Journal of Musculoskeletal Trauma

Young Lim

3 Articles

Internal Bone Transport for Treatment of Infected Non-union of Long Bone: Han Suk Ko, Byung Jik Kim, Young Lim, Jeong Gook Seo, Jin Ku Kim, Dong Hun Lee; J Korean Soc Fract 1998;11(3):623-628. Published online July 31, 1998; DOI: https://doi.org/10.12671/jksf.1998.11.3.623

Abstract PDF: Infected nonunion of long bone frequently accompanies with bone loss, because of the outcome of initial trauma or iatrogenic result from sequestra resection. In this study, infected and ununited long bone fracture was treated with internal bone transport technique which was first discribed by G.A. Ilizarov. There were eleven tibial and two femural nonunion. The mean number of admission was 2.8 times; mean number of operation was 8 times; mean duration of average healing index was 1.95 month/cm. All infections were cured and all nonunions were united. Functional result was excellent in 5 cases (of 13 cases), good in 5, fair in 2, and 1 had poor result. Many complication had been observed. All had infection of pin site and pain at least one time, 5 had stiff knee, 9 had stiff ankle, early consolidation(1), delay consolidation(3), tibiofibular synostosis(5), nerve injury(1), refracture after union(1), angular deformity over 5 degree(7), rotational deformity over 10 degree(2).

Surgical Treatment of Comminuted Distal Radius Fracture using External Fixators: Suk Kyu Choo, Byung Jik Kim, Han Suk Ko, Young Lim, Jeong Gook Seo, Jae Kie Shin; J Korean Soc Fract 1996;9(2):303-310. Published online April 30, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.2.303

Abstract PDF: Comminuted fractures of distal radius are usually unstable and complex injuries, which require prolonged treatment and often result in some degree of permanent disability. Previous treatment was mainly closed reuction and cast immobilization, and operative treatment of accurate open reduction, internal fixation and bone graft when needed. But recently ligamentotaxis of the fracture using external fixation device has been widely employed. Which could be followed up for 12 cases of comminuted fractured of distal radius operated with external fixators, more than 1 year, during the period of September 1990 to September 1994 at Seoul Paik Hospital was reviewed. According to Frykmalls classification, the most common type was type VIII (7 cases, 58.3%). There was 1 open fracture, and 7 combined injuries of ipsilateral upper extremity. According to AO classification, 9 cases(75%) were type C2 and C3. The most common cause was failing down from a height(6 cases). Additional limited internal fixation was done in 5 cases, all 12 cases were treated external fixators. Results were defined with modified Gartland & Werleys demerit pointing system, exellent was 6 cases(50fr), good wa,i 4 cases(33.3F)), poor was 2 cases. Surgical treatment using external fixators and/or limited open reduction was good Inethod for comminuted distal radius.

Blair Tibiotalar Arhrodesis of the Ankle: Young Lim, Soo He Choi, Brung Jik Kim; J Korean Soc Fract 1994;7(1):187-191. Published online May 31, 1994; DOI: https://doi.org/10.12671/jksf.1994.7.1.187

Abstract PDF: Blar tibiotalar arthrodesls is a procedure that fuses the distal tibia to the talar neck in situation which the body of the talus has been lost or is osteonecrotlc. This method allows nearly normal appearance of the foot with little shortening of the extremity and permits some flexion-extension motion of the foot on the leg. From May, 1988 to December, 1992, 5 patients 6 cases of Blair tiblotalar arthrodesis were carried out at Department of Orthopedic Surgery of Seoul Paik Hospital. The results obtained were as follows; 1. Among 6 cases of arthrodesis, Hawkins type III were 3 cases, open, comminuted Hawkins type III were 2 cases, open, comminuted Hawkins type II was 1 case. 2. The average duration of immobilization after ankle arthrodesls was 11.3 weeks. 3. Bony union was obtained in all cases and the average union period was 15 weeks. 4. Clinical results were evaluated according to Lances criteria with average follow up period of 24.2 months. Excellent results were 2 cases, Good results were 4 cases.

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