Journal of Musculoskeletal Trauma

Original Articles

Treatment of Isolated Lateral Malleolar Fractures Using Locking Compression Plate Fixation and Tension Band Wiring Fixation: Woojin Shin, Seondo Kim, Jiyeon Park; J Korean Fract Soc 2020;33(1):16-21. Published online January 31, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.1.16

Abstract PDF: PURPOSE
The purpose of this study was to compare the clinical and radiological outcomes of locking compression plate (LCP)-screw fixation and tension band wiring (TBW) fixation in isolated lateral malleolar fractures.
MATERIALS AND METHODS
From May 2016 to August 2018, 52 patients with isolated lateral malleolar fracture were retrospectively reviewed. They were divided into 30 cases of the LCP fixation group (Group I) and 22 cases of the TBW fixation group (Group II). The clinical and radiological results of those groups were compared. Pearson chi-square tests and independent t-tests were used in the statistical analysis.
RESULTS
The mean length of the surgical incision was 8.3 cm in Group I and 4.9 cm in Group II. Radiological union was obtained at a mean of 8.4 weeks in both groups. The mean American Orthopaedic Foot and Ankle Society score was 90 (range, 85â€“97) and 92 (range, 85â€“100) in Groups I and II, respectively, at the last follow up.
CONCLUSION
Both the LCP-screw and TBW techniques revealed excellent results in isolated lateral malleolar fractures. The tension band technique may be a fine alternative method of fixation in the treatment of isolated lateral malleolar fracture.

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Radiation Exposure from Fluoroscopy during Orthopaedic Surgical Procedures: Su Young Bae, Jong Oh Kim, Jae Doo Yoo, Seong Yong Yoon, Jin Won Jang; J Korean Soc Fract 2001;14(4):792-798. Published online October 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.4.792

PURPOSE
The aim of this study was to evaluate the radiation dose administered in orthopedic operative procedures and to determine whether all operation room personnel must use the lead protector.
MATERIALS AND METHODS
From March 2001 to May 2001, sixty six orthopedic operations were done with fluoroscopic intensifier(Series 9600TM, OEC Medical Systems Inc.). The accumulative exposure doses of operator, 1st assist, scrub nurse, circulating nurse and anesthesiologist were assessed by TLD(Thermo luminescence dosimeter) and compared with the dose limit set by the KINS(Korea Institute of Nuclear Safety). The exposure times and doses were evaluated in each cases and analyzed according to the each procedure. The exposure doses were assessed by the distance (Om, 0.5m, 1m, 2m) from the fluoroscopic generator.
RESULTS
Accumulative exposure doses(3 months) were checked 1.37mSv in operator, 1.73mSv in 1st assist, 0.17mSv in scrub nurse, 1.01mSv in circulating nurse, 0.01mSv in anesthesiologists and all doses were lower than dose limit set by the KINS(12.5mSv). Low exposure was checked in procedure of hand, ankle, cervical spine but high exposure was checked in IM nailing of femur(one way Anova with postHoc test, p<0.05). The exposure doses were decreased with the distance and exposure dose out of 1m was minimal.
CONCLUSION
Radiation is higher in IM nailing procedure but the total accumulative doses were safe especially in personnel who can fall apart from the operation field more than lm. So, we conclude that the lead protector is not essential to the all operation room personnel.

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Radiation exposure and fluoroscopically-guided interventional procedures among orthopedic surgeons in South Korea
Seonghoon Kang, Eun Shil Cha, Ye Jin Bang, Teresa W. Na, Dalnim Lee, Sang Youn Song, Won Jin Lee
Journal of Occupational Medicine and Toxicology.2020;[Epub] CrossRef

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