):37-43. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.37

Abstract PDF: LC-DCP is the latest plate and screw system developed by AO-ASIF group. There are many merits of LC-DCP with its unique contour and material. : Reduction of surface contact between plate and bone result in preserved vascularization and then improved bone consolidation. Compression can be achieved in either longitudinal direction and a lag screw can be inserted at greater inclination. In addition, pure titanium as an LC-DCP material display optimal biocompatibility and reduce the spread of bacteria and increase resistance against infection. Between June 1994 and September 1995, 39 patients with 40 long bone fractures were treated using LC-DCP.(24 femur, 13 humerus, 3 tibia) Follow-up averaged 12 months : Bone union was achieved in 32 cases(80%) The complications were 7 cases of metal failure, 7 cases of limited joint motion, 2 cases of nonunion,2 cases of delayed union and 2 cases of deep infection.

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Treatment and Complications of Lateral Humeral Condylar Fractures in Children: Young Bae Pyo, Sang Ho Ha, Byoung Ho Lee, Gyoo Bum Cho; J Korean Soc Fract 1997;10(1):188-194. Published online January 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.1.188

Abstract PDF: In dealing with lateral humeral condylar injuries, the chance of having a poor functional result with inappropriate management is much greater. Therefore, careful attention in treatment is required in order to reduce additional damage caused by excessive manipulation and firm internal fixation with accurate anatomical reduction is recommended for the prevention of complications even if displacement is not severe. The authors analyzed 29 fractures of the lateral condyle of humerus in children who were treated from Jan. 1990 to Dec. 1994. The results were as follows ; 1. All of fractures were Milch type II and Jakobs stage II was most common in 14 cases(48.3%). 2. They were treated with cast immobilization in 5 cases(17.2%), with percutaneous K-wires pinning in 5 cases(17.2%) and with open reduction and internal fixation in 19 cases(65.5%). 3. The complications were 12 cases of bony spur, 8 cases of bony overgrowth. 2 cases of premature epiphyseal fusion, 1 case of cubitus valgus with extension limitation, 1 case of pin site infection. 4. According to the criteria of Hardacre, we obtained excellent result in 10 cases(34.5%), good result in 17 cases(58.6%) and poor result in 2 case(6.9%).

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Treatment of Carpal Scaphoid Fracture: Byoung Ho Lee, Dong Min Shin, Sang Ho Ha; J Korean Soc Fract 1996;9(2):274-282. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.274

Abstract PDF: We reviewed 32 cases of scaphoid fracture, treated from June, 1989 to June, 1994. The average follow up period from operation was 13 months. We analyed clinical result according to fracture classification and method of treatment. Nonsurgical treatment of displaced fracture generall gave poor result. In scaphoid fracture associated with complex injury open anatomic reduction and ligament repair was significantly better than conservative treatment. In the treasradial-styloid scaphoid fracture, anatomic reuduction and fixation of radial stloid is neccessory. To protect the misplacenlent of hardware, procisional K-wirc fixation and radiological confirmation will be indispellsable.

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Treatment of Fracture - Dislocation of Tarsometatarsal Joint: Byoung Ho Lee, Dong Min Shin; J Korean Soc Fract 1995;8(3):606-614. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.606

Abstract PDF

We reviewed and clinically analysed 23 cases of tarsometatarsal joint injuries, which were treated at the orthopaedic department of Chosun university hospital during the period from January 1989 to December 1993, and the following results were obtained. 1. The clinical results of tarsornetatarsal joint injuries did not correlate with the mechanism and classification of injuries. 2. Anatomical reduction and its maintenance, whether treated by closed or open methods, seemed to lead to normal appearance and function. 3. In many cases of our series. early closed reduction was unlikely to succeed because of soft tissue interposition, marked comminution. or a large articular fragment, or because of many concomitant injuries involving the same foot. 4. We recommend early aggressive open reduction and K-wire fixation if the closed reduction is inadequate. 5. For maintenance of stable reduction, only two K-wires(one through the 1st metatarsal base into the first cuneiform, and the other through the fifth metatarsal into the cuboid) are insufficient especially in direct injury, so we recommend that fixation of displaced individual metatarsal and the base of second metatarsal with multiple K-wires.

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Fractures of the Tarsal Bone
Young Hwan Park, Hak Jun Kim, Soo Hyun Kim
Journal of the Korean Fracture Society.2016; 29(4): 276. CrossRef

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The Treatment of Pathologic Troehanterie Fracture of the Femur by Solitary Bone Cyst in Children: Sang Ho Ha, Sang Hong Lee, Byoung Ho Lee; J Korean Soc Fract 1992;5(2):394-399. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.394

Abstract PDF: Generally, pathologic fracture with solitary bone cyst was treated by plaster immobilization to stabilize the fracture site and there-after local steroid injection and curettage and bone graft in the remaining cyst. However, pathologic fracture involving weight bearing bone such as trochanter of the femur showed many complications : coxa, vara, avascular necrosis of femoral head, osteochondritis dissecans if they are treated by conservative method. We treated operatively for two unstable pathologic fractures of the trochanteric region of femur with large solitary bone cyst by primary curettage and autogenous bone graft with internal fixation and obtained satisfactory results.

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Surgical treatment of olecranon fracture: Sang Ho Ha, Jae Won You, Dong Min Shin, Young Bae Pyo, Byoung Ho Lee; J Korean Soc Fract 1991;4(2):320-325. Published online November 30, 1991; DOI: https://doi.org/10.12671/jksf.1991.4.2.320

Abstract PDF: No abstract available.

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