Journal of Musculoskeletal Trauma

Dong Wha Lee

6 Articles

Closed percutaneous K-wire stabilization for fractures of the proximal humerus: Dong Wha Lee, Kyoo Seok Shin, Jei Bum Kim; J Korean Soc Fract 2002;15(4):566-572. Published online October 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.4.566

Abstract PDF: PURPOSE
The purpose of this study is to analyze the result and complications of treatment using percutaneous K-wire stabilization for fractures of the proximal humerus. MATERIALS & METHOD: To be eligible for the study, total 12 patients of displaced two, three or four part fractures of the proximal humerus were treated, 10 females and 2 males with a mean age of 52 years (range 18-76 year). Reduction was obtained by longitudinal traction combined with posterior pressure on the humeral shaft. After reduction, minimum two 2.5mm terminal threaded pin or smooth tip K-wire was inserted.
RESULTS
Union rate of 83.3% was observed at an average 2.7 months. Range of motion of shoulder was 125 degrees of forward flexion, 114 degrees of abduction. Patients of 83.3% had good or excellent functional result. Four patients had a mild, superficial pin tract infection associated with loosening of the pin. The infections resolved with removal of pin and oral antibiotics. Valgus deformity was developed in a patient however the patient subsequently had a good functional result and nonunion were developed in two cases.
CONCLUSION
The technique of closed reduction and percutaneous pinning is quite demanding procedure, although it may appear to be deceptively simples. The good indications for the use of this procedure seems to patients with severe comminuted fractures, old age with osteoporosis. For the more rigid fixation, terminally threaded pins should be used, not smooth pin.

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Treatment of Tibial Condylar Fractures Using the Ilizarov External Fixator: Dong Wha Lee, Kyoo Seog Shin, Jong Soon Kim, Yong Whee Kim, Jin Ho Seok; J Korean Soc Fract 2001;14(3):404-411. Published online July 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.3.404

Abstract PDF: PURPOSE
The aim of this study is to report results of treatment of tibial condylar fracture using the Ilizarov external fixator. MATERIALS & METHOD: 21 Cases of tibial condylar fracture, which were operatively treated with Ilizarov external fixator were evaluated clinically & radiographically. All patients were followed for at least 1 years.
RESULTS
Primary bony union was achieved in 15 cases(71.4%) and bony union after secondary operative procedure was obtained in 6 cases(28.6%). The fracture was united within 6 months except 2 cases. As complications, pin irritation was observed in 6 cases and Joint stiffness in 1 case, delayed union in 1 cases, nonunion in 1case CONCLUSION: We could obtain satisfactory clinical results with using of Ilizarov external fixator in treating of tibial condylar fractures. The good indications for the use of Ilizarov external fixator seems to be high energy tibial condylar fracture difficult to fixation with other method. In cases of bony defect or severe comminuted fractures, we shall obtain better outcome when bone graft is performed.

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Effect of Early Active and Weight bearing in Rigid Fixation of Ankle Fracture: Kyoo Seog Shin, Jong Soom Kim, Dong Wha Lee, Jung Seok Kim; J Korean Soc Fract 2000;13(2):361-367. Published online April 30, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.2.361

Abstract PDF

PURPOSE
: Because of the risk of redisplacement after operative treatment of ankle fracture, postoperative immobilization in a plaster cast without weight bearing has often been used. Early weight bearing, however, would no doubt facilitate rehabilitation for many patients and fulfills one of the most important aims of internal fixation. In our study, we compared the clinical and radiological results of cast immobilizatiom with late weight bearing and early weight bearing with ankle exercise. MATERIAL AND METHODS : Forty-two patients, who had ankle fractures treated with rigid internal fixation between February 1996 and January 1998, were randomly assigned to either cast immobilization with weight bearing (n=20) or ankle exercise with early weight bearing (n=22). Radiologic follow-up was performed for the evaluation of redisplacement and clinical results between the two groups were compared.
RESULT
: No postoperative redisplacement was present in either group. After at least 1 year follow-up, no significant differences were found between the two groups in clinical results by Meyer's criteria.
CONCLUSION
: We concluded that postoperative early ankle exercise and weight bearing in rigid fixation of ankle fracture may be useful.

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Rehabilitation for ankle fractures in adults
Sharon R Lewis, Michael W Pritchard, Roses Parker, Henry KC Searle, Paula R Beckenkamp, David J Keene, Chris Bretherton, Chung-Wei Christine Lin
Cochrane Database of Systematic Reviews.2024;[Epub] CrossRef

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Arthroscopic Treatment of Isolated Anterior Malleolar Fracture of the Ankle: Dong Wha Lee, Kyoo Seog Shin, Jong Soon Kim, Yong Whee Kim; J Korean Soc Fract 1999;12(2):477-480. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.477

Abstract PDF: Isolated fractures of the anterior malleolus of the ankle are uncommon. They most often result from vertical loading or from posterior displacement of the tibia on a planted foot. Fracture of the tibial plafond with a large anterior tibial(anterior malleolus) fragment may require open reduction with internal fixation. Anatomic reduction of the articular surface can be ensured by visualizing the articular surface using an arthroscope during reduction. Two cases wherein this technique has proven effective were described.

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Treatment of the Avulsion Injury of the Posterior Cruciate Ligament: Dong Wha Lee, Kyoo Seog Shin, Jong Soon Kim, Jin Jwan Seo; J Korean Soc Fract 1998;11(3):718-723. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.718

Abstract PDF

The posterior cruciate ligament (PCL) plays an integral role in stabilizing the knee joint as a main restraint to posterior displacement of the tibia. When the tibial insertion of the PCL is avulsed, the knee becomes unstable, so that rotational instability, meniscus injury and degenerative change may develop within several years. Therefore early repair is necessary. The purpose of this report is to evaluate the usefullness of the direct posterior approach to the avulsion site of PCL. We treated 8 isolated avulsion injury of the PCL from January 1995 to May 1997 through the way of using the Burks and Schaffer's simplified posterior approach. The results were as follows; 1. The stability was achieved with screw fixation. and the outcome was above good in 87.5% of cases. 2. The Burks and Schaffer's simplified posterior approach ws concerned as an useful one for the fixation of an avulsion fragment of PCL. 3. The patients returned daily living within 3 months after operation.

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Bilateral PCL Avulsion Fracture from Tibial Attatchment Site in a 16-years-old Male: A Case Report
Hee-Gon Park
Journal of the Korean Fracture Society.2009; 22(3): 189. CrossRef

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Fracture & Dislocation of Tarso-metatarsal Joint: Eung Shick Kang, Ho Jung Kang, Ick Hwan Yang, Dong Wha Lee; J Korean Soc Fract 1992;5(2):212-218. Published online November 30, 1992; DOI: https://doi.org/10.12671/jksf.1992.5.2.212

Abstract PDF: The fracture and dislocation of tarso-metatarsal joint is rare injury, but if it occurs, as-sociated soft tissue injury is so severe according to its cause of injury. We reviewed 19 patients of fracture and dislocation of tarso-metatarsal joint who were treated in patient service, during the perlod, from April, 1981 to March, 1991 at our hospital. The results were as follows; 1. Fifteen patients (75%) among the 19 patients were injured due to traffic accident and the associated injury was so severe. 2. Nine cases were treated with percutaneous pinning, closed redoclion with cast immobilization in 2 cases and open reduction with multiple pinning in 8 cases. Three cases needed free vasculariaed flap for its extensive soft tissue injury and, one case was taken below knee amputation for its associatrd severe injury. 3. Anatomical reduction was achieved in 15 cases and iss results were as follows: good in 4 cases. fair in 10 cases and poor in one case Anatomical reduction was not achieved in 3 cases and the results were as follows : fair in one case and poor in 2 cases. 4. Eight cases which were treated with open reduction with multiple pinning had the results as follows: good in one. fair in 6 cases and the remaining one case had taken below knee amputation Seven cases which were treated with closed reductlon and cast immobiliza- cases and poor in 3 cases. 5. The patients who were achieved anatomical reduction had better results than who were not achieved anatomical reduction, Buy the results of all patients were not so satisractory. That is because of the point that the Lisfranc joint injury had associated with severe soft tissue injuries. We concluded that early and active intervention and anatomical reduction should be achieved for the better results.

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