Journal of Musculoskeletal Trauma

Woo Sup Byun

5 Articles

Comminuted Pilon Fractures: Comparative Outcome Analysis according to Surgical Techniques: You Jin Kim, Hong Geun Jung, Joo Hong Lee, Woo Sup Byun, Sung Tae Lee; J Korean Fract Soc 2007;20(1):6-12. Published online January 31, 2007; DOI: https://doi.org/10.12671/jkfs.2007.20.1.6

PURPOSE
To evaluate the overall surgical outcome of the tibial pilon comminuted fractures and perform the comparative analysis between the limited internal fixation-external fixation group and the delayed open reduction-internal fixation (ORIF) group.
MATERIALS AND METHODS
From June 1997 to June 2004, 17 tibial pilon comminuted fractures were treated with the limited internal fixation-external fixation (6 cases) or the delayed open reduction-internal fixation (11 cases). The average age of the patients was 47.7 years (range: 41~63 years), male was fourteen patients, female was three. Follow-up period was average 33.6 months (range: 12~84 months). The clinical outcomes were evaluated by using AOFAS ankle-hindfoot score and patient satisfaction was also evaluated.
RESULTS
AOFAS score at final follow-up was 80.4 points, and 88% of the patients were satisfied with the results. AOFAS scores of the external fixation group and the delayed ORIF group were average 77.0 points and 82.2 points respectively, which did not show the statistical difference (p>0.05). Bony union was achieved at average 16.0 weeks. There were 18 complications such as skin necrosis.
CONCLUSION
We have achieved relatively encouraging functional results and high patient satisfaction for pilon comminuted fractures, without significant result difference between the two surgical techniques.

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The Result of Using an Additional Mini-Locking Plate for Tibial Pilon Fractures
Suenghwan Jo, Jun Young Lee, Boseon Kim, Kang Hyeon Ryu
Journal of the Korean Fracture Society.2017; 30(2): 75. CrossRef

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Treatment of Diaphyseal Fractures of Forearm Both Bones: Comparison between Plate Fixation and Rush Pin Intramedullary Nailing: Myung Ho Kim, Moon Jib Yoo, Hong Geun Jung, Hee Gon Park, Woo Sup Byun, Ji Yong Chun, Suk Ha Jeon; J Korean Fract Soc 2006;19(2):215-220. Published online April 30, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.2.215

Abstract

PURPOSE
To compare the functional results between the plate fixation and Rush pin insertion for the treatment of diaphyseal fractures of the forearm both bones.
MATERIALS AND METHODS
We reviewed 51 patients who were treated for diaphyseal fractures of the both forearm bones from 1995 to 2003, and evaluated them with Anderson's method. Eighteen patients were treated with plate fixation of both bones (group I), 14 patients treated with of the Rush pin insertion of the radius and plate fixation of the ulna (group II), 11 patients treated with plate fixation of the radius and Rush pin insertion of the ulna (group III), and 8 patients treated with Rush pin insertion of forearm both bones (group IV).
RESULTS
Seventeen out of eighteen cases obtained favorable result (94.4%) in group I, 12 out of 14 cases (85.7%) in group II, 7 out of 11 cases (63.3%) in group III, and 4 out of 8 cases (50.0%) in group IV with statistically significant differences between the groups (p=0.04).
CONCLUSION
Plate fixation of forearm both bones yield the best result. Thus, plate fixation of both forearm bones is recommended in treating the diaphyseal fractures of both forearm bones. At least one bone is recommended to be fixed with a plate if it is not possible to fix both forearm bones with plates.

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Shaft Fractures of Both Forearm Bones: The Outcomes of Surgical Treatment with Plating Only and Combined Plating and Intramedullary Nailing
Sang Bum Kim, Youn Moo Heo, Jin Woong Yi, Jung Bum Lee, Byoung Gu Lim
Clinics in Orthopedic Surgery.2015; 7(3): 282. CrossRef
Treatment of Forearm Shaft Fracture with Modified Interlocking Intramedullary Nail
Kwang-Yul Kim, Moon-Sup Lim, Shin-Kwon Choi, Hyeong-Jo Yoon
Journal of the Korean Fracture Society.2008; 21(2): 157. CrossRef

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Treatment of the Distal Femur Fracture with Retrograde Intramedullary Nailing: Moon Jib Yoo, Myung Ho Kim, Hee Gon Park, Woo Sup Byun, Ki Choul Kim; J Korean Fract Soc 2005;18(3):238-243. Published online July 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.3.238

Abstract PDF

PURPOSE
To evaluate the results and complications of the retrograde intramedullary nailing for the treatment of distal femur fracture.
MATERIALS AND METHODS
Thirty three patients who received retrograde IM nailing for fractures of the distal femur between October 1998 to December 2003. Average age was 53.8+/-17 (17~86) years. The average follow up period was 19.4 (12~36) months. Clinical information included age, sex distribution, associated fracture and fracture was classified by AO classification. Functional result was evaluated by Schatzker's criteria.
RESULTS
The most common cause of injury was traffic accident (60%). The type of fracture were 6 A1 cases, 5 A2 cases, 11 A3 cases, 5 C2 cases, 6 C3 cases by AO classification. Among the 33 cases, 15 cases were excellent, 9 good, 6 fair and 1 failure according to Schatzker's criteria. Average union time was 9.7+/-3.5 months.
CONCLUSION
Treatment of distal femur fracture with retrograde intramedullary nailing was useful due to its minimal invasiveness and early range of motion, more rigid fixation.

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Retrograde Intramedullary Nailing for Periprosthetic Supracondylar Fractures of the Femur after Total Knee Arthroplasty
Hyuk-Soo Han, Kyu-Won Oh, Seung-Baik Kang
Clinics in Orthopedic Surgery.2009; 1(4): 201. CrossRef
Retrograde Nailing for Supracondylar Fracture after Total Knee Replacement: The Compatibility of Femoral Implant with Supracondylar Nail
Moon-Jib Yoo, You-Jin Kim, Jin-Won Lee
Journal of the Korean Fracture Society.2008; 21(1): 19. CrossRef
Midterm Results of Treatment with a Retrograde Nail for Periprosthetic Fractures of the Femur Following Total Knee Arthroplasty
Kyung-Taek Kim, Jin-Hun Kang, Lih Wang, Jae-Sung Hwang
Journal of the Korean Fracture Society.2007; 20(4): 309. CrossRef

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Treatment of Tibial Plateau Fractures using Ilizarov Fixation (Schatzker Type IV, V, VI): Hee Gon Park, Moon Jib Yoo, Myung Ho Kim, Woo Sup Byun, Ji yong Chun; J Korean Fract Soc 2004;17(3):230-236. Published online July 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.3.230

Abstract PDF

PURPOSE
To evaluate the effectiveness of Ilizarov fixation in tibial plateua fractures (Schatzker type IV, V, VI), the clinical and radiological results were analysed retrospectively.
MATERIALS AND METHODS
Of the tibial plateau fractures (Schatzker type IV, V, VI) which had been treated by using Ilizarov fixatrion method at Dankook university from June 1995 to June 2004, we clinically, radiologically analysed the 47 cases with follow-up study of a mean 38 months. Overall results which were evaluated according to Blokker's evaluation system.
RESULTS
The average start time of the range of motion excercise was 4.2 weeks, and the average start time of partial weight bearing was 4.6 weeks. Results which were evaluated according to Blokker's evaluation systems were "satisfactory" in 8 cases (80%) of the type IV fractures, in 9 cases of the type V fracures, and in 18 cases (69%) of the type VI. Overall results were "satisfactory" in 35 cases (74.4%), "unsatisfactory" in 12 cases (25.5%).
CONCLUSION
When use Ilizarov fixation in tibial plateau fracture (Schatzker type IV, V, VI), we have many advantages that the early start time of the range of motion, the early start time of weight bearing, the acceptable results of Blokker's evaluation system. Therefore, we conclude that Ilizarov fixation in tibial plateua fracure (Schatzker type IV, V, VI) is effective.

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Treatment of Shatzker Type VI Tibia Plateau Fracture Using Lateral and Posteromedial Dual Incision Approach and Dual Plating
In-Jung Chae, Sang-Won Park, Soon-Hyuck Lee, Won Noh, Ho-Joong Kim, Seung-Beom Hahn
Journal of the Korean Fracture Society.2009; 22(4): 252. CrossRef
Dual Plate Fixation Compared with Hybrid External Fixator Application for Complex Tibial Plateau Fractures
Jae-Sung Lee, Yong-Beom Park, Han-Jun Lee
Journal of the Korean Fracture Society.2008; 21(2): 124. CrossRef

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A Comparative Study of Reamed and Unreamed Nail for Femoral Shaft Fracture's Treatment: Hee gon Park, Myoung ho Kim, Mun jib Yoo, Woo sup Byun; J Korean Soc Fract 2003;16(2):169-176. Published online April 30, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.2.169

Abstract PDF: PURPOSE
The comparative analysis of clinical difference between the use of reamed nail and unreamed nail in treatment of femoral shaft fracture.
MATERIALS AND METHODS
In 105 patients with femoral shaft fracture who were treated with reamed nail or unreamed nail between June of 1997 and April of 2000, 95 patients who underwent more than a year of follow-up were selected. Winquist-Hansen criteria was applied for the classification of fracture. Based on the medical records and radiological examinations, conducted a retrospective, statistical analysis of the duration of operation, the amount of bleeding during operation, the first time of callus formation, union time, and complications.
RESULTS
The average duration of operation was 107 minutes for reamed nail group, and 94 minutes for unreamed nail group, and the difference was statistically significant (p<0.005). The amount of bleeding during the operation was 400 mL for reamed nail group and 250 mL for unreamed nail group, and the difference was statistically significant (p<0.001). There was no statistical difference in the first time of callus formation and union time between the two groups but, in general union time tend to be long in unreamed nail group.
CONCLUSION
In the treatment of femoral shaft fracture, the use of unreamed nail was shown to have an advantage over the use of reamed nail in terms of the duration of operation and the amount of bleeding. We recommend restrictive cases.

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