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Correlation of the Clinical Outcome and Radiographic Measurement of the Calcaneal Fractures
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Dong Eun Shin, Jin Yong Kim, Dong Bae Shin, Yong Jung Kim, Soo Hong Han, Young Je Soung
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J Korean Soc Fract 2001;14(4):698-705. Published online October 31, 2001
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DOI: https://doi.org/10.12671/jksf.2001.14.4.698
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Abstract
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- PURPOSE
To evaluate the prognostic factors associated with the clinical outcome, which analysed with use of the Pearson correlation method in AOFAS score and radiographic measurement between normal and the affected site after operative treatment of the calcaneal fractures. MATERIALS AND METHODS We evaluated 13 patients(13 cases) who had unilateral calcaneal fractures. At the latest follow-up, we calculated the mean differences of the Bohler angle, gissane angle, heel height, calcaneal width, calcaneal length, talocalcaneal angle, talar declination angle, subtalar incongruity between normal and affected site on the lateral view of ankle and tangential view of the calcaneus. And then the correlation between radiographic measurement and the clinical outcome analysed by Pearson correlation method. RESULTS Heel height(correlation coefficient = 0.827, p-value<005) and subtalar incongruity(correlation coeffidient = -0.764, p-value<0.05) were closely correlated with the clinical outcome and the B hler angle showed lower correlation coefficiency(correlation coefficiency = 0.470, p-value : 0.104) compare to the heel height. CONCLUSION We suggested that restoration of the heel height and subtalar incongruity was significantly correlated to the clinical outcome after operative treatment of the calcaneal fractures.
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- The Comparison of Radiographic Parameters and Clinical Results after Operative Treatment of Displaced Intraarticular Calcaneal Fractures
Hong Moon Sohn, Jun Young Lee, Sang Ho Ha, Sueng Hwan Jo Journal of the Korean Fracture Society.2007; 20(3): 227. CrossRef
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Distal Femoral Physeal Injury in Adolescence
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Dong Bae Shin, Yong Jung Kim, Young Soo Lee, Jun Cheol Choi, Dong Eun Shin, Jun Shik Baek
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J Korean Soc Fract 1999;12(4):1058-1064. Published online October 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.4.1058
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- The purpose of this study was to evaluate the results of distal femoral physeal injury in adolescence after various treatment 5 which had been performed for the last 4 years. This study consisted of 9 distal femoral physeal fractures from August 1993 to May 1996. Average length of follow up was 21 months. We evaluated the functional status such as range of motion, instability, pain and sports activity. They showed no abnormalities. We also assessed the lateral distal femoral angle, mechanical axis deviation, femorotibial angle and leg length discrepancy using orthoradiogram. 4 Cases showed the lateral distal femoral angle differences(more than 5), 7 cases showed the mechanical axis differences(average : 11.8mm), 6 cases showed the remorotibial angle differences(average : 5.8) and 6 cases showed the leg length discrepancy(average : 4.6mm). So we carefully concluded that the adequacy of the reduction is the most important prognostic factor and there are some problems in radiological angle difference despite the anatomical reduction.
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Clinical Application of Halo-Vest Apparatus in Cervical Spine Lesions
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Yung Tae Kim, Yong Jung Kim, Ho Seung Lee
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J Korean Soc Fract 1995;8(1):262-268. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.262
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Abstract
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- Halo-vest apparatus has the mechanical advantages that provides immediate cervical stabilization and can afford the diagnostic work-up for the acute cervical spine injuried patients, and does not interfere with MRI test. Furthermore, we can take the reduction of the dislocation by controlling it in any plane.
Especially it is effective in conseuative treatment in upper cervical lesion without neurologic deficit or patient with high risk of operation.
We put on the Halo-vest apparatus in seventeen patients with cervical spine lesion. There were fifteen cases of fracture-dislocation, one case of pathologic fracture, and one case of tuberculous spondylitis. The lesion site were upper ceuical in ten cases and others were lower cervical lesion. Three cases were undergone surgical intervention and were fixed with Halo-vest apparstus for further stabilization. We could get the external fixation for the unstable cervical lesion after several segment fusion. Initial immobilization were undertaken with Gardner well tong, Halter or Halo treation for 1.6 weeks in average. They were changed to Halo-vest apparatus for further immobilization and concomitant ambulation. Halo-vest apparatus were put on for 10.2 weeks to get solid bony union. After then other conventional brace were worn such as neck collar,S.0.M.I., four-poster or Philadelphia brace.
The complications were one case of pin loosening, and three cases of pin tract infection.
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