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Treatment of the Unstable Distal Radius Fracture with External Fixation and Bone Cement in Elderly Patients
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Dong Chul Kim, Suc Hyun Kweon, Dae Moo Shim, Churl Hong Chun, Ha Heon Song, Jeung Woo Kim
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J Korean Fract Soc 2006;19(3):352-356. Published online July 31, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.3.352
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 Abstract
- PURPOSE
To evaluate the functional and radiologic results in the using of external fixation with bone cement (polymethylmethacrylate, PMMA) for unstable, osteoporotic distal radius fractures in elderly patients that have high morbidity and chronic medical problems.
MATERIALS AND METHODS
We retrospectively analyzed 12 cases of 12 patients who were treated by external fixation and bone cement for unstable distal radius fractures in the aged persons with poor general condition from January 2003 to July 2004 and followed over one year. We analyzed the radiologic results, and measured the ranges of motion and grip strengths. Functional results were evaluated using the Modified Mayo Wrist Scoring System.
RESULTS
Radiographically, mean volar tilt, mean radial inclination and mean radial length were 8.33o, 24.66 mm and 11.31o respectively on the last follow-up. The mean arc of range of motion was 74.4% of that the uninjured side, and the mean grip strength was 78.0% of that the contralateral side. The average Modified Mayo Wrist Score was 78.3. There were reflex sympathetic dystrophy in a case and pin tract infection in 3 cases as complications associated with external fixator.
CONCLUSION
External fixation and bone cement is useful method for radial length maintenance, preventing reduction loss, restoring the articular surface, early exercise of the wrist joint without morbidity of donor site for unstable distal radius fractures requiring autogenous bone graft in the elderly patients.
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Treatment of Nonunion of the Femur Shaft with Intramedullary Compression Nail
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Churl Hong Chun, Ha Heon Song, Dae Ho Ha, Kyeong Jin Kim
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J Korean Soc Fract 2001;14(1):8-15. Published online January 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.1.8
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Abstract
 PDF
- PURPOSE
To evaluate the result and efficacy of nonunion of the femur shaft treated with interlocking compression nail without bone graft.
MATERIALS AND METHODS
From November, 1993 to January, 1999, l2 cases(11 patients) which have been diagnosed as nonunion of femur shaft fracture were treated with interlocking compression nail. Authors followed up and evaluated them about the clinical results, radiologic finding and complications at least 1 year.
RESULTS
All cases of nonunion occurred clinical and radiological complete bone union. The mean fracture union period was 25 weeks(19~36 weeks) and the mean interfragmental gap was improved from preoperative 6 mm(4~11 mm) to postoperative 1 mm(0.8~1.5 mm). Postoperative complication was the leg length discrepancy of 3 cases. Their average length is 1.1 cm. We thought that the length discrepancy came from initial severe communited fracture and could not find out any functional problems.
CONCLUSION
Interlocking compression nail for nonunion of the femur shaft seems to promote the fracture healing process without bone graft.
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