-
Results of the Kapandji Procedure in the AO Type C Distal Radius Fracture in Patients over Age 60
-
Chul Hong Kim, Sung Soo Kim, Myung Jin Lee, Hyeon Jun Kim, Bo Kun Kim, Young Hoon Lim
-
J Korean Fract Soc 2012;25(3):191-196. Published online July 31, 2012
-
DOI: https://doi.org/10.12671/jkfs.2012.25.3.191
-
-
 Abstract
 PDF
- PURPOSE
To evaluate the clinical and radiologic results of the Kapandji procedure in AO classification type C distal radius fracture patients over 60 years old.
MATERIALS AND METHODS
Twenty-one type C distal radius fracture patients over the age of 60 years who were treated with the Kapandji procedure from June 2004 to June 2009 in our hospital and had a post-operative follow-up period of more than 1 year were enrolled. The volar tilt, radial inclination, and radial length were measured for the radiographic analysis using the modified Lidstrom scoring system about post-operative reduction loss in every follow-up radiogram. The clinical result was assessed with a visual analogue scale (VAS) and Korean Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) score at the last follow-up.
RESULTS
The mean radiologic loss of volar tilt was 1.1degrees and the mean loss of radial length was 2.6 mm and the mean radial inclination loss was 2.7degrees compared with the immediate post-operative period and last follow-up period. The average VAS and DASH scores were 1.4 and 15.9.
CONCLUSION
The radiologic results of closed reduction and percutaneous pinning using the Kapandji technique for distal radius AO type C fracture patients over 60 years of age was not satisfactory. Nevertheless, the clinical results were satisfactory.
-
Thermal Injury Complicating Improperly Reamed Intramedullary Nailing of the Tibia: A Case Report
-
Bo Kun Kim, Hyun Dae Shin, Jung Mo Hwang
-
J Korean Fract Soc 2011;24(2):178-184. Published online April 30, 2011
-
DOI: https://doi.org/10.12671/jkfs.2011.24.2.178
-
-
Abstract
PDF
- Endosteum and bone marrow thermal necrosis caused by reaming during tibial intramedullary nail insertion, and unskilled operation of soft tissue penestration by reamer resulted in chronic osteomyelitis and soft tissue defect. So, several times of free flaps were done but the result was unsuccessful. At last, the authors performed radical necrotic bone resection and internal bone transport using Ilizarov external fixator. The authors report case with literature review.
|
E-submission
KFS
