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External Fixator and External Fixator Supplemented with K-wire in the Treatment of Distal Radius Fractures
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Sang Wook Bae, Ho Yoon Kwak, Baik Yong Song, Young Joo Ahn
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J Korean Fract Soc 2005;18(3):311-316. Published online July 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.3.311
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 Abstract
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- PURPOSE
To evaluate the differences of the outcome between external fixator and external fixator supplemented with K-wire in the treatment of distal radius fractures.
MATERIALS AND METHODS
Twenty-one cases which underwent external fixation (external fixation group) and 28 cases, external fixation supplemented with K-wire (external fixation with K-wire group), were analyzed. Radial length, radial inclination and volar tilt were compared in preoperative, immediate postoperative radiographs, and radiographs after removal of external fixator between two groups. And functional outcome including flexion, extension, pronation and supination of wrist were compared between two groups and wrist pain, as well.
RESULT
Radial length and radial inclination in the postoperative radiographs and radiographs after removal of external fixator showed no difference between two groups, but volar tilt of external fixation group measured 2.1+/-4.2 degrees, 1.3+/-3.8 degrees and external fixation with K-wire group, 8.8+/-2.3 degrees, 8.5+/-2.4 degrees respectively, so that external fixation with K-wire group showed better reduction and maintenance. Wrist flexion and extension about postoperative 6 months measured 25.6+/-8.2 degrees, 25.1+/-10.2 degrees, respectively, in external fixation group and 42.5+/-15.2 degrees, 33.6+/-9.5 degrees in external fixation with K-wire group, so that external fixation with K-wire group showed better functional results.
CONCLUSION
In the treatment of distal radius fractures, to obtain better reduction and function result, external fixations supplemented with K-wire need to be taken into consideration.
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Non-operative Treatment of Lateral Malleolar Fracture using Ankle Brace
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Nam Hong Choi, Ho Yoon Kwak, Baik Yong Song, Sang Wook Bae, In Mook Lee, Do Hyun Kim
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J Korean Soc Fract 2003;16(3):363-369. Published online July 31, 2003
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DOI: https://doi.org/10.12671/jksf.2003.16.3.363
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Abstract
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- PURPOSE
The purpose of this study was to evaluate the outcome of conservative treatment for minimal displaced lateral mallolar fracture using ankle brace.
MATERIALS AND METHODS
Eleven patients (eleven ankles) underwent conservative treatment with ankle brace for 8 weeks with full weight bearing ambulation. Inclusion criteria were minimal displacement (<3 mm) of fracture, no or mild tenderness or swelling on medial malleolar area and no lateral shift of talus. The patients were evaluated with AOFAS (the American Orthopedic Foot and Ankle society) Ankle-Hindfoot scale.
RESULTS
Average follow up was 103 weeks (36~192). All cases had normal range of motion of ankle. The average score of AOFAS Ankle-Hindfoot scale was 95 points.
CONCLUSION
The advantages of conservative treatment with ankle brace were early return to daily activity and work, comfort to the patients and a short period of rehabilitation. Conservative treatment with ankle brace for minimal displaced lateral malleolar fracture is recommended.
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