Journal of Musculoskeletal Trauma

Original Articles

Postoperative Functional Assessments in Adult Humerus Shaft Fractures -Comparison Among Plates and Screws, Intramedullary Nail and External Fixator-: Sang Wook Bae, Woo Jin Kim, Baik Young Song, Nam Hong Choi, Jeong Hoon Lee; J Korean Soc Fract 2001;14(2):228-235. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.228

PURPOSE
To assess postoperative functional outcomes among plates, intramedullary nails and external fixators in adult humeral shaft fractures, including limitation of motion in shoulder and elbow, pain in activities of daily living. MATERIAL AND METHODS: 24 cases treated with plates and screws, 19 cases with antegrade intramedullary nails and 13 cases with external fixators were analyzed in terms of limitation of motion, postoperative pain and activities in daily living.
RESULTS
There was no statistical difference in the range of motion of shoulder and elbow among three groups. VAS(visual analogue scale) which expressed postoperative pain in the affected site was lowest in the group treated with plates and screws. ASES score(American shoulder and elbow surgeons'score) which expressed the activities of daily living was investigated the highest in the group treated with plates and screws, and the differences of VAS and ASES score among three groups have statistical significances.
CONCLUSION
The most satisfactory results were obtained in the group treated with plates and screws.

Citations

Citations to this article as recorded by

Minimal Invasive Plate Osteosynthesis versus Conventional Open Plating in Simple Humeral Shaft Fracture (AO Type A, B1, B2)
Boseon Kim, GwangChul Lee, Hyunwoong Jang
Journal of the Korean Fracture Society.2017; 30(3): 124. CrossRef
Minimally Invasive Plate Osteosynthesis Using a Screw Compression Method for Treatment of Humeral Shaft Fractures
Sang-Hun Ko, Jae-Ryong Cha, Chae Chil Lee, Yong Tae Joo, Kyeong Su Eom
Clinics in Orthopedic Surgery.2017; 9(4): 506. CrossRef
Comparative Analysis of the Result of Minimally Invasive Anterior Plating and Open Reduction and Internal Fixation in Humerus Shaft Simple Fracture
Sang-Hun Ko, Chang-Gyu Choe, Ju-Hyung Lee
Clinics in Shoulder and Elbow.2015; 18(2): 75. CrossRef
The Treatment of Humerus Shaft Simple Fracture by MIPO Technique
Sang-Hun Ko, Sun-Ho Lee, Bum-Keun Cho
The Journal of the Korean Shoulder and Elbow Society.2013; 16(1): 27. CrossRef
A Separate Approach and Cephalo-Diaphyseal Plate Fixation for the Comminuted Metadiaphyseal Fractures of the Proximal Humerus
Sung-Weon Jung
Journal of the Korean Fracture Society.2013; 26(1): 8. CrossRef
Surgical Treatment of Pathologic Humeral Fracture
Ho Jung Kang, Byoung Yoon Hwang, Jae Jeong Lee, Kyu Ho Shin, Soo Bong Hahn, Sung Jae Kim
Journal of the Korean Fracture Society.2010; 23(2): 187. CrossRef
Result of Interlocking Intramedullary Nailing for Humeral Shaft Fracture Evaluation of Post-operative Shoulder Function
Seung Rim Park, Tong Joo Lee, Ryuh Sub Kim, Kyoung Ho Moon, Dong Seok You
Journal of the Korean Fracture Society.2007; 20(2): 166. CrossRef

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The Treatment of Danis-Weber Type B Fractures of the Distal Fibula by Multiple Kirschner Wires Fixation: Ho Yoon Kwak, Baik Young Song, Sang Wook Bae, Nam Hong Choi, Jin Young Kim; J Korean Soc Fract 2000;13(3):529-536. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.529

Abstract PDF

PURPOSE
To evaluate the accuracy of reduction and stability of fixation according to different methods of internal fixation for the Danis-Weber classification type B fractures of the distal fibula. MATERIAL AND METHODS: Seventy-three cases with follow up of average 13 months were divided into three groups: plate fixation(Group I, 36), more than two lag screws fixation (Group II, 13) and multiple K wires fixation with less than one lag screw(Group III, 24). We measured the bimalleolar angle and axial displacement of the fracture ends for radiographic evaluation, and used the Meyer's classification for clinical evaluation.
RESULTS
There was significant difference of postoperative fibular shortening between group I(0.44mm) and III(0.17mm) on the anteroposterior view(p=0.003), but no difference of it on the lateral view. The changes of bimalleolar angle and the increment of fibular shortening showed no significant difference among three groups.
CONCLUSION
Multiple K wires fixation combined with less than one lag screw for Danis-Weber type B fractures of distal fibula demonstrated that it provides accurate reduction and stable internal fixation.

Citations

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Posterior Plating in Distal Fibular Fracture
Choong-Hyeok Choi, Young-A Cho, Jae-Hoon Kim, Il-Hoon Sung
Journal of the Korean Fracture Society.2007; 20(2): 161. CrossRef

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