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Percutaneous K-wire fixation for Unstable Fracture of distal radius
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Chol Yong Jung, Young Chan Son, Jun Bum Bae, Moon Do Choi
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J Korean Soc Fract 2000;13(4):996-1002. Published online October 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.4.996
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Abstract
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To evaluate the clinical validity of the percutaneous K-wire fixation in applying to unstable extraarticular fracture of distal radius of patients who are older than 50 years.
MATERIAL AND METHODS: The validity of K-wire fixation was examined, using subjective study of Cole and Oblelz and objective study of Scheck, on the 20 cases of unstable extraarticular fracture of distal radius of patients older than 50 years, who were treated with percutaneous K-wire fixation and followed up more than 1 year, out of 160 patients with distal radius fracture, treated in the department of orthopedic surgery of our hospital from January 1994 to August 1998. RESULTS The result was examined with subjective study of Cole and Oblelz and objective study of Scheck. Combined judgement was made by adding up the scores of both objective and subjective study. 5 excellent cases and 12 good cases were brought forth by subjective study. Objective study achieved the result of average 18 degree of radial angle, 9.8mm of radial length and 3.6 degree of volar angle. Combined judgement achieved a good result of 3 excellent cases, 14 good cases and 3 fair cases. CONCLUSION Percutaneous K-wire fixation is expected to be a simple, less invasive, more effective and valuable operation method in the treatment of extraarticular fracture of distal radius with severe comminution
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Percutaneous Pinning & External Fixation In the Treatment of Proximal Humerus Fracture
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Jeong Ho Park, Sung Woon Choi, Young Chan Son, Young Gi Hong, Jeong Hwan Son, Jae Do Kim
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J Korean Soc Fract 1995;8(1):152-158. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.152
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Abstract
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- The management of displaced fractures of the proximal humerus is still under debate and the need to evaluate alternative methods has been emphasised. We treated the displaced, unstable 2-part or 3-part fractures by percutaneous pinning or external fixation after closed reduction to reduce the complications of open reduction such as soft tissue contracture, articular stiffness, neurovascular injury and potential non-union.
In this paper, we analysed 8 cases of proximal humeral fractures treated by percutaneous pinning and external fixation from Sep. 1992 to Mar. 1994. The results were excellent ; 3 cases, satisfactory; 3 cases, and unstisfactory; 2 cases but no ftilures by the criteria for evaluation of Neer.
We concluded that percutaneous pinning or external fixation of displaced, unstable 2-part or 3-part fractures is one of the good methods of treatment.
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