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The Effect of External Distractor on Recovery of B hler angle in Displaced Intraarticular Calcaneal Fractures
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Deuk Soo Hwang, Kwang Jin Rhee, June Kyu Lee, Jung Hee Choi
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J Korean Soc Fract 2000;13(2):375-381. Published online April 30, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.2.375
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 Abstract
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- PURPOSE
: We had studied the results retrospectively in displaced intraarticular calcaneal fractures treated with internal fixation by screw for thalamic portion and percutaneous pinning by K-wire using minimal Ollier's lateral approach, so we had reported good results, but recovery of B hler angle loss was difficult technically. So, we used intraoperative external distractor combined with previous our method.
MATERIALS AND METHODS
: We analysed retrospectively B hler angle and clinical results on 12 cases with clcaneal fracture, who underwent an operation for displaced intraarticular calcaneal fracture by using external distractor from January 1997 to August 1998. B hler angle were measured at preoperative, postoperative and last follow-up X-ray. Surgical technique is through minimal Ollier's lateral approach, reduced and fixed with screw of displaced posterior facet and used intraoperative external distractor for restoring of deperssed calcaneal tuberosity and then did percutaneous pinning with K-wire. RESULTS : In the previous our reports, the mean preoperative and postoperative B hler angle were -0.9degrees, 19.1degreeseach other and the mean recovery of B hler angle was 20.1degrees. After we use the intraoperative external distractor, the mean preoperative and postoperative B hler angle were 0.92degrees, 26.0degreeseach other and the mean recovery of B hler angle is 26.9degrees. It is nearly normal range of korean's B hler angle (31.1degrees+/-0.4 degrees). Also there is no complication such as intraoperative calcaneal tuberosity fracture and soft tissue injury(skin necrosis, neurovascular injury).
CONCLUSION
: We obtained enough restoration of B hler angle to normal range by using our previous method combined with intraoperative external distractor.
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The Treatment of the displaced Distal Radius fractures-Prospective study-
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Jun Young Yang, Hyun Dae Shin, Kwang Jin Rhee, Jun Kyu Lee, Deuk Soo Hwang, Jang Ik Lee, Jung Hee Choi
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J Korean Soc Fract 1999;12(2):411-421. Published online April 30, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.2.411
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Abstract
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- Fractures of the distal end of the radius, including Colles'fractures, represent the most common fractures of the upper extremity. Over the past years, many clinicians had thought of fractures of the distal radius as being a group of injuries with a relatively good prognosis. Today, fractures of the distal radius are recognized as very complex injuries with variable prognosis that depend upon the fracture type and the treatment given. We performed a prospective study in 51 patients(52 cases), by using treatment protocol of Palmer, we treated each fracture according to physiological age, activity, X-ray findings and stability after closed reduction. Final outcomes were evaluated by modified clinical scoring system, criteria for anatomical results and combined functional and anatomical results. Results by using modified clinical scoring system were excellent; 8 cases, good; 16 cases, fair; 22 cases, and poor; 6 cases. Results by using criteria for anatomical results were excellent; 8 cases, good; 26 cases, fair; 10 cases; and poor; 8 cases. In wrist rating scales of New York Orthopaedic Hospital, excellent; 7 cases, good; 32 cases, fair; 6cases, and poor; 7 cases. In our study, fractures of the distal radius were occurred frequently in active young male with high energy injuries. Criteria about acceptable range of reduction in treatment protocol of Palmer were too wide to obtain satisfactory results. Results from many assessment systems did not matched with each other because of differences of point of views. The results of this study proposed that even acceptable reduction is obtained, better outcomes will be brought by operative modality due to decreased frequency of reduction loss and radial shortening. And also, physical therapy after fracture treatment is considered as one of the important factors influencing functional results and the satisfaction of patients themselves.
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Scaphocapitate Fusion for Kienbock disease
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Jun Young Yang, Hyun Dae Shin, Sang Ro Ahn, Kwang Jin Rhee, Jun Kue Lee, Jung Hee Choi
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J Korean Soc Fract 1999;12(2):446-451. Published online April 30, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.2.446
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Abstract
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- We reviewed 14 patients treated with scaphocapitate fusion for Kienb.. ock's disease(Lichtman stage III) with mean follow-up of 26 months (ranging from 1 years to 5 year). There were five mens and nine womens. The mean age of patients at the time of operation was 46.1 years (ranging from thirty one to sixty). According to Lichtman's classification, All patients were stage III. Clinical assessments were evaluated using by pain relief, limitation in range of motion and clinical improvement. Radiologic assessment was evaluated by carpal height ratio. The mean range of motion is flexion 30 degree, extension 41 degree preoperatively, and flexion 29 degree, extension 41 degree postoperatively. The mean carpal height ratio is 0.49 preoperatively and 0.48 postoperatively. All of cases are relief of pain. Therefore radiographic and clinical satisfactory results were obtained. In conclusion, scaphocapitate fusion appear to be a very effective method for Lichtman stage III of symptomatic Kienb.. ock's disease.
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Citations
Citations to this article as recorded by  - Lunate Excision and Tendon Ball Implantation in Lichtman Stage IIIB Kienböck's Disease in Middle-Aged Patients
Sang Jin Cheon, Dong Ho Lee, Shi Hwan Park, Woong Ki Jeon
Journal of the Korean Society for Surgery of the Hand.2015; 20(3): 110. CrossRef
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