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The Comparision of Conservative Treatment with Operative Treatment in Bursting fracture
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Chung Nam Kang, Jong Oh Kim, Oh Yong Kang, Seung Youn Ahn
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J Korean Soc Fract 1995;8(4):807-814. Published online October 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.4.807
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Abstract
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- Internal fixation with dynamic compression plate is an accepted method of treating diaphyseal The treatment of stable bursting fracture of thoracolumbar spine has long been controversal and middle column theory has been known important factor to determine fracture stability, following to "Three column theroy" by Denis & McAfee in 1983.
We have analyBed kyphotic angle and compression degree, each 7 cases of thoracolumbar stable bursting fracture, treated consertive or operative, from Oct. 1993 to Dec. 1994.
We obtained following results; 1. The correction of kyphotic angle was more increased in the average 12 in conservative treatment and decreased in the average 8.3 in operative treatment than admission date.
2. The correction of compression degree was more increased in the average 30% in conservative treatment and decreased in the average 18% in operative treatment.
3. More severe deformity was noted in the active young adult rather than old age.
4. MRI study and bending stress view are needed in the detect of the posterior column injury.
In summary, more severe deformity was noted not only in the adult, but in the conservative treatment. Thus, we must consider the operative treatment in active young adult in cases of stable bursting fracture.
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- The Impact on Clinical Results by Sagittal Imbalance in Posterior Fixation for Thoraco-lumbar Burst Fractures
Seung-Wook Baek, Kyu-Dong Shim, Ye-Soo Park Journal of the Korean Fracture Society.2011; 24(4): 354. CrossRef - Biomechanical Efficacy of Various Anterior Spinal Fixation in Treatment of Thoraco-lumbar Spine Fracture
Ye-Soo Park, Hyoung-Jin Kim, Choong-Hyeok Choi, Won-Man Park, Yoon-Hyuk Kim Journal of the Korean Fracture Society.2007; 20(1): 70. CrossRef
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Treatment of the Posterior Lip Fracture of Distal Tibia Using Posteromedial Apprroach
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Chung Nam Kang, Jong oh Kim, Seok Beom Lee, Oh Yong Kang, Min Soo Shin
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J Korean Soc Fract 1995;8(3):594-599. Published online July 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.3.594
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Abstract
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- The primary goal of treatment of the posterior lip fracture is to effect the returning of normal function that is accomplished by the early institution of motion.
A variety of both open and closed treatment have been recommended, but many authors have advocated internal fixation of large fragments that compromise 25 per cent or more of the articular surface on the lateral radiography Open reduction with internal fixation of the posterior lip fragment has been associated with technical problems. VisualiBation of the articular surface is obscure by overhanging of the posterior tibial margin and talus. And than efforts at open reduction of posterior lip fragments are frequently unsuccessful. We used the posteromedial approach to this lesion.
The results obtained from this study were as follows; 1. Of the 17 cases, male was 9 cases(53%), female was 8 cases(47%) the most common victim was twentieth and thirtieth decades.
2. The mean afticular surface involvement of the posterior lip fragments in the sagittal plane were 28 percent.
3. The location of posterior lip fragment was central(2 cases), posteromedial(6 cases), posterolateral(9 cases).
4. The posteromedial approach affords the most predictable way to cary out an absolutely anatomic reduction of posterior lip fractures and a low complication rate.
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- Treatment of the Posterior Malleolar Fracture Using Posterior Approach
Hyun Wook Chung, Dong Hwan Kim, Si Hoon Yoo, Jin Soo Suh Journal of the Korean Fracture Society.2010; 23(1): 50. CrossRef - Radiologic Analysis and Treatment of Posterior Malleolar Fractures of the Ankle
Jae Sung Lee, Soo Yong Kang, Han Jun Lee, Young Bong Ko Journal of the Korean Fracture Society.2009; 22(2): 98. CrossRef
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