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The Additional Use of External Fixator after Percutaneous K-Wire Fixation for Intra-articular fractures of The Distal Radius
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Chang Woo Kim, Ja Seong Gu, Gi Tae Jeong, Su Yeong Jeon, Tae Hoon Jeong, Jang Won Hur, Yeon Park
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J Korean Soc Fract 2000;13(1):139-145. Published online January 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.1.139
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 Abstract
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: To evaluate the role of the additional external fixator in maintenance of reduction with was known as an important prognostic factor for the treatment of intra-articular distal radius frctures.
MATERIAL AND METHOD : Thirty cases of unstalbe intra-articular fractures of the distal radius, which were treated by operative method, were classified by Frykman's method and grouped in two(group A and B). The group A was treated by closed reduction and percutaneous K-wire fixation and long arm cast immobilization. The group B was treated by treated by closed reduction and percutaneous K-wire fixation with use of additional external fixator. The end results were evaluated by the Demerit Point Rating System(by Sarmiento) & radiologic evaluation(radiologic index : radial length, radial tilt, volar tilt) RESULTS : By the Demerit point rating system, excellent and good results were rated by 45.5% in group A and 75% in group B and poor results were found in 3 cases which were Frykman type VII or VIII in group A. Radiologically, radial length loss was rated by 11%, radial tilt loss by 10.8% and volar tilt loss by 47% in group A and 3.1%, 6.8%, 29% each in group B(p<0.05).
CONCLUSION
: We think that additional use of external fixator, after percutaneous K-wire fixation, may have an important role in maintenance of reduction and group prognosis for the treament of intra-articular distal radius fractures.
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Comparison of the conservative and operative treatment of the intraarticular calcaneal fractures
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Chang Woo Kim, Min Young Chung, Ki Tae Jung, Eun Hwan Bae, Seong Ho Park, Ho Keun Park, Tae Hoon Jeong
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J Korean Soc Fract 1999;12(2):335-343. Published online April 30, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.2.335
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Abstract
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- The calcaneal fracture, which is considered to be the most common tarsal bone fracture, has rather difficulty in accurate diagnosis, classification and proper treatment. Furthermore, its prognosis is not good, either. The authors analysed 68 intraarticular calcaneal fractures (Sanders type II & III only) out of 147 cases, which were treated operatively or conservatively from June 1990 to May 1997, and found out that the results of conservative and operative treatment were approximately the same. The length of follow-up ranged from one year to four and half years (mean, 2.7years). The results were as follows: Of the 24 conservatively treated group, seven had excellent; eleven good; four fair; and two poor result. Of the 44 operatively treated group, eleven had excellent; twenty seven good; five fair; and one poor result. The sum of excellent and good results in conservative and operative treatment group were 75.0% and 86.4% each other, and these were not meaningful statistically (p=0.400). Therefore, the authors recommend a conservative treatment as an effective alternative method for the intraarticular calcaneal fracture.
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Citations
Citations to this article as recorded by  - Correlation Analysis of Reduction for Intra-Articular Calcaneal Fracture and Clinical Outcomes Using Postoperative Computed Tomography
Joon-Sang Eom, Young-Deuk Joo, Seong-Jun Kim, Min-Ho Shin, Dong-Oh Lee, Hong-Geun Jung
Journal of Korean Foot and Ankle Society.2014; 18(4): 165. CrossRef - Treatment of Intra-articular Calcaneal Fractures Using Minimally Invasive Sinus Tarsi Approach in Diabetic Patients
Hong-Moon Sohn, Sang-Ho Ha, Sang-Hong Lee, Jun-Young Lee, Jeong-Ho Kim, Sang-Jun Lee
Journal of the Korean Fracture Society.2008; 21(3): 195. CrossRef
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