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Radiologic Evaluation of the Ankle Joint: Comparison of Different criteria & its A vailability of Clinical Practice
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Deuk Soo Hwang, Seung Ho Yune, Kwang Jin Rhee, June Kyu Lee, Je Taek Jeong
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J Korean Soc Fract 1998;11(4):880-885. Published online October 31, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.4.880
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- Generally it is Known that the best clinical results in treatment of injuries of the ankle are obtained by anatomical restoration of the joint. For objective measurements of tibiotalar joint, some investigators ued different criteria and defined the specific reference points under variable angle of internally rotated anteroposterior projection. But, occasionally we didn't acquire the accurate roentgenographic finding that was suggested by investigators. So, we check the variable angle of internal rotation film in addition to angle suggested by investigators and compare the criteria between them. The purpose of this study is to evaluate availability of internally rotated mortise view and its criteria in clinical practice. Following results was acquired. First, there was no significant difference in measuring the medical clear space on depand on variability of rotation angle. Second, the overlapping distance of tibiofibular syndesmosis decreased by increasing internal rotation angle, but was not under 1mm (ie, index of injury). A third, to measure the Weber's 3 criteria, we need to check the variable internal rotation angle, if necessary. Finally, we acquired the normal range of measurement about Tile's 2 criteria by variable internal rotation angle.
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Importance of maintenance medial buttress in treatment of supra-condylar and inter-condylar(T-condylar) fracture of the femur
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Seung Ho Yune, Kwang Jin Rhee, Chan Hee Park, Ki Yong Byun, Sang Yong Lee, Seung Kwon Rho
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J Korean Soc Fract 1996;9(1):50-58. Published online January 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.1.50
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- Recently, treatment of supracondylar and intercondylar(T-condylar) fracture of the femur has been changed from conservative treatment to do open reduction and internal fixation. Principles of anatomical reduction, rigid internal fixation and early knee joint exercise are recommended, but there are many difficulties and problems to get anatomial reduction and rigid internal fixation. we observed 3 cases of malunion & nonunion that were treated by ORIF. In these cases, there is a failure in restoring medial buttress of distal femur due to inadequate reduction and internal fixation.
Dynamic condylar screw(DCS) or blade plate were usually used through lateral approach and laterally applying method can not always restore the medial buttress of the fracture site. In these cases, early exercise and early weight bearing have to be postponed,and the results were poor. So we want to emphasize the principles in open reduction and internal fixation of the supra-and inter-condylar fracture fo the femur. To get anatomecal reduction is very important, but if is not possible in severely comminuted fractures, we have to try to maintain medial buttress by another methods such as double plating(to add a medial auxiliary buttress plate to lateral internal fixation) or auxiliary external fixations instead of medial anatomical contact.
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- Medial Plating of Distal Femoral Fracture with Locking Compression Plate-Proximal Lateral Tibia: Cases' Report
Se-Ang Jang, Young-Soo Byun, In-Ho Han, Dongju Shin Journal of the Korean Fracture Society.2016; 29(3): 206. CrossRef - The Surgical Treatment of Distal Femur Medial Condyle Fracture Using Lateral Anatomical Plate of Opposite Side through Medial Approach
Sung-Sik Ha, Jae-Chun Sim, Ki-Do Hong, Jae-Young Kim, Kwang-Hee Park, Yoon-Ho Choi Journal of the Korean Fracture Society.2009; 22(4): 246. CrossRef
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Analysis of Rick Fractors of HiP fractures after the eighth Decade of Life
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Seung Ho Yune, Sang Rho Ahn, Chan Hee Park, Jun Young Yang
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J Korean Soc Fract 1994;7(1):131-136. Published online May 31, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.1.131
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- In Order to evaluate to the risk factors of hip fracture, we reviewed 34 patients, who were over 70 years old, from Jan. 1991 to Dec. 1993.
The patients who have preexisting desease such as chronic illness, or in case of traffic accident, and fall down injury were excluded.
We measured the singhs index and femoral neck-shaft angle on simple X-ray, bone mineral density for quantitative measurement of mineral on dual photon absorptiometry, and calcium, phosphate, and alkaline phosphatase on serologic study.
We compared the results with control group who have not orthopaedic problems in 20 old aged person, and the results obtained were as follows.
1. The male to female ratio is 11:23, a high rate in female, and the mean age of patients is 74.3 years old, ragne from 70 to 89 years.
2. Femoral neck-shaft angle of patient group is 141.67±5.3 compared to 143.40±4.8 of control, showed statistical significance.
3. Bony trabeculae index of proximal femur of patient group is 1.83±0.83 compared to 2.91 ± 0.86 of control, showed statistical significance.
4. In patient group, about 30% decreased in bone mineral density compared control. This result must be requisite to reinvestigation and statlstical analysis were not carried due to numbers of members of control.
5. There is no significant difference between two groups regard to serologic study.
In summary, risk factors of hip fractures are aged female with decreased femoral neck-shaft angle, below third degree in singhs index and lower bone mineral density compared with same age.
According to the our data, in case of hip fractures in old aged, for prevent the postoperative complication and refracture, prophylactic theraphy to collectible causes are required, in addllion to operative internal fixation.
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Late open reduction and ligament reconstruction of old unreduced palmar lunate dislocation report of 2 cases
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Sang Rho Ahn, Seung Ho Yune, Kwang Jin Rhee, Keun Baek Lee, Jun Young Yang
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J Korean Soc Fract 1993;6(1):85-91. Published online May 31, 1993
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DOI: https://doi.org/10.12671/jksf.1993.6.1.85
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- No abstract available.
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