Journal of Musculoskeletal Trauma

The Usefulness of Non-operative Treatment of Distal Radius Fracture in Elderly Patients: Ki Ser Kang, Han Jun Lee, Sang Hak Lee; J Korean Fract Soc 2004;17(4):345-349. Published online October 31, 2004; DOI: https://doi.org/10.12671/jkfs.2004.17.4.345

Abstract PDF: PURPOSE
To disclose the correlation between the functional and radiologic results of the treatment of distal radius fracture in elderly patients by non-operative versus operative treatment.
MATERIALS AND METHODS
From January 1995 to December 2000, 36 patients, more than 60 years old with fractures of distal radius were treated and followed up for more than one year. We classified them using the Fernandez classification and evaluated functional and radiological results according to the subjective point system of Cole & Obletz and objective evaluation by Scheck.
RESULTS
In functional result, excellent to good results were obtained in 12 cases (71%) in the non-operative group and 14 cases (74%) in the operative group, there were no evidence of statistical difference between two groups (p>0.05). In radiographic results, mean radial inclination, loss of radial length and volar tilt were 13degree, 12.3 mm, 7.2degrees in the non-operative goup and 5.2degrees, 5.1 mm, 3.3degrees in the operative group on last follw-up radiographs, there were evidence of statistical difference between two groups (p<0.05).
CONCLUSION
Operative treatment is radiographically better result in distal radius of elderly patients but functional satisfaction is not significantly related with radiographic result. When we decide the treatment of elderly patients, non-operative treatment can be useful method, considering with patient's age and activity status.

90 View
0 Download

Treatment of Clavicle Fracture : Operative vs Non-operative: Seok Whan Song, Hwa Sung Lee, Young Kyun Woo, Seung Koo Rhee, Young Yul Kim; J Korean Soc Fract 2000;13(3):544-549. Published online July 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.3.544

INTRODUCTION: The purpose of this study was to compare the final results of the patients of the clavicle fractures, treated with the conservative or surgical techniques.
MATERIALS AND METHODS
125 patients (over 15 years old, follow-up over 6 months) were reviewed. To measure the amount of shortening of the fractured clavicle, the length of clavicle was measured from the mid-point of the medial end to the lateral. Range of motion of shoulder, evaluation of functional results and subjective satisfaction, and complications were assessed.
RESULTS
In the surgical treatment group, the period of bony union was short and the shortening of the final length of the fractured clavicle, although there was no statistical significance, was rare. Overall satisfaction for the final result and range of motion of the shoulder were not significantly different between the groups. Complication rates were higher in the conservative treatment than in the surgical.
CONCLUSIONS
In most cases of the clavicle fracture, the operative treatment is recommended to decrease the complications, to shorten the treatment period, to satisfy the patients, and probably to decrease the economical burden.

Citations

Citations to this article as recorded by

Progressive Brachial Plexus Palsy after Fixation of Clavicle Shaft Nonunion: A Case Report
Hong-Ki Jin, Ki Bong Park, Hyung Lae Cho, Jung-Il Kang, Wan Seok Lee
Journal of the Korean Fracture Society.2019; 32(2): 97. CrossRef

130 View
0 Download
1 Crossref

Non-operative Treatment of Fracture of Distal Radius in Adults: Sang Won Park, Ki Hoon Kang, Ki Hong Lee; J Korean Soc Fract 1999;12(1):153-161. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.153

Abstract PDF: The authors analysed ninety-five cases of fracture of distal radius in adults with non-operative treatment followed for more than one year at Korea University Hospital from January 1991 to December 1996 to evaluate the clinical results according to the types of fracture by Fernandez classification and the methods of non-operative treatment. The results obtained were as follows ; 1. Methods of treatment were closed reduction and cast immobilization in 51 cases(53.7%) and closed reduction and percutaneous pinning in 44 cases(46.3%). 2. In a group treated with closed reduction and cast immobilization, the results of subjective evaluation were excellent in 3.9%, good in 47.1%, fair in 45.1% and poor in 3.9%, and the results of objective evaluation were good in 42.8%, fair in 36.5%, and poor in 20.7%. 3. In a group treated with closed reduction and percutaneous pinning, the results of subjective evaluation were excellent in 6.8%, good in 54.5%, fair in 29.5% and poor in 9.2%, and the results of objective evaluation were excellent in 15%, good in 46.6%, fair in 35%, and poor in 3.4%. 4. The results of subjective evaluation according to fracture type were excellent and good in 91.3% of type I, 42.1% of type II, and 10% of type III, and the results of objective evaluation were excellent and good in 78.3% of type I, 52.6% of type II, and 3.5% of type III. 5. The results of subjective and objective evaluation were not satisfactory in patients older than seventy years old. Above results suggest that the clinical results of non-operative treatment were not satisfactory in type III, therefore external fixation or operative treatment is recommended.

109 View
0 Download

Non-operative Treatment of Fracture of Distal Radius in Adults: Sang Won Park, Ki Hoon Kang, Ki Hong Lee; J Korean Soc Fract 1999;12(1):145-152. Published online January 31, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.1.145

Abstract PDF: The authors analysed ninety-five cases of fracture of distal radius in adults with non-operative treatment followed for more than one year at Korea University Hospital from January 1991 to December 1996 to evaluate the clinical results according to the types of fracture by Fernandez classification and the methods of non-operative treatment. The results obtained were as follows ; 1. Methods of treatment were closed reduction and cast immobilization in 51 cases(53.7%) and closed reduction and percutaneous pinning in 44 cases(46.3%). 2. In a group treated with closed reduction and cast immobilization, the results of subjective evaluation were excellent in 3.9%, good in 47.1%, fair in 45.1% and poor in 3.9%, and the results of objective evaluation were good in 42.8%, fair in 36.5%, and poor in 20.7%. 3. In a group treated with closed reduction and percutaneous pinning, the results of subjective evaluation were excellent in 6.8%, good in 54.5%, fair in 29.5% and poor in 9.2%, and the results of objective evaluation were excellent in 15%, good in 46.6%, fair in 35%, and poor in 3.4%. 4. The results of subjective evaluation according to fracture type were excellent and good in 91.3% of type I, 42.1% of type II, and 10% of type III, and the results of objective evaluation were excellent and good in 78.3% of type I, 52.6% of type II, and 3.5% of type III. 5. The results of subjective and objective evaluation were not satisfactory in patients older than seventy years old. Above results suggest that the clinical results of non-operative treatment were not satisfactory in type III, therefore external fixation or operative treatment is recommended.

45 View
0 Download

Search