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Tension Band Wiring Technique for Distal Radius Fracture with a Volar Articular Marginal Fragment: Technical Note
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Neunghan Jeon, Jong Keon Oh, Jae Woo Cho, Youngwoo Kim
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J Korean Fract Soc 2020;33(1):38-42. Published online January 31, 2020
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DOI: https://doi.org/10.12671/jkfs.2020.33.1.38
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 Abstract
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- Most distal radius fractures are currently being treated with anterior plating using anatomical precontoured locking compression plates via the anterior approach. However, it is difficult to fix the volar articular marginal fragment because these anatomical plates should be placed proximally to the watershed line. There were just a few methods of fixation for this fragment on medical literature. Herein, we introduced a tension band wiring technique for fixation of a volar articular marginal fragment in the distal radius.
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Brachial Plexus Neuropathy after Revision of Clavicular Fracture Nonunion: A Case Report
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Youngwoo Kim, Suk Kyu Choo, Neunghan Jeon
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J Korean Fract Soc 2020;33(1):22-26. Published online January 31, 2020
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DOI: https://doi.org/10.12671/jkfs.2020.33.1.22
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Abstract
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- We performed a revisionary open reduction and internal fixation for treating nonunion of the mid-shaft of the left clavicle with an autogenous cancellous bone graft. On postoperative day 4, the patient presented with neurologic deficits in the left upper extremity. We removed the implant and made a superior angulation to decompress the brachial plexus. At 6 months postoperatively, callus bridging and consolidation were visible and all hand and elbow functions were fully recovered. Our case suggests that brachial plexus neuropathy may be caused by stretching and compression after reduction and straightening of the nonunion site around adhesions or scar tissue. Therefore, care should be taken whether there are the risk factors that can cause brachial plexus neuropathy when revision surgery is performed for treating nonunion of a clavicle shaft fracture.
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The Surgical Outcome of Unstable Distal Clavicle Fractures Treated with 2.4 mm Volar Distal Radius Locking Plate
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Suk Kyu Choo, Ji Ho Nam, Youngwoo Kim, Hyoung Keun Oh
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J Korean Fract Soc 2015;28(1):38-45. Published online January 31, 2015
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DOI: https://doi.org/10.12671/jkfs.2015.28.1.38
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- PURPOSE
This study evaluated the surgical outcomes of unstable distal clavicular fractures treated with a 2.4 mm volar distal radius locking plate.
MATERIALS AND METHODS
From August 2009 to August 2012, 16 patients with distal clavicle fractures underwent surgical treatment. Mean age was 36 years (18-62 years) and mean follow-up period was 12.9 months (6-32 months). Two cases were Neer type I, six cases IIa, three cases IIb, three cases III, and two cases V. For the radiologic assessment, union time and metal failure were evaluated, and coracoidiologic assessment, union time and metal failure were evaluatethe acromioclavicular joint. The clinical results were evaluated by range of motion, postoperative complication, and University of California at Los Angeles (UCLA) score.
RESULTS
Mean time to fracture union was 7.4 weeks (6-14 weeks) in all cases. No statistical difference in coracoid-clavicle distance was observed between immediate post-operation group and contra-lateral group (p=0.6), but an increase of 2.1 mm was observed in the last follow up group compared with the contra-lateral group (p<0.01). The UCLA scoring system showed excellent results in 15 cases and good results in one case. Acromial-clavicle instability occurred in one case so that metal removal and distal clavicle resection were performed.
CONCLUSION
A 2.4 mm volar distal radius locking plate can provide rigid fixation through several screw fixation in the short distal fragment and lead to satisfactory clinical outcomes in unstable distal clavicular fractures.
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Citations
Citations to this article as recorded by  - Estudo retrospectivo da placa anterior superior como tratamento para fraturas instáveis da clavícula distal (tipo 2 de Neer)
Syed Ibrahim, Jimmy Joseph Meleppuram
Revista Brasileira de Ortopedia.2018; 53(3): 306. CrossRef - Retrospective study of superior anterior plate as a treatment for unstable (Neer type 2) distal clavicle fractures
Syed Ibrahim, Jimmy Joseph Meleppuram
Revista Brasileira de Ortopedia (English Edition).2018; 53(3): 306. CrossRef
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