Journal of Musculoskeletal Trauma

Myung Hwan Son

9 Articles

IIizarov Method of Tibial Plafond Fracture: Myung Hwan Son, Byung Chul Kim, Nam Wook Kang, Min Yong Kim; J Korean Soc Fract 2001;14(4):643-650. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.643

Abstract PDF: PURPOSE
To report the result and the advantage of Ilizarov device when treating the tibial plafond fractures described as difficult to manage.
MATERIALS AND METHODS
We retrospectively reviewed 10 cases of tibial plafond fractures treated with Ilizarov device form March 1996 to October 1999. If necessary, limited internal fixation was combined and the mean follow-up time was 11 months. The clinical and the radiological results were evaluated after operation.
RESULTS
The objective clinical results were classified as good (4 cases), fair (5 cases), and poor (1 case). The average union time was 13 weeks and there were ankle pain, wound infection and traumatic arthritis after opertion, but severe complications such as osteomyelitis and nonunion were not appeared.
CONCLUSION
For tibial plafond fractures, Ilizarov device minimize the soft tissue injury and combined limited internal fixation improve the result.

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The Comparison of the Using of Plate Fixation and Interlocldng IM Nailing in Humeral Shaft Fracture: Myung Hwan Son, Byung Chul Kim, Nam Wook Kang, Min Yong Kim; J Korean Soc Fract 2001;14(4):720-725. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.720

Abstract PDF: PURPOSE
This study was to evaluate the results and the usefulness of the plate fixation and the interlocking IM nailing for the humeral shaft fractures.
MATERIALS AND METHODS
We have reviewed thirty cases of humeral shaft fractures, which were treated with plate fixation in seventeen cases and interlocking IM nailing in thirteen cases in period of February 1993 to May 1999. The Russel-Taylor nails were used in all cases for interlocking IM nailing. The clinical and the radiological results were evaluated after operation.
RESULTS
The average union time was 14.5 weeks for the plate fixation and 15.2 weeks for the interlocking IM nail respectively. There were two cases of wound infection and one case of radial nerve injury for the plate fixation, and two cases of rotator cuff injury on the shoulder were found after the interlocking IM nailing.
CONCLUSION
Interlocking IM nailing is a relatively simple procedure with low rate of infection and radial nerve injury, but rotator cuff injury is a considerable problem after operation.

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Open Reduction and OA Miniscrew Fixation of the Hamate Fracture: A Case Report: Myung Hwan Son, Mun Sik Pheo; J Korean Soc Fract 2000;13(4):992-995. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.992

Abstract PDF

The hamate fracture is very rare injury in carpal bone fractures. The mechanism of fracture may be attributed to indirect trauma with clenched fist. We have experienced a case of fracture of the body of the hamate bone. It was treated with open reduction and OA miniscrew fixation and plaster immobilization for four weeks and physical therapy. At 21 months follow-up, the result was satisfactory without traumatic arthritis, nonunion, ulnar nerve palsy, and limitation of motion. A case of fracture of the body of the hamate bone is reported with review of literatures.

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Operative treatment of hamate fractures with hamatometacarpal fracture dislocation using a self-designed dorsal buttress locking plate with trans-metacarpal pin insertion: short-term follow-up results
Seok-Won Kim, Hyung-Joon Lee, Ji-Kang Park, Dong-Min Chung
Archives of Hand and Microsurgery.2022; 27(3): 193. CrossRef
Screw Fixation Method through Temporary Kirschner Wire Hole for Coronal Hamate Fracture
Yong Gil Jo, Yohan Lee, Joonha Lee, Kee Jeong Bae, Min Bom Kim, Young Ho Lee
Archives of Hand and Microsurgery.2021; 26(4): 245. CrossRef

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Treatment of patellar Fractures with Modified Tension Band Wiring: Myung Hwan Son, Byung Chul Kim, Nam Wook Kang, Tae Young Choi; J Korean Soc Fract 1999;12(4):872-878. Published online October 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.4.872

Abstract PDF

The aim of treatment of patellar fracture is the restoration of knee joint function and quadriceps muscle power. Comminuted and displaced fracture of the patella, which are difficult to reduce accurately and to get stable internal fixation, may lead to traumatic osteoarthritis, chondromalacia, limited ROM of the knee joint. In this series, we treated 29 cases of displaced transverse and comminuted fractures with modified tension band wiring. In severely comminuted fractures, the fragments were indirectly reduced by cerclage wire and then fixed with modified tension band wiring. We could obtain stable fixation and early ROM of the knee joint. There were 5 complications including wire breakage and wire loosening. In this respect, we concluded that modified tension band wiring was a good method for displaced transverse and comminuted patellar fracture.

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Circumferential Wiring Combined with Tension Band Wiring in the Operative Treatment of Patella Fracture
Jae-Chun Sim, Sung-Sik Ha, Ki-Do Hong, Tae-Ho Kim, Min-Chul Sung
Journal of the Korean Fracture Society.2014; 27(1): 65. CrossRef

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Treatment of Acute Acromioclavicular Dislocation with Modified Phemister Technique: Myung Hwan Son, Byung Chul Kim, Nam Wook Kang, Tae Young Choi; J Korean Soc Fract 1999;12(3):686-692. Published online July 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.3.686

Abstract PDF: There are various kinds of operative methods for the treatment of acute acromioclavicular dislocation but many complications such as posttraumatic arthritis, limitation of shoulder motion, and recurrence of dislocation would be developed. We have experienced 23 cases of acute acromioclavicular dislocation treated by modified Phemister technique from January 1992 to January 1997 and followed-up at least 1 year at Department of Orthopaedic Surgery, Pusan City Medical Center. The results were as follows: 1. The clinical results were evaluated by Weaver and Dunn were good in 19 cases, fair in 3 cases, poor in 1 case. 2. The radiological results were evaluated by the difference of the distance from the coracoid process to the clavicle between normal and injured site. The comparison of coraco-clavicular distance after surgery(1.76 mm) with that of follow up(2.41 mm) showed no significant difference(P>0.05, by Student t-test). 3. There was no posttraumatic arthritis and limitation of shoulder motion in all cases. So we suggest that modified Phemister technique is a good method for aute acromioclavicular dislocation.

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A Clinical Comparision of Multiple Pinning With Bipolar Endoprosthesis of the Femoral Neck Fractures in the Elderly Patients: Jae Ik Lee, Myung Hwan Son, Jae Hong Park, Kang Hoon Kim; J Korean Soc Fract 1998;11(2):321-327. Published online April 30, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.2.321

Abstract PDF: The goal of the treatment of femoral neck fractures is early ambulation to prevent the complications such as pneumoniae or atelectasis, deep vein thrombosis, pulmonary embolism, bed sore, general weakness. The authors have tried to asess the outcome and complication of multiple pinning (28 cases) and biploar endoprosthesis (35 cases) for femoral neck fractures in average 18 momths with the range of 12 months to 5 years from May 1990 to May 1996. The results were asessed by interval from injury to operation, post operative complication and mortality rate, weight bearing time, Lunceford hip grading method. The results were as folllows: 1. Post operative complications rate were 43% in multiple pinning, and 26% in bipolar group. 2. The mortality rate was 14.2% in multiple pinning group and 11.4% in bipolar endoprosthesis group. 3. The functional results evaluated by Lunceford's methods were satisfactory in 64% of multiple pinning group and 71% in bipolar endoprosthesis group. We concluded that displaced fractures, subcapital fracture, severe osteoporosis, old fracture over 3 weeks in elderly patients, bipolar endoprosthesis gave a more reliable results.

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Treatment of Commiuted Fractures of the Proximal Tibia Using Ilizarov External Fixator: Jae Ik Lee, Myung Hwan Son, Jae Hong Park, Kang Hoon Kim; J Korean Soc Fract 1998;11(1):198-204. Published online January 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.1.198

Abstract PDF: Twenty one comminuted fractures of the proximal tibia in 21 patients were treated with Ilizarov external fixator from May 1990 to May 1996 in Pusan City Medical Center. The average duration of external fixation was 17weeks, and all of the fractures healed without bone graft. The mean time to union was 18weeks in closed comminuted fractures, and 21 weeks in Gustilo type I, II open fractures. The complications with this technique were pin tract infection 3 cases, pin loosening 6 cases, septic arthritis 1 case, post-traumatic osteoathritis 1 case, and joint ankylosis 1 case. The average duration of follow up was 18 months. The range of knee motion of 19 cases of the the 21 patients was at least 115-degrees arc. Post-operative immediate exercise was possible, and partial weight bearing with crutch was also possible after post-operative 4 weeks. We concluded that Ilizarov external fixation is a satisfactory technique for the treatment of selected comminuted fractures of the proximal tibia.

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Clinical Evaluation for the Ankle Fractures by Treatment: Jae Ick Lee, Myung Hwan Son, Jae Won Lee, Seong Hyeoun Namgung; J Korean Soc Fract 1997;10(3):588-596. Published online July 31, 1997; DOI: https://doi.org/10.12671/jksf.1997.10.3.588

Abstract PDF

The ankle joint plays important role in weight bearing, walking and standing, which consist of medial and lateral malleolus, tibial plafond, talus,ligament and soft tissue structure. Hence, the ankle injuries not only fracture of bone but often also the rupture of ligament and soft tissue. The purpose of this study is to reduce the complications and to early return to work by anatomical reduction of ankle mortise. The authers analysed 78 cases(76 patients) of the ankle fractures which were treated in department of orthopaedic surgery, Busan City Medical Center from March 1991 to february 1994 and average follow up period was 21 months(from 14 to 38 months). The results obtained from this study were as follows ; 1. The most common type of the ankle fractures, according to the classification of Lauge-Hansen, was supination-external rotation type(37%). 2. 62 cases (79%) were treated by open reduction and internal fixation and 16 cases(21%) were treated with closed reduction. The result of patients who were treated by open reduction and internal fixation were better than those by closed reduction, according to the criterion of Meyer. 3. The incidence of complication, such as traumatic arthritis and nonunion occured higher in the cases treated with closed method.

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Surgical Fixation with Biodegradable Plate for the Treatment of Ankle Fractures
Jae-Young Cho, Jin-Whan Kim, Sang-Eun Kim, Kyung-Chil Jung, Seung-Hyun Choi
Journal of the Korean Fracture Society.2008; 21(1): 31. CrossRef

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Primary Bipolar Hemiarthroplasty Compared with Compression Hip Screw on Treatment of Elderly Unstable Intertrochanteric Fractures: Jae Ick Lee, Myung Hwan Son, Seong Geun Heo, Young Ho Gwun, Jae Hong Park; J Korean Soc Fract 1996;9(2):401-408. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.401

Abstract PDF

The incidence of intertrochanteric fracture of the femur appears to be increasing, Particularly the more unstable comminuted fracture types are increasing, paralleling increased longevity in the population. Fourteen cases were treated with primary bipolar hemiarthroplasty and eighteen cases were treated with compression hip screw at the Department of Orthopaedic Surgery of Pusan City Medical Center from June 1991. to June 1993. The results obtained were as follows; 1. In the bipolar hemiarthroplasty group, rehabilitation was easier and faster, and the incidences of pressure sore, pulmonary infection & atelectasis were significantly lower. 2. The early walking with full weight bearing that the bipolar hemiarthroplasty made possible is considered to be a major contributing factor to those results.

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Comparison between the Results of Internal Fixation Using Proximal Femur Nail Anti-rotation and Bipolar Hemiarthroplasty in Treatment of Unstable Intertrochanteric Fractures of Elderly Patients
Sung-Hwan Kim, Soo-Won Lee, Gyu-Min Kong, Mid-Um JeaGal
Hip & Pelvis.2012; 24(1): 45. CrossRef

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