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Complications of Hand Fractures and Its Prevention
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Jong Woo Kang
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J Korean Fract Soc 2024;37(1):46-51. Published online January 31, 2024
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DOI: https://doi.org/10.12671/jkfs.2024.37.1.46
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Abstract
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- Complications of hand fractures occur regardless of the methods used for their treatment. The treatment is also challenging. The most common and troublesome complications of hand fractures are malunion, finger stiffness, and consequent functional impairment. Early recognition and meticulous treatment of these complications is essential for improvement in hand function and satisfaction. Most of all, surgeons should clearly understand that prevention of complications is the easiest way to ensure a satisfactory outcome in hand fractures.
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Current Concepts of Bone Healing
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Dong Hun Suh, Bong Mo Koo, Jong Woo Kang
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J Korean Fract Soc 2020;33(3):171-177. Published online July 31, 2020
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DOI: https://doi.org/10.12671/jkfs.2020.33.3.171
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Abstract
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- Bone injuries induce an inflammatory response that promotes bone healing. On the other hand, an aberrant process, where inflammation becomes chronic, can inhibit the healing of injured bone. At the first stage of the bone healing process, inflammatory cells, such as neutrophils and macrophages, are assembled and secrete various cytokines, chemokines, and growth factors. During callus formation, cells differentiated from mesenchymal stem cells, such as osteoblasts and chondrocytes, play leading roles in bone healing. Currently, various treatment modalities have been developed through the known mechanism of bone healing, and the clinical outcomes of bone defect and fracture nonunion have been good.
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