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요골 절흔 골절을 동반한 원위 요골 골절에서 제한적 배측절개를 이용한 치료

Other Titles
 Limited Dorsal Approach for Intra-Articular Distal Radius Fracture Involving the Sigmoid Notch 
Authors
 오범석  ;  최윤락  ;  고일현  ;  오원택  ;  김남후  ;  강호정 
Citation
 Archives of Hand and Microsurgery, Vol.23(3) : 150-157, 2018 
Journal Title
 Archives of Hand and Microsurgery 
ISSN
 2586-3290 
Issue Date
2018
Keywords
Distal radio-ulnar joint ; Distal radius fracture ; Limited dorsal approach ; Lunate fossa depression fracture ; Dorsal rim fracture
Abstract
Purpose: The purpose of this study was to analyze the 16 patients, with distal radius fracture involving sigmoid notch fracture, who were treated by limited dorsal approach retrospectively. Methods: Between June 2003 and December 2013, 743 patients with distal radius fracture underwent operative treatment. Among them, 16 patients received conventional treatment, with additional limited dorsal approach. The fracture patterns involved sigmoid notch with dorsal lunate fossa depression, as well as distally displaced dorsal rim fragment. Radiologic results were evaluated based on dorsal tilt, radial inclination, and radial shortening. Clinical results were evaluated based on grip strength, motion range of the wrist joint, arm disabilities, shoulder & hand (DASH) score, and visual analogue scale (VAS) score. Results: The average radial inclination was 21°, with 5.6° of volar tilt and 0.1 mm of radial shortening. The average range of motion were 42.6° of flexion, 56.5° of extension, 23.4° of radial tilt, and 24.8° of ulnar tilt. The average grip strength was 81.3% of the opposite side. The average VAS and DASH scores were 1.1 and 21.3, respectively. Conclusion: In the case of sigmoid notch fracture involving dorsal lunate fossa depression fractures and distally displaced dorsal rim fractures, we were able to reduce and fix the fragment conveniently using limited dorsal approach.
Files in This Item:
T201806211.pdf Download
DOI
10.12790/ahm.2018.23.3.150
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Koh, Il Hyun(고일현) ORCID logo https://orcid.org/0000-0001-9823-8516
Kim, Nam-Hoo(김남후)
Oh, Won Taek(오원택) ORCID logo https://orcid.org/0000-0003-1815-0851
Choi, Yun Rak(최윤락)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173014
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