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Tension Band Wiring Technique for Distal Radius Fracture with a Volar Articular Marginal Fragment: Technical Note
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Neunghan Jeon, Jong Keon Oh, Jae Woo Cho, Youngwoo Kim
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J Korean Fract Soc 2020;33(1):38-42. Published online January 31, 2020
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DOI: https://doi.org/10.12671/jkfs.2020.33.1.38
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- Most distal radius fractures are currently being treated with anterior plating using anatomical precontoured locking compression plates via the anterior approach. However, it is difficult to fix the volar articular marginal fragment because these anatomical plates should be placed proximally to the watershed line. There were just a few methods of fixation for this fragment on medical literature. Herein, we introduced a tension band wiring technique for fixation of a volar articular marginal fragment in the distal radius.
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Anterior Approach for the Acetabular Fractures
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Jae Youn Yoon, Jae Woo Cho, Ji Wan Kim
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J Korean Fract Soc 2019;32(3):157-164. Published online July 31, 2019
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DOI: https://doi.org/10.12671/jkfs.2019.32.3.157
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- In the surgical treatment of acetabular fractures, the anterior approach is used widely for anterior column fractures with or without posterior column fractures. This paper reviews the anterior approach for the anatomical reduction and rigid fixation of acetabular fractures: traditional ilioinguinal approach, modified Stoppa approach, and new Pararectal approach.
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- Adhesion of External Iliac Vessels Found in a Modified Stoppa Approach to Acetabular Fracture in a Patient with a History of Previous Abdominal Surgery
Seong-Tae Kim, Seungyup Shin, Hohyoung Lee, Seong Man Jeon Journal of the Korean Orthopaedic Association.2022; 57(1): 68. CrossRef
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Treatment Options for the Nonunions with Critical Sized Bone Loss
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Jin Kak Kim, Soo Hyun Kim, Jae Woo Cho, Jong Keon Oh
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J Korean Fract Soc 2017;30(2):89-101. Published online April 30, 2017
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DOI: https://doi.org/10.12671/jkfs.2017.30.2.89
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- The management of nonunion with severe bone loss is a challenging task to both surgeons and patients. It often requires prolonged and potentially painful treatments. Moreover, it also represents serious socioeconomic issues for patients. Inadequate fracture stability, disrupted biology, such as blood supply and soft tissue, as well as severe bone loss or presence of infection are possible reasons for nonunion. Several different treatment modalities are available, including nail dynamization, plate osteosynthesis, exchange nailing, and adjuvant alternatives, such as electrical or ultrasound stimulation. Autogenous bone graft remains the standard method to reconstruct small defects. Distraction osteogenesis and induced membrane techniques are contemporary strategies of choice for the reconstruction of larger bony defects. Herein, we attempt to describe the key techniques that may be employed in treating nonunion with severe bone loss.
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- Individualized herbal prescriptions for delayed union: A case series
Jiyoon Won, Youngjin Choi, Lyang Sook Yoon, Jun-Hwan Lee, Keunsun Choi, Hyangsook Lee EXPLORE.2023; 19(2): 260. CrossRef
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Assessment of Coronal Plane Malalignment Following Reduction of Trochanteric Fractures-Simple Intraoperative Guideline Using Greater Trochanter Orthogonal Line
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Young Cheol Yoon, Jong Keon Oh, Won Yong Shon, Han Ju Kim, Jae Woo Cho
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J Korean Fract Soc 2016;29(1):1-11. Published online January 31, 2016
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DOI: https://doi.org/10.12671/jkfs.2016.29.1.1
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Abstract
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There is no consensus on a clear intraoperative guideline for judging the coronal plane alignment following reduction of trochanteric fractures. Complex angular measurements using fluoroscope monitors are tedious. Therefore the relation of the horizontal line from the tip of the greater trochanter (GT orthogonal) and femur head center (HC orthogonal) was studied to define this line as a criterion for predicting varus-valgus malalignment. MATERIALS AND METHODS We studied this relation in 200 standing orthoradiograms which included 100 males and 100 females. The images were digitally analyzed using the picture archiving and communication system. GT orthogonal line and HC orthogonal line were evaluated. The distance of these lines was measured as trochanter center distance (TCD) and its correlation with angular parameters like neck shaft angle, medial proximal femoral angle with reference to anatomical axis (aMPFA) and lateral proximal femoral angle with reference to mechanical axis (mLPFA) were analyzed. RESULTS In all patients, the GT orthogonal line passed either at or above the center of the head. Overall mean of TCD was 7.22 mm, ranging from 0 to 17.57 mm. TCD was found to show strong correlation with angular parameters like aMPFA, mLPFA and neck shaft angle. TCD was less than one fourth of the corresponding head diameter in around 90%. Therefore following reduction of trochanteric fractures, the GT orthogonal line should pass through the superior juxta central quadrant of the femoral head. CONCLUSION This line can be represented by a guide wire with fluoroscopy during surgery. The GT orthogonal line can be used intraoperatively as a simplified tool for prediction of varus/valgus malalignment following the reduction of trochanteric fractures.
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Management of Long Bone Fractures with Severe Bone Defect
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Jae Woo Cho, Jinil Kim, Han Ju Kim, Jong Keon Oh
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J Korean Fract Soc 2015;28(3):205-214. Published online July 31, 2015
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DOI: https://doi.org/10.12671/jkfs.2015.28.3.205
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- No abstract available.
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- Treatment Strategy of Infected Nonunion
Hyoung-Keun Oh Journal of the Korean Fracture Society.2017; 30(1): 52. CrossRef
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Interposition of Periosteum in Distal Tibial Physeal Fractures of Children
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Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Jae Woo Cho
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J Korean Fract Soc 2011;24(1):73-78. Published online January 31, 2011
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DOI: https://doi.org/10.12671/jkfs.2011.24.1.73
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- PURPOSE
To evaluate the factors influencing periosteal interposition in distal tibial physeal fractures of children. MATERIALS AND METHODS 34 cases of distal tibial physeal fractures were analysed. We confirmed the presence of periosteal interposition with MRI in all cases and accessed the relationship between periosteal interposition and gender, age, cause of injury, type of fracture, degree of initial displacement and after closed reduction. RESULTS 9 (26.5%) of 34 fractures had interposed periosteum. There was no statistically significant correlation between periosteal interposition and gender, age, cause of injury (p>0.05). 5 (83.3%) of 6 pronation-eversion-external rotation type of fractures according to Dias-Tachjian classification had interposed periosteum and that was a statistically significant correlation (p=0.006). As Salter-Harris type was toward to high degree, there were decreasing tendency of periosteal interposition (p=0.026). There was high rate of periosteal interposition in case of displacement more than 2 mm in each initial and after closed reduction (p<0.05). CONCLUSION There was high incidence of periosteal interposition in pronation-eversion-external rotation type with displacement more than 2 mm in distal tibial physeal fractures of children. But, periosteal interposition could occur in fractures with mild displacement less than 2 mm, if initial fracture displacement was more than 2 mm, the methods of treatment should be decided after confirm the presence of periosteal interposition with MRI after closed reduction.
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