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Treatment of Fractures of the Distal Radius Using Variable-Angle Volar Locking Plate
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Jae Cheon Sim, Sung Sik Ha, Ki Do Hong, Tae Ho Kim, Min Chul Sung
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J Korean Fract Soc 2015;28(1):46-52. Published online January 31, 2015
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DOI: https://doi.org/10.12671/jkfs.2015.28.1.46
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 Abstract
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- PURPOSE
The purpose of this study is to evaluate outcome of variable-angle volar locking plate for treatment of distal radius fractures.
MATERIALS AND METHODS
We retrospectively analyzed the results in 45 cases treated by variable-angle volar locking plate. We evaluated the clinical results according to the Mayo wrist performance scoring system and radiographic results.
RESULTS
All cases had bony union. The mean Mayo wrist performance scoring system was 84.8. Between preoperative and immediate postoperative radiographic measurement, the mean radial length improved from 8.4 to 11.8 mm, radial inclination from 14.2degrees to 22.4degrees, volar tilt from -4.5degrees to 9.6degrees, and intraarticular step-off from 1.8 to 0.3 mm (p<0.05). Between immediate postoperative and latest follow-up radiographic measurements, the mean loss of radial length measured 0.8 mm, radial inclination 0.4degrees, and volar tilt 0.9degrees (p>0.05). All cases showed bone union with no evidence of malunion, nonunion, or metal failure.
CONCLUSION
Treatment of distal radius fractures using variable angle volar locking plate showed satisfactory outcomes. It is a good option to obtain stable fixation without significant loss of reduction.
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Treatment of Olecranon Fractures with Proximal Ulna Comminution Using Locking Compression Plates
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Ki Do Hong, Tae Ho Kim, Jae Cheon Sim, Sung Sik Ha, Min Chul Sung, Jong Hyun Jeon
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J Korean Fract Soc 2015;28(1):59-64. Published online January 31, 2015
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DOI: https://doi.org/10.12671/jkfs.2015.28.1.59
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Abstract
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The purpose of this study is to evaluate the clinical results of locking compression plate (LCP) fixation for olecranon fractures with proximal ulna comminution.
MATERIALS AND METHODS
We review 10 cases of olecranon fractures with proximal ulna comminution treated with LCPs from August 2011 to August 2013. Follow-up period was from 12 months to 18 months. Mean age was 63.1 years (35-84 years). According to the Mayo classification, there were eight type IIB, and two type IIIB fractures. We used Mayo classification. Clinical evaluation was performed based on radiographic union of olecranon and measurements of range of motion at last follow-up. Disability of the arm, shoulder and hand (DASH) score and Mayo elbow performance score (MEPS) were used for evaluation of functional recovery.
RESULTS
All patients had bone union. According to the MEPS, nine of ten patients had a good or excellent outcome. The mean DASH score was 18.6. All cases started postoperative range of motion (ROM) within 14 days. Elbow ROM was more than 110degrees in all cases except one. Mean radiological bony union time was 4.2 months (2.5-6.0 months) postoperatively. Complication was hardware irritation in three patients.
CONCLUSION
Internal fixation using LCP for olecranon fractures with proximal ulna comminution can be a good treatment option which obtains good clinical results and enables early ROM.
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Isolated Avulsion Fracture of the Lesser Tuberosity of the Humerus: A Case Report
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Tae Ho Kim, Ki Do Hong, Sung Sik Ha, Jae Chun Sim, Min Chul Sung
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J Korean Fract Soc 2014;27(1):72-76. Published online January 31, 2014
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DOI: https://doi.org/10.12671/jkfs.2014.27.1.72
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Abstract
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- Isolated avulsion of the lesser tuberosity of the humerus is a rare injury. The mechanism of injury is the avulsion of the lesser tuberosity from forced contractions of the subscapularis muscle when the arm is forced into an externally rotated position on shoulder abduction. Authors report a case for isolated avulsion of the lesser tuberosity of the humerus which was treated with open reduction and transosseous suture fixation, as well as a view of the literature.
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Citations
Citations to this article as recorded by  - What are the patient-reported outcomes, functional limitations, and complications after lesser tuberosity fractures? a systematic review of 172 patients
Reinier W.A. Spek, Bram J.A. Schoolmeesters, Chantal den Haan, Ruurd L. Jaarsma, Job N. Doornberg, Michel P.J. van den Bekerom
JSES International.2021; 5(4): 754. CrossRef
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Circumferential Wiring Combined with Tension Band Wiring in the Operative Treatment of Patella Fracture
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Jae Chun Sim, Sung Sik Ha, Ki Do Hong, Tae Ho Kim, Min Chul Sung
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J Korean Fract Soc 2014;27(1):65-71. Published online January 31, 2014
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DOI: https://doi.org/10.12671/jkfs.2014.27.1.65
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Abstract
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The purpose of this study is to evaluate the radiographic and clinical results of patella fractures using a circumferential wiring combined with tension band wiring.
MATERIALS AND METHODS
Between January 2005 and June 2012, 22 (male 14, female 8) patients with patella fracture treated with circumferential wiring combined with tension band wiring were analyzed retrospectively. The mean age of patients was 51 years (range, 28 to 72 years). Controlled passive range of motion exercise was started at three weeks from the postoperative day. The patients were evaluated using radiographs, clinical examination, and Levack's scoring system.
RESULTS
All fractures healed and mean time elapsed for union was 11.5 weeks (range, 10 to 14 weeks). Complete union without displacement and full range of motion was achieved in all cases. Clinical results according to Levack's scoring system were excellent in 20 cases and good in two cases. We found broken wire in one case. In this case, results of clinical evaluation after reoperation were good.
CONCLUSION
Circumferential wiring combined with tension band wiring is appropriate for patella fractures.
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Citations
Citations to this article as recorded by - Patellar fracture fixation using cannulated screws and Fiber Wire tension band
Elsayed M Bayomy, Mohamed Y Shaheen
Egyptian Orthopaedic Journal.2023; 58(1): 15. CrossRef
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