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Angulation Deformity Following Interlocking Nailing for Treaeent of Tibia Fracture
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Hong Jun Han, Jae Hoon Shin, Jeong Hyu Lee
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J Korean Soc Fract 1996;9(4):1002-1008. Published online October 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.4.1002
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 Abstract
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- Intramedullary nailing is often the treatment of choice in the management of fractures in the tibial diaphysis. With the advent of interlocking nailing, the indication for nailing have expanded, recently. One of the most frequent but little discussed complication of tibial nailing is fracture malalignment leading to angular or rotational deformities. This retrospective study was undertaken to access the incidence of aneular malalignment after interlocking nailing for 210 tibiae(208 patients). The results obtained were as follows; 1. The incidence of angular malalignment was 12.4% 2. The incidence of angular malalignment was 15.8% in proximal one third, 4.1% in middle one third,20.7% in distal one third fractures.
3. The most frequent deformity was valgus angulation in distal one third fractures.
4. Angular deformity was developed more frequently in cases of unlearned nailing(18.9%) than reamed nailing(8.4%).
5. Angular deformity was developed more frequently in cases of double level fracture(22.2%) than single level fracture(11.5%).
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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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