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Sang Ki Lee 5 Articles
Surgical Treatment of Femoral Unstable Intertrochanteric Fractures in Elderly Patients: Comparative Study between Compressive Hip Screws and Additional Trochanteric Stabilizing Plates
Kap Jung Kim, Dae Suk Yang, Sang Ki Lee, Won Sik Choy, Kyoung Wan Bae
J Korean Fract Soc 2011;24(4):295-300.   Published online October 31, 2011
DOI: https://doi.org/10.12671/jkfs.2011.24.4.295
AbstractAbstract PDF
PURPOSE
To evaluate the radiologic results between compressive hip screw and compressive hip screw with additional trochanteric stabilizing plate in patients with femoral unstable intertrochanteric fractures in patients with more 65 years old.
MATERIALS AND METHODS
From 2006 to May 2009, 121 cases were included. Group I (compressive hip screw only) was 54 cases and group II (compressive hip screw with trochanteric stabilizing plate) was 67 cases. We checked the lag screw sliding, lateral translation of greater trochanter, changes of neck-shaft angle and complications through periodic follow up of radiographs.
RESULTS
Mean lag screw sliding was 7.6 mm in group I and 3.9 mm in group II (p=0.001). Mean lateral translation of greater trochanter was 3.86 mm in group I and 0.59 mm in group II (p=0.01). Mean changes of neck-shaft angle was nearly the same, 3.57degrees in group I and 3.66degrees in group II. Complications were 15 cases in group I and 10 cases in group II.
CONCLUSION
Compressive hip screw with additional trochanteric stabilizing plate was effective surgical option in patients with femoral unstable intertrochanteric fractures in patients with more than 65 years old. It decreased lag screw sliding, lateral translation of greater trochanter and complication rates.

Citations

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  • The Role of Beta-Tricalcium Phosphate Graft in the Dynamic Hip Screw Fixation of Unstable Intertrochanter Fracture
    Chul-Ho Kim, Ji Wan Kim, Eic Ju Lim, Jae Suk Chang
    Journal of the Korean Fracture Society.2016; 29(4): 250.     CrossRef
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Surgical Treatment of AO Type C Distal Femoral Fractures Using Locking Compression Plate (LCP-DF, Synthes(R))
Kap Jung Kim, Sang Ki Lee, Won Sik Choy, Won Cho Kwon, Do Hyun Lee
J Korean Fract Soc 2010;23(1):20-25.   Published online January 31, 2010
DOI: https://doi.org/10.12671/jkfs.2010.23.1.20
AbstractAbstract PDF
PURPOSE
To analyze the surgical results of AO type C distal femoral fractures using locking compression plate.
MATERIALS AND METHODS
From February 2006 to June 2008, 14 patients 15 cases were included. Injury mechanisms, combined injuries, radiologic and clinical results and postoperative complications were analyzed.
RESULTS
The mean age was 59.6 (30~77) years. The mean follow up period was 25 (12~40) months. AO types were 3 of C1, 5 of C2 and 7 of C3. Injury mechanisms were 9 of traffic accident, 5 of slip down and 1 of fall from a height. Four cases were combined with other extremity injuries or fractures. The mean radiologic union was obtained at postoperative 15 (13~20) weeks. The mean Neer's functional score was 74.2 (58~97); 3 of excellent, 5 of satisfactory and 7 of unsatisfactory. Postoperative complications were 2 of infection and 1 of nonunion. There were no mechanical failures or fixation loss with locking compression plate at the final follow up.
CONCLUSION
Internal fixation using locking compression plate for AO type C distal femoral fractures provided excellent fixations. At the final follow up, the clinical results were variable. The affecting factors on the final results seemed to be joint congruencies after anatomical reduction and active rehabilitation.

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  • A STUDY OF SURGICAL MANAGEMENT OF DISTAL FEMORAL FRACTURES BY DISTAL FEMORAL LOCKING COMPRESSION PLATE OSTEOSYNTHESIS
    Dema Rajaiah, Yerukala Ramana, Kuppa Srinivas, Venkateswar Reddy S
    Journal of Evidence Based Medicine and Healthcare.2016; 3(66): 3584.     CrossRef
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Comparison of Uniportal and Biportal Vertebroplasty in Bone Cement Distribution and Leakage
Jae Hyup Lee, Kang Sup Yoon, Seung Baik Kang, Hyunchul Jo, Sang Ki Lee, Bong Soon Chang, Choon Ki Lee, Ji Ho Lee
J Korean Fract Soc 2006;19(4):471-476.   Published online October 31, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.4.471
AbstractAbstract
PURPOSE
To evaluate the differences of radiological outcomes of uniportal and biportal vertebroplasty in the point of bone cement distribution and leakage.
MATERIALS AND METHODS
A retrospective study reviewing the period between May 2002 and January 2006 investigated 100 vertebrae which underwent vertebroplasty and followed for more than three months by uniportal approach (55 vertebrae, group 1) and biportal approach (45 vertebrae, group 2). The operative time, the amount of bone cement injected, anterior vertebral height restoration, kyphotic angle, bone cement distribution, and bone cement leakage were evaluated.
RESULTS
The amount of injected bone cement of group 1 (3.9 cc) was statistically smaller than that of group 2 (5.1 cc) (p=0.016). There were no significant differences in the operative time, anterior vertebral height restoration, kyphotic angle in both groups. The rate of bone cement distribution over 8 zones was significantly higher in group 2 than in group 1 (p=0.014). However, the rate of bone cement distribution over 7 zones and the rate of bone cement distributed on whole anterior vertebral body were not significantly different in both groups. The cement leakage was not also significantly different in both groups.
CONCLUSION
Although the amount of injected bone cement was smaller in uniportal vertebroplasty, the radiological results and cement leakage were similar to biportal vertebroplasty. These findings suggest that uniportal vertebroplasty can be the operative options in osteoporotic vertebral fracture.
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Varus Stress Test and Percutaneous Fixation of the Lateral Condyle Fracture of the Humerus in Children
Sung Soo Kim, Sang Ki Lee
J Korean Soc Fract 2000;13(4):1053-1060.   Published online October 31, 2000
DOI: https://doi.org/10.12671/jksf.2000.13.4.1053
AbstractAbstract PDF
PURPOSE
The current study is planned to evaluate varus stress test and a result of percutaneous K-wire fixation in the minimally displaced lateral condyle fracture of humerus in children.
MATERIALS AND METHODS
We have analyzed seven patients of Jakob stage I or II lateral condylar fracture of the humerus clinically and radiologically who were managed with closed reduction and percutaneous K-wire fixation from July 1996 to June 1999. Their ages at the time of injury ranged 2.5 to 11.7 years (average 6.3 years). We checked varus stress view for evaluating fracture stability and treatment plan.
RESULTS
The patients were followed up for average 13 months postoperatively and showed no differences in carrying angle, range of motion and physical activity compared with contralateral elbow. K-wires were removed average 6 weeks postoperatively. The fractures were united at average 5.9 weeks (5-9 weeks). There were minor complications ; one case of bony overgrowth, three cases of bony spur and one case of pin site infection. The treatment results according to Hardacre's assessment were excellent in all cases.
CONCLUSION
Varus stress view is necessary to evaluate the fracture stability and to make treatment plan in minimally displaced lateral condyle fracture, and closed reduction followed by percutaneous K-wire fixation can be used successfully in the cases of unstable Jakob stage I and reducible Jakob stage II.
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Refracture of Forearm Bone after Plate Removal
Sung Keun Sohn, Byeong Hwan Kim, Sang Ki Lee
J Korean Soc Fract 2000;13(1):132-138.   Published online January 31, 2000
DOI: https://doi.org/10.12671/jksf.2000.13.1.132
AbstractAbstract PDF
PURPOSE
: To evaluate the results of operative treatment for intercondylar fracture of the distal humerus in adults.
MATERIALS AND METHODS
: From February 1994 to June 1998, 15 patients with more than one year follow-up periods were treated by operative method at Sun General Hospital. 12 of them were treated by open reduction and internal fixation(dual plate for 8, screw & K-wire for 4) and 3 of them by open reduction & Ilizarov fixation. Open or closed fracture and AO classification of fracture were considerd as a prognostic factor. The functional results were analyzed by Jupiter's critera.
RESULTS
: There were 2 excellent, 2 good in C1 type, one excellent, 2 good, one fair and 2 poor in C2 type, and one excellent, 2 good, 2 poor in C3 type. And there were one good and one poor in 2 open fractures and 4 excellent, 5 good, one fair and 3 poor in closed fractures. The average range of motion of the elbow joint was 85 degrees(30 degrees-115 degrees). Overall results show excellent and good in 67%(10 of 15) and poor in 27%(4 of 15).
CONCLUSION
: It's not easy to get satisfactory results in treatment for intercondylar fracture of the distal humerus We suggest that more efforts are needed to get anatomical reduction, rigid internal fixation and early joint motion in interconylar fracture of the distal humerus.

Citations

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  • Refractures of the Upper Extremity in Children
    Hui Wan Park, Ick Hwan Yang, Sun Young Joo, Kun Bo Park, Hyun Woo Kim
    Yonsei Medical Journal.2007; 48(2): 255.     CrossRef
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