Journal of Musculoskeletal Trauma

Yong Cheol Yoon

7 Articles

Heterotrophic Ossification after Aggressive Rehabilitation in Patients with Trauma: A Case Report: Jae Ang Sim, Yong Cheol Yoon, Seung Hyun Baek; J Korean Fract Soc 2020;33(1):32-37. Published online January 31, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.1.32

Abstract PDF: Heterotrophic ossification (HO) is a reactive disease presenting the formation of mature lamellar bone in soft tissues. It is known to occur following surgery, soft tissue injury, or central nervous system anomalies. However, a definite cause has not yet been clearly addressed. During the process of approach, reduction, and fixation while conducting surgeries, partial injury of soft tissue is inevitable. Additionally, secondary injuries may be caused during the active and passive range of motion exercises that should be done for the recovery of joint motion after surgery. The authors experienced cases of HO that may occur during surgery and rehabilitation after surgery. The authors recognized that special care is required for patients complaining of severe pain during the early stage of rehabilitation immediately after surgery. This study aimed to reaffirm the principles of fracture treatment by reviewing the cases and to investigate the occurrence of HO after fracture surgery.

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Use of Miniplate for Severe Comminuted Metadiaphyseal Fractures of the Distal Radius: Jong Ryoon Baek, Yong Cheol Yoon, Seung Hyun Baek; J Korean Fract Soc 2019;32(4):204-210. Published online October 31, 2019; DOI: https://doi.org/10.12671/jkfs.2019.32.4.204

Abstract PDF: PURPOSE
This study investigated the clinical and radiological outcomes of patients undergoing provisional fixation in conjunction with locking plate fixation. Miniplates were used as the reduction plates for the surgical treatment of severe comminuted metadiaphyseal fractures with an intra-articular fracture of the distal radius.
MATERIALS AND METHODS
The radial length, radial inclination, volar tilt, and radial intra-articular step-off were measured preoperatively, postoperatively, and at one year after surgery in 12 patients (eight males, four females, mean age 55.4 years old). The patients underwent volar locking plate fixation with miniplate as a reduction plate for severe comminuted metadiaphyseal fractures with an intra-articular fracture of the distal radius. Clinical evaluations were conducted using the modified Mayo wrist score (MMWS).
RESULTS
Bone union was achieved in all cases. The mean MMWS was 81.8 points, including two excellent, three good, and seven fair cases. Radiological improvements were observed in the average radial length (preoperative, 6.4 mm; postoperative, 11.8 mm), average radial inclination (10.2Â° to 22.4Â°), average volar tilt (âˆ’4.5Â° to 10.6Â°), and average radial intra-articular step-off (4.8â€“0.8 mm) (all, p<0.05). Radiographic measurements obtained immediately after surgery and at the final follow-up revealed insignificant decreases in radial length (0.6 mm), radial inclination (0.4Â°), and volar tilt (0.9Â°) (all, p>0.05).
CONCLUSION
Miniplate fixation can be an effective treatment option as a reduction plate for the treatment of distal radial fractures, which is challenging to reduce and maintain due to severely comminuted metadiaphysis fractures with the intra-articular fracture.

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Current Concepts of Fractures and Dislocation of the Hand: Yong Cheol Yoon, Jong Ryoon Baek; J Korean Fract Soc 2016;29(2):143-159. Published online April 30, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.2.143

Abstract PDF

Fractures and dislocation of the hand is a body injury involving complex structures and multiple functions, which frequently occur as they represent 10%-30% of all fractures. Such fractures and dislocation of the hand should be treated in the context of stability and flexibility; and tailored treatment is required in order to achieve the most optimal functional performance in each patient since deformation may occur if not treated, stiffness may occur with unnecessarily excessive treatment, and both deformation and stiffness may occur coincidently with inappropriate treatment. Stable injuries can be fixed with splintage whereas surgery is actively considered for unstable injuries. In addition, surgeons should keep in mind that as the surgical intervention is done aggressively, aggressive rehabilitation must be followed in correspondence with the surgical intervention. Successful outcome requires effort to prevent any potential complication including nerve hypersensitivity and infection. Finally, it is also important that the patient to know that swelling, stiffness, and pain may last for a long period of time until the recovery of fractures and dislocation of the hand.

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Current Concepts in Management of Phalangeal Fractures
Yohan Lee, Sunghun Park, Jun-Ku Lee
Journal of the Korean Fracture Society.2022; 35(4): 169. CrossRef

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Outcomes of Severe Comminuted Distal Radius Fractures with Pronator Preserving Approach: Seung Hyun Cho, Hong Gi Park, Deuk Soo Jun, Jae Ang Sim, Young Hak Roh, Yong Cheol Yoon, Jong Ryoon Baek; J Korean Fract Soc 2015;28(3):178-185. Published online July 31, 2015; DOI: https://doi.org/10.12671/jkfs.2015.28.3.178

Abstract PDF

PURPOSE
We investigate the outcomes of treatment of patients with severe comminuted distal radius fractures with volar plate fixation using a pronator-preserving approach.
MATERIALS AND METHODS
Fourteen patients with severe comminution of the distal radius fractures for whom anatomical reduction of the fractures was deemed difficult to achieve with traditional approaches were enrolled. The gender ratio was 8 males to 6 females, and the average age of the patients was 64.9 years. According to the AO/OTA classification of fractures, 2 patients had 23-A3 fractures, 7 patients had 23-C2, and 5 patients had 23-C3. Radial length, radial inclination, and volar tilt were measured for radiologic evaluation. Modified Mayo wrist score (MMWS) was used for clinical outcome.
RESULTS
Bony union was achieved in all 14 patients without signs of complications. The average time-to-union was 4.3 months (3-6 months). The radiological findings at the final follow-up were as follows: the average radial inclination was 20.5degrees; the average volar tilt, 7.57degrees; and the average radial length, 11.8 mm. At the final follow-up, the results of the MMWS were 'Fair' in 1 patient, 'Good' in 4, and 'Excellent' in 9.
CONCLUSION
We propose that a pronator-preserving approach is an effective treatment for severe comminuted distal radius fracture.

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Use of Miniplate for Severe Comminuted Metadiaphyseal Fractures of the Distal Radius
Jong-Ryoon Baek, Yong-Cheol Yoon, Seung Hyun Baek
Journal of the Korean Fracture Society.2019; 32(4): 204. CrossRef

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Prophylaxis and Management of Deep Vein Thrombosis in Trauma Patients: Yong Cheol Yoon, Jae Ang Sim; J Korean Fract Soc 2015;28(1):82-92. Published online January 31, 2015; DOI: https://doi.org/10.12671/jkfs.2015.28.1.82

Abstract PDF: No abstract available.

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Diagnosis and Management of Posttraumatic Chronic Osteomyelitis: Jong Hoon Kim, Yong Cheol Yoon, Young Woo Kim, Sung Ho Jung, Jong Keon Oh; J Korean Fract Soc 2014;27(1):88-104. Published online January 31, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.1.88

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No abstract available.

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Treatment Strategy of Infected Nonunion
Hyoung-Keun Oh
Journal of the Korean Fracture Society.2017; 30(1): 52. CrossRef

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Treatment of Distal Humeral Fractures: Yong Cheol Yoon, Jong Keon Oh; J Korean Fract Soc 2012;25(3):223-232. Published online July 31, 2012; DOI: https://doi.org/10.12671/jkfs.2012.25.3.223

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No abstract available.

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Paratricipital Approach for AO/OTA Type C2 Intra-Articular Fracture of Distal Humerus
Chul-Hyung Lee, Doo-Hun Sun, Deukhee Jung, Chung-Han An
Journal of the Korean Fracture Society.2019; 32(3): 128. CrossRef
How Difficult Is It to Surgically Treat AO-C Type Distal Humerus Fractures for Inexperienced Orthopedic Surgeons?
Seong Ho Yoo, Suk Woong Kang, Moo Ho Song, Young Jun Kim, Hyuck Bae
Journal of the Korean Fracture Society.2018; 31(2): 45. CrossRef

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