Intramedullary K-wire Fixation for Displaced Fracture of Distal Radius.
10.12671/jkfs.2005.18.1.54
- Author:
Byung Woo AHN
1
;
Chong Kwan KIM
;
Jong Youl LEE
;
Chae Ik CHUNG
;
Jong Ho YOON
;
Young Min KIM
;
Jin Woo JIN
;
Kang Hoon KIM
;
Guk Sang CHUNG
;
Dong Wook KIM
Author Information
1. Department of orthopaedic Surgery, Masan Samsung Hospital, College of Medicine, Sungkyunkwan University, Masan, Korea. BWa0820@naver.com
- Publication Type:Original Article
- Keywords:
Distal radius;
Displaced fracture;
Intramedullary K-wire fixation
- MeSH:
Follow-Up Studies;
Intra-Articular Fractures;
Radius*;
Wrist
- From:Journal of the Korean Fracture Society
2005;18(1):54-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate indications and effectiveness of intramedullary K-wire fixation for distal radial fractures. MATERIALS AND METHODS: Twenty one fractures of distal radius treated with intramedullary K-wire fixation from April 2001 to September 2002 were evaluated. The mean age was 67.8(range 46~82). Severely comminuted intra-articular fractures and Barton's fractures were excluded. One or two K-wires were added percutaneously. To assess the functional result, we used Green and O'Brien score system. The radiographic assessment included a scoring system based on measurements of radial length, radial inclination, volar tilt and step-off of the radial articular surface. RESULTS: Average follow up period was 13.5 months. In functional result, excellent and good result were obtained in 18 cases (86%). In radiologic result, mean loss of radial length, radial inclination and volar tilt were 0.9 mm, 1.4degrees, 0.9degrees, respectively. CONCLUSION: The advantages of intramedullary K-wire fixation were relatively simple procedure, low occurrence of soft tissue complications and early wrist motion. Intramedullary K-wire fixation was good to maintaining reduction in osteoporotic bone.
