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KMID : 0386419940070020501
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Journal of the Korean Fracture Society
1994 Volume.7 No. 2 p.501 ~ p.511
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Unstable Fracture of Distal Radius Treated with Open Reduction and Internal Fixation
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Abstract
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Seventeen cases of unstable comminuted fractures of distal radius were treated with open reduction and internal fixation form Jul. 1988 to Apr. 1992 at the department of orthopaedic surgery at Maryknoll Hospital. Most of the fractures were the
results
of high-energy impact and the results of this study were follows:
1. According to Fernandez14) classification, the type A3.2 fracture was most common, and nine of 17 patients were classified as C2 and C3 (intra-articular comminuted fracture) and eight as A3(extra-articular comminuted fracture).
2. The final results of wrist motion showed dorsiflexion/palmar flexion to be 77.6%) of the opposite site and of the grip strength was 80.6% of the opposite site.
3. In the cases of extra-articular comminuted fracture, attention was focused on restoration of radial length, and in the cases of intra-articular fracture, betrer results were obtained with achieving congruent articular reduction.
4. The funtional end results were superior especially in young patients.
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