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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

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3 "Yu Jin Kim"
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Original Articles
Demographic and Radiographic Parameters as Predictors of Reduction Loss after Conservative Treatment of Distal Radius Fractures in Adults
Kyu Jin Kim, Dae Won Shin, Seong Kee Shin
J Korean Fract Soc 2023;36(2):45-51.   Published online April 30, 2023
DOI: https://doi.org/10.12671/jkfs.2023.36.2.45
AbstractAbstract PDF
Purpose
This study examined the demographic and radiological risk factors for later reduction loss of distal radius fractures treated conservatively. Materials and Methods This study enrolled patients treated for distal radius fractures between January 2017 and December 2019. Seventy-eight patients were included in the analysis and divided into two groups. The patients who showed minimal reduction loss within an acceptable radiologic angle after initial manual reduction were classified as Group A. The patients who showed reduction loss out of an acceptable radiologic angle and finally malunited or converted to surgical treatments were classified as Group B. The patient’s age and bone marrow density were used as demographic data. The initial X-ray images were evaluated to determine the fracture type. Various radiological parameters were measured. Results The 78-patient study cohort consisted of nine men and 69 women with a mean age of 67 years. Forty-eight cases were sorted into Group A, and 30 cases into Group B. On logistic regression analysis, the age of 80 or older was a risk factor for later fracture displacement among the demographic factors (p=0.037, odds ratio=4.937). Among the radiographic factors, the presence of distal ulnar fracture and dorsal cortical comminution were disclosed as risk factors of later displacement (p=0.049, 0.003, odds ratio=3.429, 7.196). Conclusion When conservative management for distal radius fracture is decided in patients more than 80 years of age or accompanied by a distal ulnar fracture or with dorsal cortical comminution, the possibility of later displacement of the distal radius should be considered.
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Modified Phemister Technique with Tension Band Wiring in Acromioclaviculr Joint Dislocation
Yu Jin Kim, Hun Kyu Shin, Ji Won Lee
J Korean Fract Soc 2006;19(4):431-436.   Published online October 31, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.4.431
AbstractAbstract
PURPOSE
To evaluate the clinical and radiological result of surgical treatment of acromioclavicular joint dislocation, using modified Phemister technique with tension band wiring.
MATERIALS AND METHODS
We chose 17 patients who were able to follow up 1 year or more among the patients who were diagnosed as acromioclavicular joint dislocation in our hospital through January 2000 to Feburary 2005 and took modified Phemister technique with tension band wiring. Evaluation of the surgical results was done with the condition of pain, activity of daily living, range of motion, muscle tone by constant score system, and with preoperative, postoperative and last follow up radiographs.
RESULTS
Clinical evaluation was average 92 point by Constant score system from 84 point to 100 point. Subjective evaluation was 11 excellent (65%), 6 good (35%). Radiological evaluation was 9 excellent (54%), 6 good (38%), 2 fair (12%), and no poor group. On the final follow up, two cases showed inflammatory reaction at where pins were inserted, but after the removal of the pins, the inflammation was subsided.
CONCLUSION
The modified Phemister surgery for acromioclavicular dislocation is one of effective techniques, we can obtain firm fixation, exercise full range of motion early and there is no complication of re-dislocation.
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Primary Subtalar Arthrodesis for the Treatment of Intra-articular Calcaneal Comminuted Fractures
Hong Geun Jung, Yu Jin Kim, Suk Ha Jeon
J Korean Fract Soc 2006;19(4):418-423.   Published online October 31, 2006
DOI: https://doi.org/10.12671/jkfs.2006.19.4.418
AbstractAbstract
PURPOSE
To evaluate the functional outcomes of the severely comminuted intra-articular calcaneal fractures that were selectively treated with primary subtalar arthrodesis.
MATERIALS AND METHODS
This study is based on the 9 patients, 10 feet of intra-articular severely comminuted calcaneal fractures that were treated with open reduction and internal fixation with primary subtalar arthrodesis due to inability to reconstruct the subtalar articular surface with follow-up of more than 1 year. Postoperative clinical evaluation was performed with AOFAS Hindfoot functional scores. The patient satisfaction, returning to previous occupation and complications were also investigated.
RESULTS
Follow-up period was average 20.3 months. Overall AOFAS functional score at final follow-up was average 71.8 points and VAS pain score was 3.9. Fifty percent of the patients were satisfied with the surgery and 80% of the patients were able to return to their previous occupations at average 8.4 months after trauma. Post-operative complications were 2 cases of sural nerve injuries and 1 hindfoot valgus malunion.
CONCLUSION
We concluded that the primary subtalar arthrodesis is a viable surgical option for severely comminuted calcaneal fractures with favorable functional result and early returning of most patients to their previous occupations.

Citations

Citations to this article as recorded by  
  • Joint-Sparing Surgical Management of Sanders IV Displaced Intra-Articular Calcaneal Fractures
    Thomas S. Roukis
    Clinics in Podiatric Medicine and Surgery.2019; 36(2): 251.     CrossRef
  • Comparative Study of Open Reduction and Internal Fixation and Primary Subtalar Arthrodesis for Sanders Type 4 Intra-Articular Calcaneal Fractures
    Seung Hun Woo, Hyung-Jin Chung, Su-Young Bae, Sun-Kyu Kim
    Journal of the Korean Orthopaedic Association.2017; 52(1): 49.     CrossRef
  • Bilateral Open Transcalcaneal Fracture with Talonavicular Dislocation - A Case Report -
    Hun Park, Sung Jin Shin, Sang Rim Kim, Kwang Woo Nam, Sung Wook Choi, Kyu Bum Seo, Jun Young Seo
    Journal of the Korean Fracture Society.2011; 24(1): 87.     CrossRef
  • Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture
    Myung Jin Lee, Sung Keun Sohn, Kyu Yeol Lee, Sung Soo Kim, Min Soo Kang, Hyeon Jun Kim, Sang Kyu Sun
    Journal of the Korean Fracture Society.2010; 23(3): 303.     CrossRef
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J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
© The Korean Fracture Society.
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