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External Fixator and External Fixator Supplemented with K-wire in the Treatment of Distal Radius Fractures
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Sang Wook Bae, Ho Yoon Kwak, Baik Yong Song, Young Joo Ahn
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J Korean Fract Soc 2005;18(3):311-316. Published online July 31, 2005
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DOI: https://doi.org/10.12671/jkfs.2005.18.3.311
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- PURPOSE
To evaluate the differences of the outcome between external fixator and external fixator supplemented with K-wire in the treatment of distal radius fractures.
MATERIALS AND METHODS
Twenty-one cases which underwent external fixation (external fixation group) and 28 cases, external fixation supplemented with K-wire (external fixation with K-wire group), were analyzed. Radial length, radial inclination and volar tilt were compared in preoperative, immediate postoperative radiographs, and radiographs after removal of external fixator between two groups. And functional outcome including flexion, extension, pronation and supination of wrist were compared between two groups and wrist pain, as well.
RESULT
Radial length and radial inclination in the postoperative radiographs and radiographs after removal of external fixator showed no difference between two groups, but volar tilt of external fixation group measured 2.1+/-4.2 degrees, 1.3+/-3.8 degrees and external fixation with K-wire group, 8.8+/-2.3 degrees, 8.5+/-2.4 degrees respectively, so that external fixation with K-wire group showed better reduction and maintenance. Wrist flexion and extension about postoperative 6 months measured 25.6+/-8.2 degrees, 25.1+/-10.2 degrees, respectively, in external fixation group and 42.5+/-15.2 degrees, 33.6+/-9.5 degrees in external fixation with K-wire group, so that external fixation with K-wire group showed better functional results.
CONCLUSION
In the treatment of distal radius fractures, to obtain better reduction and function result, external fixations supplemented with K-wire need to be taken into consideration.
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Non-operative Treatment of Lateral Malleolar Fracture using Ankle Brace
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Nam Hong Choi, Ho Yoon Kwak, Baik Yong Song, Sang Wook Bae, In Mook Lee, Do Hyun Kim
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J Korean Soc Fract 2003;16(3):363-369. Published online July 31, 2003
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DOI: https://doi.org/10.12671/jksf.2003.16.3.363
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Abstract
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The purpose of this study was to evaluate the outcome of conservative treatment for minimal displaced lateral mallolar fracture using ankle brace.
MATERIALS AND METHODS
Eleven patients (eleven ankles) underwent conservative treatment with ankle brace for 8 weeks with full weight bearing ambulation. Inclusion criteria were minimal displacement (<3 mm) of fracture, no or mild tenderness or swelling on medial malleolar area and no lateral shift of talus. The patients were evaluated with AOFAS (the American Orthopedic Foot and Ankle society) Ankle-Hindfoot scale.
RESULTS
Average follow up was 103 weeks (36~192). All cases had normal range of motion of ankle. The average score of AOFAS Ankle-Hindfoot scale was 95 points.
CONCLUSION
The advantages of conservative treatment with ankle brace were early return to daily activity and work, comfort to the patients and a short period of rehabilitation. Conservative treatment with ankle brace for minimal displaced lateral malleolar fracture is recommended.
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Postoperative Functional Assessments in Adult Humerus Shaft Fractures -Comparison Among Plates and Screws, Intramedullary Nail and External Fixator-
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Sang Wook Bae, Woo Jin Kim, Baik Young Song, Nam Hong Choi, Jeong Hoon Lee
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J Korean Soc Fract 2001;14(2):228-235. Published online April 30, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.2.228
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Abstract
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To assess postoperative functional outcomes among plates, intramedullary nails and external fixators in adult humeral shaft fractures, including limitation of motion in shoulder and elbow, pain in activities of daily living.
MATERIAL AND METHODS: 24 cases treated with plates and screws, 19 cases with antegrade intramedullary nails and 13 cases with external fixators were analyzed in terms of limitation of motion, postoperative pain and activities in daily living.
RESULTS
There was no statistical difference in the range of motion of shoulder and elbow among three groups. VAS(visual analogue scale) which expressed postoperative pain in the affected site was lowest in the group treated with plates and screws. ASES score(American shoulder and elbow surgeons'score) which expressed the activities of daily living was investigated the highest in the group treated with plates and screws, and the differences of VAS and ASES score among three groups have statistical significances.
CONCLUSION
The most satisfactory results were obtained in the group treated with plates and screws.
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Citations
Citations to this article as recorded by  - Minimal Invasive Plate Osteosynthesis versus Conventional Open Plating in Simple Humeral Shaft Fracture (AO Type A, B1, B2)
Boseon Kim, GwangChul Lee, Hyunwoong Jang
Journal of the Korean Fracture Society.2017; 30(3): 124. CrossRef - Minimally Invasive Plate Osteosynthesis Using a Screw Compression Method for Treatment of Humeral Shaft Fractures
Sang-Hun Ko, Jae-Ryong Cha, Chae Chil Lee, Yong Tae Joo, Kyeong Su Eom
Clinics in Orthopedic Surgery.2017; 9(4): 506. CrossRef - Comparative Analysis of the Result of Minimally Invasive Anterior Plating and Open Reduction and Internal Fixation in Humerus Shaft Simple Fracture
Sang-Hun Ko, Chang-Gyu Choe, Ju-Hyung Lee
Clinics in Shoulder and Elbow.2015; 18(2): 75. CrossRef - The Treatment of Humerus Shaft Simple Fracture by MIPO Technique
Sang-Hun Ko, Sun-Ho Lee, Bum-Keun Cho
The Journal of the Korean Shoulder and Elbow Society.2013; 16(1): 27. CrossRef - A Separate Approach and Cephalo-Diaphyseal Plate Fixation for the Comminuted Metadiaphyseal Fractures of the Proximal Humerus
Sung-Weon Jung
Journal of the Korean Fracture Society.2013; 26(1): 8. CrossRef - Surgical Treatment of Pathologic Humeral Fracture
Ho Jung Kang, Byoung Yoon Hwang, Jae Jeong Lee, Kyu Ho Shin, Soo Bong Hahn, Sung Jae Kim
Journal of the Korean Fracture Society.2010; 23(2): 187. CrossRef - Result of Interlocking Intramedullary Nailing for Humeral Shaft Fracture Evaluation of Post-operative Shoulder Function
Seung Rim Park, Tong Joo Lee, Ryuh Sub Kim, Kyoung Ho Moon, Dong Seok You
Journal of the Korean Fracture Society.2007; 20(2): 166. CrossRef
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The Posterior Plate for Distal Fibular Fixation
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Beak Yong Song, Ho Yoon Kwak, Sang Wook Bae, Kyung Tai Lee, Nam Hong Choi, Jin Young Kim, Ho Jun Kim
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J Korean Soc Fract 2001;14(1):79-84. Published online January 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.1.79
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To evaluate the clinical results between the posterior and lateral plate for distal fibular fixation in the bimalleolar, trimalleolar fracture and isolated lateral malleolar fractures with more than 3 mm of displacement.
MATERIALS AND METHODS
We reviewed 69 cases treated by open reduction and internal fixation with the posterior or lateral plate for distal fibular fractures in the bimalleolar, trimalleolar fractures and isolated lateral malleolar fractures with more than 3mm of displacement. The follow up period was more than 12 months.
RESULTS
In the posterior plate group, radiographically there were no intraarticular screw, loss of fixation, nonunion and malunion, but 2 cases of distal tibiofibular synostosis were developed. In physical examination, there were no wound complication, palpable screws, peroneal tendinitis and limitation of motion, but 2 patients who had distal tibiofibular synostosis complained of mild discomfort after walking.
CONCLUSION
The posterior plate for distal fibular fixation is thought to be a favorable method and can be recommended as the fixation modality of choice regardless of level of fracture, because of increased biomechanical stability and few complication.
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The Treatment of Danis-Weber Type B Fractures of the Distal Fibula by Multiple Kirschner Wires Fixation
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Ho Yoon Kwak, Baik Young Song, Sang Wook Bae, Nam Hong Choi, Jin Young Kim
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J Korean Soc Fract 2000;13(3):529-536. Published online July 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.3.529
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Abstract
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To evaluate the accuracy of reduction and stability of fixation according to different methods of internal fixation for the Danis-Weber classification type B fractures of the distal fibula.
MATERIAL AND METHODS: Seventy-three cases with follow up of average 13 months were divided into three groups: plate fixation(Group I, 36), more than two lag screws fixation (Group II, 13) and multiple K wires fixation with less than one lag screw(Group III, 24). We measured the bimalleolar angle and axial displacement of the fracture ends for radiographic evaluation, and used the Meyer's classification for clinical evaluation.
RESULTS
There was significant difference of postoperative fibular shortening between group I(0.44mm) and III(0.17mm) on the anteroposterior view(p=0.003), but no difference of it on the lateral view. The changes of bimalleolar angle and the increment of fibular shortening showed no significant difference among three groups.
CONCLUSION
Multiple K wires fixation combined with less than one lag screw for Danis-Weber type B fractures of distal fibula demonstrated that it provides accurate reduction and stable internal fixation.
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Citations
Citations to this article as recorded by - Posterior Plating in Distal Fibular Fracture
Choong-Hyeok Choi, Young-A Cho, Jae-Hoon Kim, Il-Hoon Sung
Journal of the Korean Fracture Society.2007; 20(2): 161. CrossRef
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Posterior Short Segment Instreumntation and Fusion for the Unstable Thoracolumbar Spine Fracture: A Comparative Study
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Ki Tack Kim, Gyu Pyo Hong, Dae Woo Hwang, Sang Un Lee, Sang Wook Bae
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J Korean Soc Fract 2000;13(2):352-360. Published online April 30, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.2.352
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- INTRODUCTION : In treating of acute unstable thoracolumbar spine fractures, current trend is a toward short segment instrumentation to spare the motion segments. Many authors reported the result of short instrumentation and fusion, but there have been few reports about the effect of additional screw fixation at fractured vertebra in posterior short segment instrumentation and fusion. Therefore, the objective of this study is to compare the results of treatment between with/without screw fixation at the fractured vertebra in posterior short segment pedicle screw fixation.
MATERIAL AND METHODS : Twenty-three patients with unstable thoracolumbar spine fractures were treated with posterior short segment instrumentation and fusion. Eleven cases classified into group A were not fixed at the fractured vertebre. They were followed up to average 45 months(24-79). Twelve cases classified into group B were treated with screw fixation at the injured vertebra and followed up to average 38 months(14-78). Authors evaluated the radiologic assessment, such as wedge angle of fractured body, local kyphotic angle and wedge index(the ratio of anterior body height to posterior body height), the neurologic assessment by Frankel grade system and functional assessment by Denis system.
RESULTS
: There was no complication resulted from additional pedicle screw fixation at fractured level. In rediologic assessment, wedge angle were measured at preoperative, postoperative and last follow-up time as follows; in group A, 22.2degrees -11.3degrees -14.1degrees and in group B, 19.5degrees -8.8degrees -9.8degrees . The local kyphotic angle measured were 17.9degrees -7.0degrees -14degrees in group A and 17.1degrees -6.3degrees -7.9degrees in group B. The wedge index were 42.9%-22.6%-28.5% in group A and 40%-19.5%-22.4% in group B. At last follow-up time, eight eases showed Frankel grade E and three cases showed grade D in group A, and all cases of group B were Frankel E. Denis pain score were satisfctory in all of both group and Denis work score were also satisfactory in two group except one case of group A.
CONCLUSIONS
: Additional screw fixation at fractured verteba did not cause any complication. There was no significant difference in reduction rate between two groups(P>0.05), but group B showed better maintenance of correction of kyphotic deformity than that of group A(P<0.05). In conclusion, it seems that additional screw fixation at fractured level may be better method in maintaining asgittal alignment and decreasing the risk collapsing of body.
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Interlocking Compression Nails for the Treatment of Acute Tibial Shaft Fractures
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Sang Wook Bae, Ho Yoon Kwak
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J Korean Soc Fract 2000;13(1):74-80. Published online January 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.1.74
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To evaluate the differences between interlocking compression nail and ordinary compression nail in the treatement of acute tibial shaft fractures ,ATERIALS AND METHODS: From March, 1995 to November, 1998, 67 patients were treated with intramedullary nail for the acute tibial shaft fractures. Among them, 27 cases treated with interlocking compression nails and 22 cases, with ordinary interlocking nails were analyzed in terms of average union time, complications and functional results.
RESULTS
One tibial shaft treated with interlocking compression nail failed to unite. Average union time was 14.4 weeks in the group treated with interlocking compression nails, 14.2 weeks, with ordinary interlocking nails. Functional results were graded as excellent and good in 85% in the group treated with interlocking compression nails, 90%, with ordinary compression nails.
CONCLUSION
There was no difference in the treatment results between the groups treated with interlocking compression nails and ordinary interlocking nails.
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