Journal of Musculoskeletal Trauma

Sung Churl Lee

6 Articles

Treatment of the Distal Metaphyseal Fractures of Tibia - Comparison between Internal Fixation with a Plate and screws and External Fixation with Ilizarov Device: Sung Churl Lee, Moon Jib Yoo, Hyun Seok Seo; J Korean Soc Fract 2002;15(3):371-378. Published online July 31, 2002; DOI: https://doi.org/10.12671/jksf.2002.15.3.371

PURPOSE
The purpose of this study was to compare the results between open reduction and internal fixation with plate and screws and closed reduction and external fixation with Ilizarov device for the fracture of disatal metaphyseal fracture of tibia.
MATERIALS AND METHODS
In this study, the results in treatment of the 19 distal metaphyseal fractures of tibia with closed reduction and external fixation with Ilizarov device were compared with those in treatment of the 23 fractures with open reduction and internal fixation with a plate and screws. The cases were the patients who had been treated for the fractures at the Department of Orthopaedic Surgery, Dankook University Hospital from May 1997 to December 2000. The results of treatment were analysed using functional evaluation by Mast and Teipner and radiological evaluation by Ovadia and Beals.
RESULTS
The results were as follows: 1. The major causes of injury were motor vehecle accidents, fall-downs, and falls from a height in order. 2. Treatment of the fractures with closed reduction and external fixation with Ilizarov device showed comparable results to that with open reduction and internal fixation with a plate and screws. 3. Complications in treatment were a little more frequent in open reduction and internal fixation with a plate and screws than in closed reduction and external fixation with Ilizarov device.
CONCLUSION
Considering the results, closed reduction and external fixation with Ilizarov device is thought to be one of recommendable options in treatment of the distal metaphyseal fractures of tibia with the advantages in wound management, prevention of stiffness of ankle joint, and convenience in removal of the device.

Citations

Citations to this article as recorded by

Mid-term Results of Distal Tibial Fractures Treated with Ilizarov External Fixator
Suk Kyu Choo, Kyung Wook Nha, Hyoung Keun Oh, Dong Bong Lee
Journal of the Korean Fracture Society.2007; 20(4): 323. CrossRef

172 View
0 Download
1 Crossref

Muller Type C Intercondylar Fractures of Femur : Comparative Analysis by Surgical Approach: Hong Geun Jung, Myung Ho Kim, Moon Jib Yoo, Suk Joo Yoo, Sung Churl Lee, Jin Young Park, Sang Hyuk Min; J Korean Soc Fract 2000;13(1):64-73. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.64

Abstract PDF: PURPOSE
The purpose of this study is to compare the functional results of Muller type C intercondylar fractures treated by 2 different surgical approaches : lateral and extensile approach.
MATERIALS AND METHODS
The study is based on 20 patients 21 knees of Muller type C intercondylar fractures. Two surgical approaches, i.e. 13 cases with lateral and 8 cases with extensile approach were used. The functional evaluation of results was done with criteria by Schatzker and Lambert. Excellent and good was grouped superior while fair and failure was grouped inferior.
RESULTS
Comparative analysis by surgical approach showed that among total 10 cases of C2 fractures, 6 cases(85.7%) of lateral approach and 2 cases(66.7%) of extensile approach were categorized in inferior group. Among the 8 cases in type C3 fractures, 3 cases treated surgically using the lateral approach showed fair and failure results and 3 cases(60%) of the remaining 5 cases using the extensile approach showed good results.
CONCLUSION
There was no significant result difference between lateral and extensile approach in type C2 fractures, but in C3 fracture, cases with extensile approach showed better results. Therefore the extensile approach should be recommended in C3 intercondylar fractures with intra-articular comminution.

71 View
0 Download

Role of Dynamization in the Interlocking Nailing for Fractures of Femur: Sung Churl Lee, Suk Joo Lyu; J Korean Soc Fract 1999;12(1):35-39. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.35

Abstract PDF

Interlocking screws have extended the use of intramedullary nail into comminuted, unstable fractures, from subtrochanteric to supracondylar region of the femoral fractures. But it is still controversial whether dynamization is necessary in the course of treatment. Forty-nine femoral fractures treated with interlocked intramedullary nailing were investigated. Static nailing was converted to dynamic one in 33 femurs with removal of the proximal or distal locking screws. The rest were kept in static nailing. In 19 out of 33 cases with dynamization, there was average 6.0mm of telescoping after dynamization. Average 3.8mm of telescoping was seen in 15 out of 25 cases with removal of the distal locking screws while average 14.3mm in 4 out of 8 cases with removal of the proximal locking screws. There were 4 cases of breakage of distal locking screws without dynamization. Union was achieved in 45 fractures of the 49 cases. Dynamization improves fracture healing by reducing fracture gap and increasing axial compression. Dynamization is necessary in selected cases, especially fractures with a large fracture gap after static nailing and fractures that failed in filling the fracture gap even after some time postoperatively, and it is even more necessary in order to prevent breakage of locking screws in such cases.

Citations

Citations to this article as recorded by

“Chair”–“Boat” Conformational Transition of Cyclohexanone during the Oxidation of Cyclohexane
S. V. Puchkov, Yu. V. Nepomnyashchikh
Журнал физической химии.2023; 97(8): 1155. CrossRef
Clinical and Radiographical Follow-up for Residual Displacement of Fracture Fragments after Interlocking Intramedullary Nailing in Humeral Shaft Fractures
Jae-Kwang Yum, Dong-Ju Lim, Eui-Yub Jung, Su-Een Sohn
The Journal of the Korean Shoulder and Elbow Society.2013; 16(2): 107. CrossRef

156 View
1 Download
2 Crossref

Operative Treatiment with Open Reduction and Heterogenous bone graft to the Acute Displaced Intra-articular Calcaneus Fractures: Moon Jib Yoo, Suk Joo Lyu, Sung Churl Lee, Hong Geun Jung, Soon Haeng Kwon, Jeong Wan Kim, Myung Ho Kim; J Korean Soc Fract 1998;11(3):611-616. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.611

Abstract PDF: The calcaneus is the most frequently fractured tarsal bone. Although there were many reports of treatment using variable methods, but no definite general agreement to the treatment method of the intra-articular calcaneus fracture. From May. 1995 to Apr. 1997, 14 displaced intra-articular fractures of the calcaneus in 12 patients underwent open reduction and heterogenous bone graft (Lubboc, TRANSPHYTO S.A., France) at the Dept. of Orthopaedic Surgery, Dankook University Hospital The fractures were 13 joint depression type and 1 tongue type fractures according to the classification of Essex-Lopresti. The average follow-up was 20 months and clinical assessment underwent by Clinical Assessment Rating system of Hutchinson and Huebner; we got a satisfactory results for the treatment of displaced intra-articular calcaneus fracture by open reduction and heterogenous bone graft. We didn't need harvesting autograft by use of heterogenous bone graft into bone defect site instead of autograft. Our purpose of using heterogenous bone were filling of defect and internal fixation. We used minimal skin incision and minimal internal fixation device, so reduced complications such as wound edge necrosis and peroneal entrapment caused by entensile appraoch. There were no posterior facet depression and decreased B hler angle for 1 year follow up.

133 View
0 Download

Fracture of Clavicle Accompanied by Injury of Subclavian Artery, Hemothorax and Arterial Occlusion by fhrornboembolism: Treated by Intraarterial Thrombolytic Procedure: Sung Churl Lee, Moon Jib Yoo, Suk Joo Lyu, Jin Young Park, Myung Ho Kim; J Korean Soc Fract 1995;8(4):885-888. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.885

Abstract PDF: Although most fractures of the clavicle are usually treated by closed means and heal uneventfully, serious injuries may occur and a delay in treateng these injuries may be life-threatening. One of such serious associated injuries is vascular injury. In this report, we present an unusual case in which a fracture of the clavicle was accompanied by an injury of the subclavian artery, hemothorax and concommitant arterial occlusion of upper extremity by throboernbolism. Treatment included resection of the injured part of the artery with bypass graft, thromboembolectomy and fixation of the clavicle with a plate and screws. Thereafter, the patient had suffered from repeated episodes of thrornboembolism of the upper extremity, a compartment syrdrome and a metal failure. It is critical in a patient with a clavicular fracture that a careful examination of the entire upper extremity be performed, with particular emphasis on the neurovascualr status.

81 View
0 Download

Treatment of Fractures of Lateral Condyle of Humerus with Compliations: Moon Sang Chung, Sung Churl Lee; J Korean Soc Fract 1995;8(3):659-666. Published online July 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.3.659

Abstract PDF

Fractures of the lateral condyle of the humerus are notorious for complications, most commonly nonunion with subsequent proximal migration of the ununited fragment, an increase in the carrying angle, and the tardy ulnar nerve palsy. In the past, the reconstructive surgery for complicated old fractures of the lateral condyle of the humerus had been hardly considered, but recently, attempts have been made to reconstruct the anatomy and function of the elbow joint. The authors have reviewed 21 cases of old fractures of the lateral condyle of the humerus, which had been treated at Seoul National University Hospital from April,1982 until March, 1990. For established nonunions of the lateral condyle fragment, better results were obtained from the procedure that includes osteosynthesis of the lateral condyle, attempting to restore the normal anatomy of the elbow joint. For tardy ulnar nerve palsies, better results were obtained from the procedure that includes medial epicondylectorny. Fractures of the lateral humeral condyle have many late problems in spite of treatment at the time of injury so early aggressive treatment is necessary. Even in cases with late problems, aggressive treatment should be done, too, as soon as possible.

Citations

Citations to this article as recorded by

In SituLate Metaphyseal Osteosynthesis for the Fractures of the Lateral Humeral Condyle in Children
Kun Bo Park, Seung Whan Lee, Hyun Woo Kim, Hui Wan Park, Ki Seok Lee
Journal of the Korean Fracture Society.2008; 21(2): 151. CrossRef

170 View
0 Download
1 Crossref

Author index