Journal of Musculoskeletal Trauma

Hee Yeong Chung

5 Articles

Treatment of Distal Tibial Fractures by Interlocking Intramedullary Nailing: Bu Hwan Kim, Joung In Yim, Hee Yeong Chung, Jung Ju Kim; J Korean Soc Fract 1997;10(2):316-323. Published online April 30, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.2.316

Abstract PDF: Intramedullary rigid nailing has been used to treat diaphyseal fracture of tibia, but with improvement of practical technical ideas, especially development of interlocking transverse screw, the indication of intramedullary nailing for tibial fracture became expanded to the fractures occurred 3cm proximal to the ankle joint. We treated 34 distal tibial fractures from Mar. 1992 to Feb. 1995 and followed up at least more than one year. The results of treatment were as follows ; 1. Time for union was 11.3 weeks in closed fracture group and 19 weeks in open group. 2. According to the functional classification of Klemm and Borner, excellent and good results were obtained in 30 cases(94.1%). 3. Complications developed in 7 cases which include ankle motion limitation, angular deformity, delayed union.

Operative Treatment of Unstable Fracture of Distal Radius: Bu Hwan Kim, Jong In In, Hee Yeong Chung, Yong Kyun In; J Korean Soc Fract 1996;9(3):774-780. Published online July 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.3.774

Abstract PDF: Fracture of distal radius represent the most common fractures of upper extremity. Recently, distal radius fractures are recognized as very complex injuries with a variable prognosis according to the fracture type and the treatment. Because unstable distal radius fractures have a high incidence of secondary displacement and shortening, they are not amenable to the traditional methods of closed manipulation. We classified distal radius fractures by Fernandez classification and analysed thirty-six cases of fractures followed up more than one year at Dae-Dong Hospital from March 1993 to September 1994 after ORIF with T-plate. The result were as follows: 1. ORIF of unstable fracture of distal radius with small T-plate, selective bone graft using volar approach, 81% of the patients had a rating of good or excellent by the modified scoring system of Green and OBrien. 2. Severely comminuted fractures as Fernandez type V necessitated additional fixation such as external fixator. 3. Femandez classification based on the mechanism of injury was helpful in planning the treatment of unstable distal radius fractures.

Closed Interlocked intramedullary nailing of the humerus shaft Fracture: Bu Bwan Kim, Jong ln Yim, Hee Yeong Chung, Joon Young Park; J Korean Soc Fract 1996;9(1):177-184. Published online January 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.1.177

Abstract PDF: The interlocked intramedullary nailing of humerus shaft fracture has been used as a available method because of the advantages, including relatively simple procedure, stable fixation method, and allowing early ROM and low complication. The authors have reviewed 24 cases of humerus shaft fractures, which were treated with closed interlocked intramedullary nailing from Mar. 1992 to Feb. 1994 at Dae-Dong General Hospital. The results were as follows; 1. Twenty four patients treated with intramedullary nailing revealed primary bone union and the average time for bone union was about 8.5 weeks. 2. There was no serious post operative complication such as nonunion, infection, rotatory deformity, metal failure of nail or interlocking screw. 3. According to the Stewart & Hundley classification of result, excellent, good and fair were observed in 21 cases(87%). 4. To prevent the impingement syndrome and rotator cuff injury, the proximal end of the nail was countersunk but the deeper the insertion, the more difficult the removal.

Locked Intramedullary Nailing of Tibial Segmental Fractures: Bu Hwan Kim, Jong In Yim, Hee Yeong Chung, Joon Young Park; J Korean Soc Fract 1995;8(3):557-565. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.557

Abstract PDF: Recently closed interlocting intramedullary nailing under image intensifier has been widely used in the treatment of segmental fracture of long bone and good results have been reported. Twenty-six segmental fractures of tibia were treated with interlocking intramedullary nailing from Mar. 1989 to Feb. 1993 at Dae-Dong General Hospital and all cases were followed up more than 18 months. In this paper we are reporting the results of twenty-six segmental tibial fracture treatment. 1. Seventeen patients were male and 7 patients were female. 2. Eighteen cases(69.2%) were caused by traffic accident and ipsilateral fibular fractures were the most common associated injury. 3. Most common type of fractures were Melis type II(10 cases 38.4fo), proximal fracture lies in the middle third of the shaft and the distal fracture lies in the lower third. 4. Average union time in closed fractures was 23.0 weeks and 29.5 weeks in open fracture with average 28.5 weeks.

Operative Treatment of Intra-articular Fractures of the Calcaneus by Sanders Classification: Jong In Yim, Bu Hwan Kim, Hee Yeong Chung, Woo Sung Choi; J Korean Soc Fract 1995;8(3):628-637. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.628

Abstract PDF: The os calcis is the most frequently fractured than any other tarsal bone and the displaced intraarticular fracture account for 60-75% of them. Because of complex contour of calcaneus, it is difficult to evaluate the pattern of fracture exactuly by conventional roentgenograms. But recently, computed tomography clearly defines fracture patterns of subtalar joint and calcaneocuboid joint. From Feb. 1992 to Jan. 1994. we analyzed 18 feet in 16 patients of intraarticular calcaneal fractures after routine preoperative CT scan and Sandersclassification. All cases were operated through extensile lateral approach and internally fixed with plate and screws. The clinical and radiographic analysis were as follows: 1. Sanders classification of 18 cases were type I in 3, type I in 8, type III in 4 and type IV in 3. 2. As the fracture line moves medially, intraoperative visualization of joint, reduction becomes more difficult and the prognosis worsens in type II and IIIBC. 3. By SandersCT classification of calcaneal fracture, it help us in understanding fracture pattern more detail and in deciding of the method of treatment and in the predicting of the prognosis.

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