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Intramedullary K-wire Fixation for Displaced Fracture of Distal Radius
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Byung Woo Ahn, Chong Kwan Kim, Jong Youl Lee, Chae Ik Chung, Jong Ho Yoon, Young Min Kim, Jin Woo Jin, Kang Hoon Kim, Guk Sang Chung, Dong Wook Kim
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J Korean Fract Soc 2005;18(1):54-59. Published online January 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.1.54
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Abstract
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To evaluate indications and effectiveness of intramedullary K-wire fixation for distal radial fractures. MATERIALS AND METHODS Twenty one fractures of distal radius treated with intramedullary K-wire fixation from April 2001 to September 2002 were evaluated. The mean age was 67.8(range 46~82). Severely comminuted intra-articular fractures and Barton's fractures were excluded. One or two K-wires were added percutaneously. To assess the functional result, we used Green and O'Brien score system. The radiographic assessment included a scoring system based on measurements of radial length, radial inclination, volar tilt and step-off of the radial articular surface. RESULTS Average follow up period was 13.5 months. In functional result, excellent and good result were obtained in 18 cases (86%). In radiologic result, mean loss of radial length, radial inclination and volar tilt were 0.9 mm, 1.4degrees, 0.9degrees, respectively. CONCLUSION The advantages of intramedullary K-wire fixation were relatively simple procedure, low occurrence of soft tissue complications and early wrist motion. Intramedullary K-wire fixation was good to maintaining reduction in osteoporotic bone.
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