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Original Articles
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Clinical Investigation of the Proximal Humerus Fracture
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Chang Ju Lee, Won Ho Cho, Ho Guen Chang, Soo Joong Choi, Byung Il Min, Yong Jee Park
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J Korean Soc Fract 1992;5(2):334-341. Published online November 30, 1992
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DOI: https://doi.org/10.12671/jksf.1992.5.2.334
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Abstract
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- Proximal humerus fractures respond satisfactorily to conservative treatment, but in old age group, there are difficulties in managing it. So we analyzed 42 cases of proximal humerus fractures according to age and the method of treatment. The results were as follows; 1. Eighteen one part fractures were treated conservatively except one case and show satisfactory result except one.
2. Fifteen two-part fractures were treated by open reduction except one case and show satisfactory result except one. 3. Six three-part fractures were treated by open reduction in all cases and show satisfactory result except one. 4. Three four-part fractures were treated by open reduction or total shoulder arthroplastT 2. respectively in two ceses and show satisfactory result except one.
5. In old age group. loosenings of plate and screws were found in 2 cases. 6. In young age group, loosening of plate and screws was not found. 7. Tension band wire was not related loosening of wire in all cases.
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Avascular Necrosis After the Fracture of the Neck of the Talus
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Chang Ju Lee, Won Ho Cho, Ho Guen Chang, Byung Il Min
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J Korean Soc Fract 1989;2(2):194-201. Published online November 30, 1989
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DOI: https://doi.org/10.12671/jksf.1989.2.2.194
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Abstract
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- Avascular necrosis was a frequent complication of the fracture of the neck of the talus. Hawkins described a subchondral radiolucency visible in the body of the talus six to eight weeks after fracture.
This sign has proved to be a useful objective prognostic sign; the presence of this sign would not undergo avscular necrosis.
In eleven patients, serial roetgenograms were examined for this phenomenon. The results were as follows: 1. Six fractures that had the Hawkins sign did not undergo avascular necrosis.
2. Also, we experienced two cases of partial Hawkins sign which developed the partial avascular necrosis.
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