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Operative Treatment of Calcaneal Fracture
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Jeong Ho Park, Young Min Yoon, Young Gi Hong, Jeong Whan Son, Jae Do Kim
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J Korean Soc Fract 1996;9(2):363-368. Published online April 30, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.2.363
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 Abstract
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- In the past, the treatment of calcaneal fracture was mainly non-operative, because of its unique shape, difficulties arose in understanding the pathoanantomy of the fractures. Following to advancement in imaging techinique including CT scan, which became to evaluate fracture patterns of the calcaneal fracture more accurately, the operative treatment has been popularized.
The extensive lateral approach for intra-articular calcaneal fracture which was reported by Letournel in 1988, provides sufficent exposure of calcaneus and allows the easier reduction, rigid fixation and early mobilization.
The 11 tases of 10 patients of intra-articular fractures of calcaneus were treated with open reduction and internal fixation through extensive laterai approach form Jan.1992 to Dec. 1994. The satisfactory result were observed in 8 cases(73%) by Stephenson criteria.
It was concluded that operativa treatment will be better to the intra-articula fracture of the calcaneus than the conservative treatment.
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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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