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A Clinical Study of Fracture of Distal Radius: Pitfall of Treatment of Intraarticularly comminuted fracture
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Chong Hoon Park, Won Yoo Kim, Jin Hyung Sung, Kyong Ho Yoo, Jin Yiung Kim
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J Korean Soc Fract 1996;9(1):33-41. Published online January 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.1.33
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 Abstract
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- The fracture of the distal radius was first described as the fracture of the radius with dorsally eisplaced fragment within distal 1.5 inch at 1814 by Abraham Calles.since that, according to feature of fractures, many classifications have been introduced. Although there are many kinds of msthod in treatment of fracture of the distal radius, we find difficulty in selecting adequate method of treatment of intraarticularly comminuted fracture of the distal radius.And recently the intraarticularly comminuted fracture is occasionally recognized as nit a simple fracture but a complicated fracture because of postraumtic arthritrs, malunion, nonunion,and stiff hand after treatment.So,we retrospectively reviewed thirty-eight cases which were treated by several methods for 5 year from Jan.1990 to Dec. 1994 at the our hospital. The results were as follows.
1.In general, the incidence was mare higher in male, but the older in age, the more incidence in female.
2.The most common catse as a single cause of injury was a traffic accident.
3.By the point system for subjective evaluation and objective evaouation of Gartland and Werley, the excellent or good result were represented at the extraarticular fractures or undisplaced inraarticaular fracture among Collesfracture, Bartons Chauffeurs, Smiths, and lunste load fracture, which had been treated by sugar-tongs splint or percutaneous pinnongs after the closed reduction. And the excellent result was especially showed at the volar Bartons jractures which had been managed by the plate fixation after the open reduction. But the poor result was represented at the intraarticularly comminuted fractures of the distal radius, which had been treated by percutaneoys pinning(2 cases)or only external fixation without an additional fixation(4 cases) after the closed reduction.
In conclusiln, the investigatir thought that the anatomical reduction, more secure fixation, and sometimes bone grafting in treating the intraarticylarlycomminuted fracture of the distal radiuw were essential fir having satisfactory clinical result.
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Result of 29 consecutive patients with the distal femiral fracture: Analysis of the result treated with AO DCS(dynamic condylar Screw) Supracondylar nail, May anatomical plate
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Weon Yoo Kim, Jin Hyung Sung, Chong Hoon Park, Jeong Soo Park, Jin Yong Kim
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J Korean Soc Fract 1996;9(1):68-75. Published online January 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.1.68
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- Twenty-nine cases of the surgically treated distal femoral fracture were analyzed to compare internal fixatorw (AO DCS,Supracondylar nail, May anatomical plate),who were treated at Department of orthopaedic surgery, Taejon Saint Marys hospital from Jan. 1992 to Jun. 1994. The cases were classified according to AO classification and minmum 12 months(average:22.4 monthw) follow up.
Following results were obtained: 1.Male was more common than female, age distrbution was between 16 and 77 years old(average 40.4), abd the most common cause of the fracture was traffic accident.
2.The most comon type C by AO classification(type A 11 cases, type B 1 case, type C 17 cases).
3.According to Schatzkers criteria in the clincal result, type A,B were better resykt than type C, and severe soft tissue damage, comminution and joint involvement lead to unsatisfactory results.
4.Supracondylar nail was inadequate implant due to inferior clinical result(1 excellent, 2 good and 3 poor).
5.DCS had more sateafactory result than other internal fixators(supracondylar nail, May anatomical plate).
Based on the observations, the better results depend on the amount of initial trauma, early anatomical reduction, rigid internal fixation and exercise of the knee joint.
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Reduction and Percutaneous Pinning of Displaced Supracondylar Fracture of the Humerus in Children
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Won Yoo Kim, Jin Young Kim, Kun Young Park, Chong Hoon Park, Hwa Sung Lee
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J Korean Soc Fract 1994;7(2):471-479. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.471
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- Closed reduction and percutaneous pinning of displaced supracondylar fractures of the humerus in children yielded simple fracture management, less neurological and vascular complications, reduced hospitalization day and increased satisfactory out-comes. We treated twenty-seven cases of these fractures(extension type : twenty-five cases) by such a method.
The accurate closed reduction of a supracondylar fracture could be obtained and confirmed by image intensifier. The maintanence of a reduction was stabilized by application of K-wires.
Our study showed that the limitation of range of motion of the elbow joint was not signifiint(three cases, below ten degrees extension block and changes of carrying angle was also minimal three cases, below ten degrees).
In twenty-seven cases, excellent results were recorded in 93% on at least on year follow-up.
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