Journal of Musculoskeletal Trauma

Original Articles

Functional Evaluation of Wrist According to Changes of Length after Operation in Fracture of Both Bones of Forearm: Seung Suk Seo, Ki Yong Kim, Jang Seok Choi, Young Chang Kim, Jae Keun Park; J Korean Soc Fract 2003;16(1):74-82. Published online January 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.1.74

Abstract PDF: PURPOSE
To evaluate the relationship between the length changes of both forearm bones and function of wrist. To know permitted length discrepancy for good wrist function after operation in fracture of both bones of forearm MATERIALS AND METHODS: From Jan. 1995 to Dec. 2000, 21 cases were followed over 1 year, were treated with compression plate and screws due to fracture of both bones of forearm in our hospital. Mean duration of follow-up was 3 years 6 months. The postoperative length difference was compared to preoperative or unaffected side in roentgenography. Four groups were defined to A, B, C and D by postoperative length difference ; < or =1mm, 1 2mm, 2 3mm, and >3mm for comparison. The function of wrist joint was evaluated with the Anderson 's classification and Mayo modified wrist score.
RESULT
Group A were 11 cases(52.3%), B 5 cases(23.8%), C 4 cases(19.0%) and D 1 case(4.8%). By the Anderson 's classification, the number of Excellent were 11 cases(52.3%), Good 7(33.3%), Fair 3(14.3%). In the group of the length difference lesser than 2mm, the number of Excellent were 11, and Good 5. The Mayo modified wrist score was 75.15 in the group of the length difference lesser than 2mm, that was higher than 61.15 in the group of more than 2mm.
CONCLUSION
To obtain a good wrist function after operative treatment of fracture of both bones of forearm the length discrepancy of both bones should be lesser than 2mm.

Treatment of the Open Tibial Fractures with Unreamed AO Intramedullary Nail: Bum Soo Kim, Sung Do Cho, Yong Sun Cho, Soon Woo Hong, Hyung Jin Cho, Ki Yong Kim; J Korean Soc Fract 2000;13(1):81-86. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.81

Abstract PDF: PURPOSE
To evaluate the results of open tibial fractures treated with unreamed AO intramedullary nail MATERIALS AND METHODS: Among the patiens of open tibial fractures who were treated with unreamed AO intramedullary nail from January 1993 to August 1998, the authors reviewed 34 patients whose follow-up was possible for more than one year. Fourteen patients were treated with AO external fixator after meticulous debridement, followed by unreamed AO intramedullary nailing, and the other 20 patients were treated with primary unreamed AO intramedullary nailing after debridement. The authors evaluated the results by the union time and the presence of complication.
RESULTS
The average union time was 26.3 weeks. There was no significant difference of union time and complications between the patients who were treated with AO exteranl fixator followed by unreamed AO intramedullary nailing and the patients who were treated primarily with debridement and unreamed AO intramedullary nailing. However there was high incidence(21%) of interlocking screw breakage.
CONCLUSION
With meticulous debridement and close observation of the wound, the open tibial fractures can be effectively treated with unreamed AO intramedullay nailing. Unreamed intramedullary nailing of open tibial fractures immediately after trauma can be recommended in selected cases.

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