Journal of Musculoskeletal Trauma

Duke Whan Chung

5 Articles

Percutaneous Kirschner Wire Fixation of Acute Mallet Fractures Percutaneousely Reduced by Towel Clip: Chung Soo Han, Duke Whan Chung, Bi O Jeong, Hyun Chul Park, Jin Young Kim, Cheol Hee Park, Jin Sung Park; J Korean Fract Soc 2009;22(4):283-287. Published online October 31, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.4.283

PURPOSE
To analyze the treatment of clinical results of the percutaneous Kirschner wire fixation of acute mallet fractures percutaneousely reduced by towel clip. MATERIALS AND METHODS: From August 2005 to April 2009, we evaluated nine fingers in eight patients, more than three months follow up. The type of injury was a axial loading in seven cases and direct blow in two. The average follow-up period was 10.1 months (range: 3~41 months). The indication of operative treatment was the presence of large bony fragment or the palmar subluxation of the distal phalnx. RESULTS: The range of motion was 3.7degrees (0~10degrees) in extension lag and 76.7degrees (60~90degrees) of flexion of the distal interphalangeal joint. CONCLUSION: The percutaneous Kirschner wire fixation of acute mallet fractures percutaneousely reduced by towel clip is one of the easy and simple method to stabilizing of bony mallet fracture.

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Comparison of Surgical Outcomes of Percutaneous K-Wire Fixation in Bony Mallet Fingers with Use of Towel Clip versus 18-Gauge Needle
Ho-Seung Jeon, Chan-Sam Moon, Seo-Goo Kang, Kyeong-Seop Song, Uk-Hyun Choi
Journal of the Korean Society for Surgery of the Hand.2013; 18(1): 1. CrossRef

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Irreducible Dislocation of the Interphalangeal Joint of the Great Toe with Lateral Collateral Ligament Entrapment: A Case Report: Duke Whan Chung, Bi O Jeong; J Korean Fract Soc 2009;22(2):110-113. Published online April 30, 2009; DOI: https://doi.org/10.12671/jkfs.2009.22.2.110

Abstract PDF

Dislocations of the interphalangeal joint of the great toe that are irreducible are very rare. Invagination of the plantar plate or the sesamoid bone into the IP joint, which prevents reduction. To our knowledge, however, dislocations of the IP joint of the great toe that were irreducible because of lateral collateral ligament entrapment, not invagination of the plantar plate or the sesamoid bone, have not been reported by any English literature. We report a 29-year-old ballet dancer who sustained an irreducible dislocation of the interphalangeal joint of the great toe owing to lateral collateral ligament entrapment.

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Open Reduction of a Dislocation of the Interphalangeal Joint of the Great Toe Neglected for 6 Weeks
Jae Kwang Kim, Rag-Gyu Kim
Journal of the Korean Orthopaedic Association.2011; 46(5): 426. CrossRef

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The Results of Blair Ankle Fusion in Trauma and Disease Around the Ankle: Duke Whan Chung, Kang Il Kim, Byung Joo Park; J Korean Soc Fract 1998;11(2):362-370. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.362

Abstract PDF: Blair introduced talotibial fusion via tibial sliding graft, rectangular bone block donated from distal tibia, to the neck of talus to settle the problems, shortening of lower extremity and deformity of foot, which had been produced by talectomy or subtalar fusion in the treatment of the comminuted fracture-dislocation of the body of the talus. The purpose of this study was to report the excellent results of Blair ankle fusion in treatments of various diseases of ankle as well as fracture and avascular necrosis of talus, and to announce the effect of Blair ankle fusion. The ten cases were reviewed, which had undergone Blair ankle arthrodesis, from January 1989 to December 1996 in Kyung Hee Medical Center. There were 4 men and 6 women. Mean age was 4.7(18-75) years old. Preoperative diagnosis were 2 posttraumatic osteoarthritis, 2 avascular necrosis of talus, 2 degenerative osteoarthritis, 1 chronic osteomyelitis of calcaneus with myelopathy, 1 Charcot joint due to diabetes mellitus, 1 secondary osteoarthritis due to infection sequelae and 1 old crushing injury of ankle and foot. We used Boston children's Hospital ankle-scoring system as clinical assessment criteria and tibiopedal motion as functional assessment in gait. Time to union was average 14.6(8-23) weeks. Postoperative complications were pin tract infection in two cases and deep infection(chronic osteomyelitis) in one case. Pain was observed in three cases. Delayed union, nonunion or pseudoarthrosis were not observed. The average leg length discrepancy was 0.64cm(0-1.27). On the clinical criteria for Boston children's Hospital ankle-scoring system, we observed seven excellent and three good cases. The results in tibiopedal motion using cineroentgenography were 6 good and 4 fair cases. By using Blair fusion, we expect early bony union, near normal shape of foot, no shortening, and normal walking by preserving the enough range of tibiopedal motion.

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Consumptive Coagulopathy Secondary to a Traumatic False Aneurysm of Deep Femoral Artery: Duke Whan Chung, Hwi Joong Yoon, Chang Moo Yim, Young Soo Chun, Hyun Ju Park; J Korean Soc Fract 1998;11(1):85-90. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.85

Abstract PDF: A case of consumptive coagulopathy due to pseudoaneurysm, which occured as a complication of intramedullary nailing, was rarely reported. Pseudoaneurysm of peripheral artery is presented with pulsating mass and may show extrinsic indentations of the adjacent bone. The coagulopathy and bleeding responded to surgical elimination of the fistula and aneurysm. Diffuse intravascular coagulopathy or consumptive coagulopathy is infrequently associated with pseudoaneurysm of deep femoral artery. Laceration of major arteries are more common in open than in closed fractures. They usually occur only when a major artery is in close proximity to bone as complications to frractures. Diffuse intravascular coagulopathy or consumptive coagulopathy is characterized clinically by excessive bleeding, ecchymosis and petechiae and by laboratory evidence of a disease in the numbers of platelets and amount of fibrinogen and an increase of fibrin degradation products with prolonged prothrombin and partial thromboplastin times. When the two coexist, they create a difficult clinical problem that reuires optimal medical and surgical treatments. If the appropriate treatment was delayed, serious complication such as sepsis or death could be occured. Prompt recongnition through appropriate laboratory tests and early surgical intervention was indicated essentially. We are reporting one case of coagulopathy associated with pseudoaneurysm of deep femoral artery that presented to the broad clinical picture.

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Treatment of post traumatic stiff elbow using hinge distractor: Chung Soo Han, Duke Whan Chung, Hyung Koo Kim, Dong Hee Lee; J Korean Soc Fract 1993;6(1):31-36. Published online May 31, 1993; DOI: https://doi.org/10.12671/jksf.1993.6.1.31

Abstract PDF: No abstract available.

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