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Treatment of 5th Metacarpal Neck Fracture Using Percutaneous Transverse Fixation with K-Wires
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Jae Hak Jung, Kwan Hee Lee, Yong Ju Kim, Woo Jin Lee, Sung Hyun Choi
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J Korean Fract Soc 2012;25(4):317-322. Published online October 31, 2012
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DOI: https://doi.org/10.12671/jkfs.2012.25.4.317
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Abstract
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To evaluate the radiologic and clinical results of percutaneous transverse fixation with K-wires for 5th metacarpal neck fracture. MATERIALS AND METHODS Between January 2007 and September 2010, 18 patients with a 5th metacarpal neck fracture, who underwent operative treatment, were included in this study. The surgical method was percutaneous transverse fixation using K-wires. We evaluated fracture angulation in oblique radiographs preoperatively, postoperatively, and at final follow-up, and used SPSS to perform statistical analysis. We also performed clinical evaluation using the Disabilities of the Arm, Shoulder and Hand (DASH) score. RESULTS All of the 18 cases were completely united, and in the oblique radiographs, the angulation was corrected from 50.69degrees to 11.68degrees. The average difference between postoperative and final follow-up angulations was 0.14degrees, which was statistically insignificant. Clinically, the DASH score was 1.030 and no complications were observed. CONCLUSION Percutaneous transverse fixation using K-wires could be one of the best ways to treat a 5th metacarpal neck fracture because of its simple method and low rate of complications.
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Lateral Positioning for Proximal Femoral Nailing of the Intertrochanteric Fracture: Surgical Technique
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Kwan Hee Lee, Hoon Jeong, Jong Kyoung Ha, Yong Ju Kim, Won Hee Jang
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J Korean Fract Soc 2011;24(1):79-82. Published online January 31, 2011
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DOI: https://doi.org/10.12671/jkfs.2011.24.1.79
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Abstract
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- In the treatment of intertrochanteric fractures, most of intramedullary nailings are performed on a fracture table in supine position. In supine position, however, soft tissue mass of the patients and drapes make it difficult to access to the piriformis fossa and to straighten the trajectory of reamer and nail insertion. To resolve these problems, we have treated twenty intertrochanteric fractures in lateral position on the general operation table with IM nail. Adjustment of the position of lag screw in femoral head was done with the technique that overlaps the shadows of the femoral head, nail and targeting guide in the lateral view. Because the entire injured limb can be moved readily, it was easy to reduce fracture and to convert to open procedure. In cases likely that the fracture table is unavailable in which patients are obese, have short stature or are amputated, and that open procedure is strongly likelihood, lateral position will be helpful technique in the treatment of intertrochanteric fractures with IM nail.
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Citations
Citations to this article as recorded by 
- Outcomes of Internal Fixation with Compression Hip Screws in Lateral Decubitus Position for Treatment of Femoral Intertrochanteric Fractures
Cheon-Gon Park, Taek-Rim Yoon, Kyung-Soon Park Hip & Pelvis.2018; 30(4): 254. CrossRef - The Effects of Sa-Am Spleen-tonifying Acupuncture on Radial Pulse in Healthy Human Subjects
Kwang Sik Yoon, Hyun Lee The Acupuncture.2013; 30(4): 1. CrossRef
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The Fractures of Humerus Shaft and Medial Epicondyle by Arm Wrestling
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Yeo Hun Yoon, Jong Kyung Ha, Kyung Eob Choi, Kwan Hee Lee, Sang Jin Shin
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J Korean Fract Soc 2006;19(4):437-442. Published online October 31, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.4.437
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Abstract
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To evaluate the mechanism of the humeral fractures induced by arm wrestling and the clinical results of its treatment. MATERIALS AND METHOD We reviewed 7 humeral fractures induced by arm wrestling; 3 humeral shaft fractures, 4 humeral medial epicondyle fractures. The mechanism of the fractures and the clinical results were assessed by history and radiographs. RESULTS Shaft fractures were produced by twist and axial compression force. Humeral medial epicondyle fractures were the avulsion fractures by excessive contraction of flexor muscles and developed in young age. We operated 6 of them and in all cases, we could obtain fracture healings without complication. CONCLUSION The humeral fractures induced by arm wrestling have the differences in the ages and mechanisms as to the locations of the fractures and if the proper treatment is performed, the clinical results are satisfactory.
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Citations
Citations to this article as recorded by 
- Fractures of the humeral shaft caused by arm wrestling: a systematic review
Kiyohisa Ogawa, Atsushi Yoshida, Noboru Matsumura, Wataru Inokuchi JSES Reviews, Reports, and Techniques.2022; 2(4): 505. CrossRef - Olecranon Fracture Sustained during Arm Wrestling in Middle-Aged Male
Chang-Yk Lee, Hyuk-Min Kwon, Han-Bit Kim Journal of the Korean Orthopaedic Association.2022; 57(6): 520. CrossRef - Fracture-Separation of the Medial Humeral Epicondyle Caused by Arm Wrestling: A Systematic Review
Kiyohisa Ogawa, Atsushi Yoshida, Noboru Matsumura, Wataru Inokuchi Orthopaedic Journal of Sports Medicine.2022;[Epub] CrossRef - Humerus Shaft Fractures Occurring in Fly Fishing Boat Riding: Injury Scene Analysis
Hongri Li, Wan Sun Choi, Bong-gun Lee, Jae-hoo Lee, Younguk Park, Doohyung Lee The Korean Journal of Sports Medicine.2019; 37(4): 134. CrossRef - Humeral Shaft Fracture Sustained during Arm Wrestling in Young Males
Seung Rim Yi, Jieun Kwon, Ye Hyun Lee, Bo Kyu Yang, Young Joon Ahn, Se Hyuk Im, Joon Hee Cho, Sang Hoon Park The Korean Journal of Sports Medicine.2017; 35(3): 149. CrossRef - Humerus Shaft Fractures in Leisure Sport 'Flyfish Riding' - 4 Cases Report -
Bong Gun Lee, Ki Chul Park, Youn Ho Choi, Woo Sung Jung, Kyu Tae Hwang Journal of the Korean Fracture Society.2012; 25(4): 327. CrossRef
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Treatment of Complex Tibial Plateau Fractures: A Modified Patient Positioning for the Combined Anterior and Posterior Approaches
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Jong Keon Oh, Chang Wug Oh, Seung Beom Hahn, Kwon Jae Roh, Kwan Hee Lee
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J Korean Fract Soc 2006;19(3):396-400. Published online July 31, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.3.396
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Abstract
- We have treated thirteen complex plateau fractures involving both condyles with one of the following conditions with the use of the combined anterior and posterior approaches in a modified supine position. Associated PCL avulsion fracture, displacement of major fracture plane dominantly at the back, large coronal fracture fragment involving medial or lateral condyles. A patient is placed on an operation table in supine position with a bump under the contralateral buttock. The well leg is placed in a lithotomy position and the injured leg is placed over a sterilized Mayo stand separately. For the posterior approach the table was tilt toward the injured side with the hip abducted and rotated externally. With a modified patient's positioning we were able to use combined anterior and posterior approaches simultaneously for the management of certain complex plateau fractures without changing the draping.
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Citations
Citations to this article as recorded by 
- Current Concepts in Management of Tibia Plateau Fracture
Sang Hak Lee, Kang-Il Kim Journal of the Korean Fracture Society.2014; 27(3): 245. CrossRef
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