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Comparison of radial head excision and open reduction & internal fixation for comminuted radial head & neck fracture
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Jae Gune Jun, Chul Hyung Lee, Sung Jun Han, Sang Seon Lee, Won Tae Choi, Ho Rim Choi, Jeong Woung Lee
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J Korean Soc Fract 2001;14(1):106-112. Published online January 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.1.106
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Abstract
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The goals of the present study were to compare of radial head excision and open reduction k internal fixation for comminuted radial head & neck fracture. MATERIALS AND METHODS From march 1993 to February 1999, Patients with fracture of radial head (Mason type III) who were treated at Dae-Jeon Sun General hospital were enrolled in the study. The average duration of follow up was 3 years and 3 months. Six patients(Group A) were treated with radial head excision and fourteen patients(Group B) were treated with open reduction and internal fixation. RESULTS By functional rating index(modified After B.F. Morrey et al), in Group A, the results were classified as excellent(1 patient), good(No patient), fair(2 patients), and poor(3 patients), and in Group B, excellent(4 patients), good(5 patients), fair(3 patients), and poor(2 patients). CONCLUSION We concluded clinically to obtain better outcome in group which were treated with open reduction and internal fixation than radial head excision. Therefore, though the treatment of choice for Mason type III radial head fracture was total excision, in consideration of complication, procedure to preserve radial head was desirable. We must give careful consideration to possibility of open reduction and decision of radial head excision.
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Axial-Ulnar fracture-Dislocation of the Carpus : A Case Report
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Ho Rim Choi, Sang Seon Lee, Chi Won Lee, Sung Jun Han, Won Tae Choi
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J Korean Soc Fract 1999;12(4):1027-1030. Published online October 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.4.1027
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Abstract
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- Axial dislocation of the carpus is a rare injury, and it usually is caused by crush mechanism in industrial fields. We experienced a case of axial-ulnar fracture-dislocation of the carpus which was treated by open reduction and internal fixation with K-wires and external rixator fixation.
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Simultaneous Fracture-Dislocation of the Carpometacarpal and Metacarpophalangeal joint of the Thumb
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Ho Rim Choi, Sung Jun Han, Sang Seon Lee, Chi won Lee, Byeong Lok Jin
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J Korean Soc Fract 1999;12(4):1031-1033. Published online October 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.4.1031
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Abstract
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- Simultaneous multiple dislocation of the thumb is a very rare injury. We experienced a case of simultaneous fracture-dislocation of the carponletacarpal and metacarpophalangeal joint of the thumb which was treated by closed reduction and percutaneous K-wire fixation. The clinical retult was satisfactory.
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