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Tension Band Wiring Technique for Distal Radius Fracture with a Volar Articular Marginal Fragment: Technical Note
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Neunghan Jeon, Jong Keon Oh, Jae Woo Cho, Youngwoo Kim
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J Korean Fract Soc 2020;33(1):38-42. Published online January 31, 2020
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DOI: https://doi.org/10.12671/jkfs.2020.33.1.38
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 Abstract
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- Most distal radius fractures are currently being treated with anterior plating using anatomical precontoured locking compression plates via the anterior approach. However, it is difficult to fix the volar articular marginal fragment because these anatomical plates should be placed proximally to the watershed line. There were just a few methods of fixation for this fragment on medical literature. Herein, we introduced a tension band wiring technique for fixation of a volar articular marginal fragment in the distal radius.
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Brachial Plexus Neuropathy after Revision of Clavicular Fracture Nonunion: A Case Report
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Youngwoo Kim, Suk Kyu Choo, Neunghan Jeon
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J Korean Fract Soc 2020;33(1):22-26. Published online January 31, 2020
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DOI: https://doi.org/10.12671/jkfs.2020.33.1.22
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Abstract
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- We performed a revisionary open reduction and internal fixation for treating nonunion of the mid-shaft of the left clavicle with an autogenous cancellous bone graft. On postoperative day 4, the patient presented with neurologic deficits in the left upper extremity. We removed the implant and made a superior angulation to decompress the brachial plexus. At 6 months postoperatively, callus bridging and consolidation were visible and all hand and elbow functions were fully recovered. Our case suggests that brachial plexus neuropathy may be caused by stretching and compression after reduction and straightening of the nonunion site around adhesions or scar tissue. Therefore, care should be taken whether there are the risk factors that can cause brachial plexus neuropathy when revision surgery is performed for treating nonunion of a clavicle shaft fracture.
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Citations
Citations to this article as recorded by  - Arcuate osteoplasty for brachial plexus paralysis after plate fixation of mid-clavicle fracture: a case report and literature review
Dongju Shin, Jae Hwi Han
Clinics in Shoulder and Elbow.2025;[Epub] CrossRef
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