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Arthroscopically Assisted Fixation of Intraarticular Distal Radial Fractures
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Won Young Lee, Byung Mun Park, Dae Eu Lim, Kyung Sub Song, Jung Woo Hong
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J Korean Soc Fract 2003;16(3):399-406. Published online July 31, 2003
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DOI: https://doi.org/10.12671/jksf.2003.16.3.399
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 Abstract
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- PURPOSE
To investigate the results of arthroscopically assisted reduction of intraarticular fracture of distal radius with percutaneous K-wires and external fixation.
MATERIALS AND METHODS
We reviewed 12 intraarticular distal radial fractures of 11 patients treated arthroscopically assisted reduction in Orthopedic Department of Sung-Ae hospital between January, 2001 and August, 2001. The mean length of follow-up was 14 months. Analysis of them revealed that B3 was 1 case, C2 4 cases and C3 7 cases according to the AO classification. All cases were treated by 2.7 mm arthrosopic devices and percutaneous K-wires pinning with external fixation, but additionally invasive reductional technique was not used. We removed the osteochondral flap in the joint space and detected the carpal ligaments and triangular fibrocartilage complex tears but not treated. The K-wires were removed at 4 weeks, external fixation was 7 weeks, respectively.
RESULTS
The mean active range of movement in the affected wrist was total arc of the flexion-extension 72% of the opposite side. Radiographically mean volar tilt, radial inclination and radial length were 5.7 degrees, 22.4 degrees, and 12.3 mm. The mean articualar step-off was 2 mm or less. Post-operative compartment syndrome and fracture collapse were not occured during follow-up period.
According to the Gartland and Werley demerit-point system, eleven cases were a excellent or good and one was a fair result.
CONCLUSION
Arthroscopically assisted fixation is a useful method for reducing the soft tissue injuries and preventing the articular surface incongruency by anatomically reduction in cases of intraarticular comminution.
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Citations
Citations to this article as recorded by  - Arthroscopic Repair for Traumatic Peripheral Tear of Triangular Fibrocartilage Complex
Seung-Ju Jeon, Chan-Sam Moon, Ho-Seung Jeon, Haeng-Kee Noh, Sung-Hwan Kim
Journal of the Korean Fracture Society.2007; 20(4): 330. CrossRef
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Treatment of Childrens Ankle Fractures
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Byeong Mun Park, Soo Bong Hahn, Hyun Woo Kim, Won Young Lee
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J Korean Soc Fract 1995;8(2):378-385. Published online April 30, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.2.378
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Abstract
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- Childrens ankle fractures induce angular deformity, limb-length discrepancy, or incongruity of the joint surface unless anatomical reduction of the epiphsyeal plate and articular surface have failed.
We made a retrospective study for the result of 20 cases of childrens ankle fractures which had been treated at Yonsei University College of Medicine from Jan. 1989 to June 1993. The age ranged from 6 to 15 years and the mean was 11.8 years old. Most of them had got traffic accident (14 cases, 70%). According to the Dias and Tachdj inns classification, pronation-eversion-external rotation injuries were 9 cases(45%) and supination and inversion inju.ies were 7 cases(35%). According to the Salter-Harris classification, type II were 13 cases(65%) and type III were 6 cases(30%). Sixteen cases were treated by gentle closed reduction and plaster cast. Four cases were treated by open reduction and internal fixation. Among the cases which had underwent closed reduction, 2 cases of angular deformity, one case of angular deformity with limb length discrepancy and one case of incongruity of joint surface were found. One case was treated with Ilizarov external fixation for the correction of angular deformity.
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