Journal of Musculoskeletal Trauma

In Heon Park

8 Articles

The Percutaneous Pinning of the Displaced Supracondylar Fracture of the Humerus using Skin Traction: In Heon Park, Kyung Won Song, Sung Il Shin, Jin Young Lee, Seung Yong Lee, Won Seok Oh; J Korean Fract Soc 2004;17(2):65-69. Published online April 30, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.2.65

PURPOSE
The purpose of this study was to evaluate a new treatment method, which was using intraoperative skin traction and Steinmann(S)-pin for anatomically reduction by gentle manipulation to treat the displaced supracondylar fracture of the humerus with percutaneous pinning.
MATERIALS AND METHODS
Clinical analysis was performed on thirty displaced supracondylar fractures (Gartland type III) of the humerus patients with a minimal three month follow up, who were treated percutaneous pinning after reduction with by intraoperative skin traction and S-pin. Clinical results were analyzed according to the Flynn grading system.
RESULTS
According to the Flynn grading system, excellent results were obtained in 12 cases (43%), good in 14 case (47%), fair in 4 cases (10%), poor in 0 cases (0%) and we obtained all satisfactory results. There was one case which was reoperated for closed reduction and percutaneous pinning repeatedly due to reduction loss and no case with conversion to open reduction.
CONCLUSION
To avoid the forceful manipulation, gentle closed reduction and percutaneous pinning using intraoperative skin traction and S-pin especially for rotational correction in the displaced supracondylar fracture of the humerus is considered to be useful method because showed satisfactory results.

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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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Interlocking Intramedullary Nailing for Treating Most Distal Tibial Fracture: In Heon Park, Kyung Won Song, Sung Il Shin, Jin Young Lee, Seung Yong Lee, Tae Hyoung Kim, Jeong Hun Cha; J Korean Soc Fract 2003;16(3):356-362. Published online July 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.3.356

Abstract PDF

PURPOSE
We analyzed the result of treatment for most distal extraarticular tibial fracture using interlocking intramedullary nail.
MATERIALS AND METHODS
From January 1999 to April 2002, 8 patients who had most distal tibial fracture were treated by interlocking intramedullary nailing. The duration of follow-up was more than 12 months. The mean age was 41.5 years old. There were 5 males and 3 females. During follow-up period, we evaluated the bone union, range of motion of knee and ankle joint and gait pattern.
RESULTS
The average distance from fracture line to ankle joint line was 1.1 cm. The bone union was achieved at average 18.6 weeks. At the last follow-up, there was no limited motion on knee. But at one case, ankle range of motion was limited from 5 degree extension to 35 degree flexion. There was no gait disturbance.
CONCLUSION
Interlocking intramedullary nailing can be recommendable and useful in the most distal tibial fractures.

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Comparison of the Results between Intramedullary Nailing and Plate Fixation for Distal Tibia Fractures
Jung-Han Kim, Heui-Chul Gwak, Chang-Rack Lee, Yang-Hwan Jung
Journal of Korean Foot and Ankle Society.2015; 19(3): 86. CrossRef
Interlocking Intramedullary Nail in Distal Tibia Fracture
Oog Jin Shon, Sung Min Chung
Journal of the Korean Fracture Society.2007; 20(1): 13. CrossRef

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The Result of Proximal Femoral Nailing (PFN(R)) for Unstable Femoral Peritrochanteric Fracture: Seung Yong Lee, In Heon Park, Kyung Won Song, Sung Il Shin, Jin Young Lee, Jeong Hun Cha; J Korean Soc Fract 2003;16(2):143-147. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.143

Abstract PDF

PURPOSE
We have used the proximal femoral nailing (PFN(R)) to evaluate the result of treatment for unstable femoral peritrochanteric fractures.
MATERIALS AND METHODS
From December 2000 to December 2001, 20 patients who had femoral peritrochanteric fracture were treated with proximal femoral nail (PFN(R)) in our hospital. The mean duration of follow-up was 16.8 months and average age was 58.7 years old. We evaluated the ambulation time, bone union time, neck-shaft angle, neck screw sliding by follow-up radiography, and studied the intra-operative and post-operative complication.
RESULTS
The average ambulation time was 3.8 days, the mean bone union time was 20.9 weeks, the mean neck shaft angle was 130.2 degree at post-operative time and 128.8 degree at last follow-up time, and the average neck screw sliding distance was 4.1 mm. The intra-operative complication was rotation of proximal fracture fragment in 1 case and displacement of femoral greater trochanter in 2 cases at proximal reaming, and displacement of proximal fracture fragment in 1 case at femoral stem insertion. The post-operative complication was coxa vara deformity in 2 cases and superficial wound infection in 1 case.
CONCLUSION
We have conclude that the proximal femoral nail (PFN(R)) could appropriately treat the unstable femoral peritrochanteric fracture and we obtained satisfactory results.

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Treatment of Unstable Pertrochanteric Fractures with a Long Intramedullary Nail
Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, Dae Jung Huh
Hip & Pelvis.2013; 25(1): 51. CrossRef
Operative Treatment with ITST in Femur Trochanteric Fracture
Ki-Do Hong, Jae-Chun Sim, Sung-Sik Ha, Jae-Young Kim, Jung-Ho Kang, Kwang-Hee Park
Journal of the Korean Fracture Society.2008; 21(4): 274. CrossRef
Comparison Study of Intertrochanteric Fractures Treated with Intertrochanteric/subtrochanteric Fixation with a Standard vs a Mini-incision
Se Dong Kim, Oog Jin Sohn, Jae Ho Cho
Journal of the Korean Fracture Society.2008; 21(1): 1. CrossRef

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Surgical Treatment of Subtrochanteric Fracture of Femur with Spiral Blade Unreamed Intramedullary Femoral Nail: In Heon Park, Kyung Won Song, Seong Il Sin, Jin Young Lee, Keon Hyung Lee; J Korean Soc Fract 1999;12(2):239-244. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.239

Abstract PDF: The treatment of the subtrochanteric fracture is technically very demanding, independent of the implant material used and presents a challenge in terms of surgical management. A multitude of implants based on very different biomechanical and operative concept are employed to deal with the special conditions relating to these fractuers. The purpose of this study was to analyze the results of the surgical treatment of subtrochanteric fracture using spiral blade unreamed intramedullary femoral nail. Spiral blade unreamed intramedullary nails were applied in 9 subtrochanteric fractures. Fracture healing was uneventful and implant complications or loss of reduction were not observed. In conclusion, spiral blade unreamed intramedullary nail will be a a valuable addition to the fixation techniques available for the treatment of subtrochanteric femoral fractures.

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Treatment of Humeral Shaft Fracture with AO Unreamed Humeral Nail: In Heon Park, Kee Byoung Lee, Kyung won song, Jin Young Lee, Min Choi; J Korean Soc Fract 1999;12(2):429-434. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.429

Abstract PDF: We performed a retrospective study of nine humeral shaft fractures which were treated by interlocking intramedullary nailing, the AO UHN (Unreamed Humeral Nail) system between March 1996 and February 1997 with more than one year of follow up. AO UHN inserted by either antegrade or retrograde technics through limited incisions followed by insertion of 2 proximal and distal Interlocking screws. Compression between fractured fragments was achieved in the non-comminuted and indicated cases. Immediate postoperately, soft shoulder immobilizer was applied and rehabilitation was started with active shoulder motion exercise few days to 1 week postoperately as soon as patient could tolerate pain. Union occurred at average of 13 weeks except one expired case with pathologic fracture due to advanced metastatic cancer. Pain relief and functional restoration were rated as good to excellent in most cases. Interlocking intramedullary nailing using AO UHN for the humeral shaft fractures usually provides immediate stability of the fracture and can be accomplished with a closed technique, minimum morbidity, with a resultant early return of function of the extremity. Therefore we recommend AO UHN for the treatment of the humeral shaft fractures if available without hesitation.

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Intramedullary Nailing Treatment for Segmental TibialFractures: In Heon Park, Kee Byoung Lee, Kyung Won Song, Jin Young Lee, Eung Joo Lee, Byung Koo Jooe; J Korean Soc Fract 1998;11(3):546-551. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.546

Abstract PDF: Fracture of the tibia is the most common fracture of the long bone and due to its anatomical property, significantly high rate of complication has been reported during and after treatment. Various ways of surgical treatment have been tried with reasonable satisfaction. Recently, closed intramedullary nailing under the image intensifier has been widely performed with good results. However, segmental tibial fractures are more difficult than ordinary tibial shaft fracture in terms of reduction and fixation. Its treatment has been rather challenging for average orthopedic trauma surgeons. Particularly, segmental tibial fractures are commonly combined with extensive soft tissue injury, comminution as well as displacement resulted in poor blood supply especially in its middle segment. In this paper we are reporting our experience with intramedullary nailing treatment for 13 segmental tibial fractures in 13 patients. 13 cases with segmental fracture of tibia were reviewed, which were treated at the Deparment of Orthopaedic Surgery, Kang-Dong Sacred Hospital of Hallym University for 6 years from January 1990 to December 1996 with more than 1 year follow up period. All cases were caused by traffic accident and four were open fractures. Patients were 19-60 years of age (average 44) with male to female ratio of 1.6:1. The fractures were closely reduced and intramedullary nailed under the image intensifier control. Two cases were added with limited skin opening of the displaced fragments for reduction. Seven cases were reenforced an additional immobilization such as long leg splint or cast or externl fixator postoperatively. Melis type I fractures were most frequent in our series. All fractures were healed within a 1 year and average union period was 167 days (proximal fracture-144 days, distal fracture-190 days). Complications were a case of chronic osteomyelitis and one deep vein thrombosis and 4 case of delayed union, which were treated by reoperation with bone grafts. Displacing most proximal fragment was most troublesome to manage during and after operation. We tried intracortical screws fixation between proximal and middle segments with satisfactory bony union without displacement for a case. Carefully planned intramedullary nailing with or without some modification of the most proximal and shoryt segment seems to be recommendable way of treatment for the most segmental fractures of the tibia.

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Treatment Using Unreamed Intramedullary Nailing for Open Tibial Fractures: In Heon Park, Ki Byung Lee, Kyung Won Song, Jin Young Lee, Seung Yong Lee; J Korean Soc Fract 1997;10(4):886-891. Published online October 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.4.886

Abstract PDF: Intramedullary nailing has become the most popular fixation method in the treatment of the tibial shaft fractures because it affords most rigid fixation of fracture via closed method which makes early rehabilitation possible. Unlearned interlocking nails offer the advantages of loss damage to the intramedullary blood supply, so infectious rate was lower in open fractures compared with reamed nails. We have analyzed 34 cases of 30 patients who performed unlearned interlocking intramedullary nail for open tibial fractures. The results were as follows : 1. The classification of the open fracture was 12 cases Gustilo-Anderson Type I, 20 cases Type II, 2 case Type III. 2. Bony union occured an average of 18 weeks postoperatively. 3. The complication were 4 cases of nonunion, 1 case of deep infection, and 1 case of screw loosening. In conclusion, unlearned intramedullary nailing is a good alternative method for the management of Type I, II open tibial fracture.

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Treatment of Distal Clavicular Fracture with Ruptured Coracoclavicular Ligament by Weaver and Dunn Method: In Heon Park, Kee Byoung Lee, Myung Ryool Park, Jin Young Lee, Kyun Ho Chang; J Korean Soc Fract 1989;2(2):288-291. Published online November 30, 1989; DOI: https://doi.org/10.12671/jksf.1989.2.2.288

Abstract PDF: We reported two patients with fracture of distal clavicle combined with rupture of the coracoclavicular ligament which was treated by Weaver and Dunn method recently. The following results were obtained: 1. The over all recovery were graded good. 2. The Weaver and Dunn nethod is recommendabel for several reasons such as relatively easy surgical procedure, elimination of secondary procedure and degenerative change of the acromioclavicular joint, cosmetic acceptability and early functional recovery.

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