Journal of Musculoskeletal Trauma

Original Articles

Evaluation of Radiological Results After Closed Reduction in Colles` Fracture: Jong Oh Kim, Yo Hun Yun, Dong Wook Kim, Yong Do Koh, Jae Doo Yoo, Jin Chang; J Korean Soc Fract 2001;14(1):113-120. Published online January 31, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.1.113

PURPOSE
This study is to evaluate the radiologic results after close reduction for the distal radius fractures that were reduced. MATERIAL AND METHOD: From March 1996 to Feburary 1999, thirty-four patients with distal radius fracture were treated with close reduction and cast immobilizationat at Ewha Womans University Hospital. The radiograph were taken after reduction and at 3days, 2 weeks, 4 weeks, 6 weeks. Three parametersof the radiograph were measured.; radial inclination, palmar angulation and radial shortening. The radiological results were estimated by the criteria of Sarmiento.
RESULTS
In 34 patients, type I were 10 cases, type II were 15 cases, type III were 6 cases, type IV-A were 3 cases by the Universal classification. The average value of the radiologic parameters after reduction were followings s; radial inclination(RI) 18.2Â°, palmar angulation(PA) 9.3Â° and radial shortening(RS) 1.8mm in type I. RA 17.2Â°. PA 8.4Â° and RS 2.0mm in type II. RI 16.5Â°, PA 8.0Â°, RS 2.5mm in type III. RI 14.9Â°, PA 7.7Â°, RS 3.5mm in type IV. At 6weeks after reduction, RI 17.8Â°, PA 9.2Â° and RS 2.1mm in type I. RA 16.7Â°, PA 7.6Â° and RS 2.6mm in type II, RI 15.4Â°, PA 7.0Â°, RS 4.0mm in type III. RI 13.3Â°, PA 6.2Â°, RS 5.2mm in type IV.
CONCLUSION
Loss of reduction after close reduction with cast immobilization for type III and IV were occurred more frequtently than type I and II.

Citations

Citations to this article as recorded by

Redisplacement of Distal Radius Fracture after Initial Closed Reduction: Analysis of Prognostic Factors
Ho-Wook Jung, Hanpyo Hong, Hong Jun Jung, Jin Sam Kim, Ho Youn Park, Kun Hyung Bae, In-Ho Jeon
Clinics in Orthopedic Surgery.2015; 7(3): 377. CrossRef

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Operative Treatment of Acetabular Fractures: Jong Oh Kim, Yo Hun Yun, Dong Wook Kim, Young Do Koh, Jae Doo Yoo, Hyoung Jin Jeong, Yi Kyoung Shin; J Korean Soc Fract 2000;13(4):761-770. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.761

Abstract PDF: PURPOSE
We reviewed 47 cases of acetabular fractures which was treated operatively, to review the clinical results of operative treatment of acetabular fractures considering the experience of a surgeon, to assess the relationship between the quality of the operative reduction and the clinical results.
MATERIALS AND METHODS
We reviewed 47 cases of acetabular fractures which was treated operatively from September 1993 to December 1999 and follow up more than 1 year. And we analyzed retrospectively the data in the aspect of the relationships between the radiologic evaluation of the reduction and the clinical results, and we reviewed the initial 20 cases as a group I and the later 27 cases as a group II to compare the differences of clinical results of the two groups.
RESULTS
In the accuracy of reduction, anatomical reductions were 4 hips in the group I and 13 in the group II, satisfactory 7 hips in the group I and 9 hips in the group II, unsatisfactory 9 hips in the group I and 5 hips in the group II. We assess the over-all clinical result with the criteria of Merle d'Aubigne and Postel. In the group I, 20 hips, the clinical result was excellent for 3 hips(15%), good for 6 hips(30%), fair for 5 hips(25%), and poor for 6(30%) hips. In the group II, 27 hips, the clinical result was excellent for 11 hips(41%), good for 8 hips(30%), fair for 5 hips(18%), and poor for 3(11%).
CONCLUSION
The accuracy of reduction was closely related to the clinical results. And the more a surgeon getting experienced, the better accurate reduction and clinical results were possible.

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