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Evaluation of Radiological Results After Closed Reduction in Colles` Fracture
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Jong Oh Kim, Yo Hun Yun, Dong Wook Kim, Yong Do Koh, Jae Doo Yoo, Jin Chang
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J Korean Soc Fract 2001;14(1):113-120. Published online January 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.1.113
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Abstract
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- PURPOSE
This study is to evaluate the radiologic results after close reduction for the distal radius fractures that were reduced.
MATERIAL AND METHOD: From March 1996 to Feburary 1999, thirty-four patients with distal radius fracture were treated with close reduction and cast immobilizationat at Ewha Womans University Hospital. The radiograph were taken after reduction and at 3days, 2 weeks, 4 weeks, 6 weeks. Three parametersof the radiograph were measured.; radial inclination, palmar angulation and radial shortening. The radiological results were estimated by the criteria of Sarmiento. RESULTS In 34 patients, type I were 10 cases, type II were 15 cases, type III were 6 cases, type IV-A were 3 cases by the Universal classification. The average value of the radiologic parameters after reduction were followings s; radial inclination(RI) 18.2°, palmar angulation(PA) 9.3° and radial shortening(RS) 1.8mm in type I. RA 17.2°. PA 8.4° and RS 2.0mm in type II. RI 16.5°, PA 8.0°, RS 2.5mm in type III. RI 14.9°, PA 7.7°, RS 3.5mm in type IV. At 6weeks after reduction, RI 17.8°, PA 9.2° and RS 2.1mm in type I. RA 16.7°, PA 7.6° and RS 2.6mm in type II, RI 15.4°, PA 7.0°, RS 4.0mm in type III. RI 13.3°, PA 6.2°, RS 5.2mm in type IV. CONCLUSION Loss of reduction after close reduction with cast immobilization for type III and IV were occurred more frequtently than type I and II.
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- Redisplacement of Distal Radius Fracture after Initial Closed Reduction: Analysis of Prognostic Factors
Ho-Wook Jung, Hanpyo Hong, Hong Jun Jung, Jin Sam Kim, Ho Youn Park, Kun Hyung Bae, In-Ho Jeon Clinics in Orthopedic Surgery.2015; 7(3): 377. CrossRef
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The Results and Complications After Treatment of Open Tibia Fractures in Children
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Chung Nam Kang, Jong Ho Kim, Dong Wook Kim, Young Do Gho, Jae Doo You, Jin Chang
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J Korean Soc Fract 1998;11(2):464-470. Published online April 30, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.2.464
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Abstract
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- We describe the results of treatment and complication of open tibial fractures in 44 children. There were 30 males and 14 females with an average age of the 6.7 years(range 3~2 years). The mean follow up period was 15 months(range 1.4~28month). According to the classification of Gustilo et al, Type I were 17 cases, Type II were 13 cases, Type IIIA were 9 cases and Type IIIB were 5 cases. All patient received tetanus prophylaxis, and systemic thirty-four with minimal soft tissue injury were closed primarily. The other 10 were initially left open; of these, 7 wounds were allowed to heal secondarily and 3 larger wounds required split skin grafts. The average time to healing of the fracture was 12.9weeks(range 6.9~22.4weeks).
The complication included superficial infection(7%), malunion(5%), delayed union(2%), synostosis(2%), and leg length discrepancy(5%): these incidences are similar to those reported in adult. The osteomyelitis, compartment syndrome, and vascular injury didn't developed at any case. The K-wire fixation of open tibia fractures of the childrens is very useful to prevent the displacement and to care for the openwound without the risk of deep infection.
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- Analysis of Treatment Outcomes for Open Fractures of the Tibia in Children
Jong-Hyuk Park, Jung Ryul Kim, Dong Hun Ham, Hyung Suk Lee, Sung Jin Shin Journal of the Korean Orthopaedic Association.2010; 45(6): 440. CrossRef
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The Operative Treatment of the shaft Fractures of the Forearm Bone: Operative Comparison in Intramedullary Fixation to Plate Fixation on Treatment of the Both Forearm Bone Fracture
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Chung Nam Kang, Jong Ho Kim, Dong Wook Kim, Young Do Gho, Jae Doo You, Jong Keon Oh, Jin Chang
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J Korean Soc Fract 1998;11(1):63-69. Published online January 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.1.63
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Abstract
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- Diaphyseal fractures of the radius and ulna present high incidence of malunion and nonunion because of difficulty in reduction and maintenence of two mobile, parallel ones in the presence of the pronating and supinating muscles which exert angulatory as well as well as rotational forces. The author divided the traceable patients into two groups, the one was the group treated with AO compression plates and the other one was the roup treated with Rush pin in radius and AO compression plate in ulna, and compared the results in the aspect of healing time and functional results. The results were as follows; 1.Those two groups were demographically similar.
2.The immobilization period and the radiologic bone union time did not differentiate two groups significantly.
3.In plate group, one nonunion, one nerve injury and two superficial wound infection were occurred.
4.Between the two operative methods selected alternatively, immobilization period, radiologic bone union and fuctional results were not different significantly, but the Rush pinning method was preferred due to simple operation technique, small operation scar, short operation time, a little blood loss, a few complication.
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Citations
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- Shaft Fractures of Both Forearm Bones: The Outcomes of Surgical Treatment with Plating Only and Combined Plating and Intramedullary Nailing
Sang Bum Kim, Youn Moo Heo, Jin Woong Yi, Jung Bum Lee, Byoung Gu Lim Clinics in Orthopedic Surgery.2015; 7(3): 282. CrossRef - Interlocking Intramedullary Nailing of Forearm Shaft Fractures in Adults
Sanglim Lee, Hee-Sung Lee, Yerl-Bo Sung, Jae-Kwang Yum Journal of the Korean Fracture Society.2009; 22(1): 30. CrossRef
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