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Original Articles
Comparison of degrees of Depression Between Simple X-ray and MRI in Tibial Plateau Fracture
S W Suh, H C Lim, C Y Huh, W N Moon, D Park, M P Hong
J Korean Soc Fract 2002;15(2):146-151.   Published online April 30, 2002
DOI: https://doi.org/10.12671/jksf.2002.15.2.146
AbstractAbstract PDF
PURPOSE
The purpose is to analyze the efficacy of the MR images in the diagnosis and the treatment of the tibial plateau fracture, by comparing the amount of depression in the plain radiograph and in the MR images.
MATERIALS AND METHODS
Both the MRI and the plain radiograph were performed in 14 patients from 1997 to March 2001. The Schatzker-fracture type and the amount of joint depression were measured and compared in the plain radiograph and the MR images.
RESULT
In the Schatzker's classification, both type I and II were largest in number. The average amount of joint depression was measured as 1.8 mm by plain radiograph and 5.5 mm by MRI, so the difference was measured as 3.7 mm.
CONCLUSION
In some cases the joint depressions were more than 3 mm by measuring in the MRI, even though the amount of joint depressions were much less by measuring in the plain radiograph. After measuring with MRI, the indication of the surgery may be expanded. In conclusion, as MRI in the tibial palteau fractures can give precise information of the amount and the position, it may help the prediction of the surgical indication and prognosis.

Citations

Citations to this article as recorded by  
  • Investigation Records of Each Tools Including ‘Nine Classical Acupuncture’ in Korean Classical Historical Books and Medical Books: A Study Based on an Electronic Database in Korea
    Hongmin Chu, Jaehoon Choi, Hyocheong Chae, Joohyun Lee, Myungseok Ryu
    Journal of Korean Medical Society of Acupotomology.2022; 6(1): 8.     CrossRef
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Treatment of fractures of the Distal Radius with External Fixator
C Y Huh, J R Yoon, H S Ha
J Korean Soc Fract 1999;12(4):995-1002.   Published online October 31, 1999
DOI: https://doi.org/10.12671/jksf.1999.12.4.995
AbstractAbstract PDF
PURPOSE
: Recently, intraarticular fractures or unstable fractures with severe comminution of the distal radius are increasing in younger ages, which are known to be difficult to treat. We designed this study to evaluate the clinical results and the prognosis of the external fixators for the treatment of the fractures of the distal radius. Material and Method : We reviewed 16 cases of the distal radius fractures, which were treated surgically with the external fixdtors since January 1995 to December 1997. We applied the external fixator with closed reduction and Kirschner-wire fixation in 8 cases, and in the rest of the cases we did minimal open reduction before the application of the exteranl fixator, because it was not enough to reduce the articular fragments in those cases with closed reduction For the analysis of the clinincal results, we used the Demerit point rating system, and for the analysis of the radiologic parameter, we measured radial height, radial inclination, and volar tilting in comparison with the uninjured side from the anteroposterior and the lateral X-ray films which were taken at preoperative, postoperative, and last follow-up period.
RESULTS
In clinical results by Demerit rating point system, 2 cases were excellent, 10 cases were good, 4 cases were fair, and none of the cases was poor. In radiologic results, the average of the radial height was 8.43mm, the average of the radial inclination was 17.68o, and the average of the volar tilting was 3.870.
CONCLUSION
: It is suggested that external fixator is one of the useful modalities in the treatment of the unstable fractures of the distal radius, and we can also improve the results of the intraarticular fractures by using the minimal open reduction technique.

Citations

Citations to this article as recorded by  
  • Volar T-Locking Compression Plate for Treatment of Unstable Distal Radius Fractures
    Chul Hyun Cho, Ki Choer Bae, Doo Hyun Kwon
    Journal of the Korean Fracture Society.2008; 21(3): 220.     CrossRef
  • Comparison of Outcomes for Unstable Distal Radius Intraarticular Fractures - T-locking Compression Plate versus External Fixator -
    Chul-Hyun Cho, Su-Won Jung, Sung-Won Sohn, Chul Hyung Kang, Ki-Cheor Bae, Kyung-Jae Lee
    Journal of the Korean Fracture Society.2008; 21(1): 51.     CrossRef
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