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T-Plate Fixation of Unstable Fractures of the Distal Radins
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Churl Hong Chun, Sang Soo Kim, Hak Sun Kim, Jeong Hyu Lee
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J Korean Soc Fract 1996;9(2):295-302. Published online April 30, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.2.295
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 Abstract
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- In the treatment of Unstable fractures of the Distal Radius, selecting a right method of treatment that can give the best result is very difficult. Many complications can be developed if improper mothods are chosen o treat these fractures.
We analyzed 25 patients with unstable fractures of the distal raduis, being treated with open reduction and internal fixation with T-plate from May 1986 to December in 1994 and, being followed for more than 12 months.
The results were as follows; 1. In twenty-five patients, 17 cases were Cellosfractures, 2 cases Smith fractures and 6 cases Bartons fractures.
2. In follow-up roentgenogram, the mean values of the radial length, radial deviation, volar tilt and step-off are 18.8 mm,20.3 ,8 ,0.2mm respectively.
3. Recovery of wrist function was correlated with the degree of correction of volar tilt angle in the postoperative roentgenogram .
4. In 25 patients treated with open reduction and internal fixation using the T-plate, satisfactory result was obtained in 88% (22 cases) of patients, We concluded that this is the effective method for treating unstable fractures of the distal radius because this method permits early motion of the wrist by firm and stable fixation.
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Ipsilateral Momentary Fibular Transfer in an Large Tibia Defect Using Ring Fixator: A Case Report
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Hak Sun Kim, Churl Hong Chun, Hye Jung Kim
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J Korean Soc Fract 1996;9(1):220-224. Published online January 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.1.220
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Abstract
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- Massive segmental bony defect in open tibial fractures are generally treated with conventional bone grafting, free vascularized fibular graft or ring fixator technique. There are corcumstance when conventional bone graft is not adequate. A vascularized fibular graft may be superior to conventional graft, but it is with ring fixator is alternative method. The procedure can be accomplished by transferring the osteotomized part of the fibula to the tibia by means of olive wires. There was a 20-year-old male patient with Gustilo type IIIc open tibial fracture. Soft tissue defect was severe and femoral angiogram was perfomed. Only tibialis posterior artery was patent and peroneal artery was partially damaged. Latissmus dorsi flap was performed for covering soft tissue defect. Since the only patent tibialis posterior artery was already used for latissmus dorsi flap, it was difficult to perform vascularized fibular graft. Also it was technically difficult for us to accomplish a gradual transport using ring fixator because the distal tibia was lost. Thus, the fibular transfer was performed immediately after the ring fixator was applied. Good bony union and fibular hypertophy were obtained even though these two procedure had been done simultaneously.
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Pin and plaster technique using olive stop wires for the oblique orspiral fractures of the tibia
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Hai Wan Park, Jun Seop Jahng, Koon Soon Kang, Kyu Hyun Yang, Hak Sun Kim
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J Korean Soc Fract 1991;4(1):100-105. Published online May 31, 1991
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DOI: https://doi.org/10.12671/jksf.1991.4.1.100
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Abstract
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- No abstract available.
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