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대한골절학회> 대한골절학회지> 전완부 골절을 동반한 상완골 골절

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전완부 골절을 동반한 상완골 골절

Humeral Fractures Associated by Forearm Fractures

양규현(Kyu Hyun Yang) , 한대용(Dae Yong Han) , 강호정(Ho Jung Kang) , 박진오(Jin Oh Park)
  • : 대한골절학회
  • : 대한골절학회지 11권2호
  • : 연속간행물
  • : 1998년
  • : 405-412(8pages)

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We reviewed fractured patients in Yongdong Severance Hospital for 10 years(1987-96), and collected 42 fractured patients who had concomittent ipsilateral humeral fractures and forearm fractures. The causes of injury were falling down in 2I, slipping down in 2, motor vehicle accident. in 15, machinery injuries in 2, crushing injury in 1 and ski injury in I. Among them 13 patients were under 15 years old. Nine cases of supracondylar fractures, three cases of lateral condylar fractures and one case of proximal humeral fractures were included. Patterns of combined forearm fractures were diverse. Twenty-three cases were occurred in the age between 16 and 59 years. Fracture patterns were very complicated in both humerus and forearm in this age. Most common humeral fracture was midshaft fracture and forearm was both forearm bone fracture. The fractures were resulted from relatively more severe traumatic event in this age than other ages. Number of patients over 60 years was six. Four of them had proximal humeral fractures, one of them distal humeral fracture and one of them humeral medial condylar fracture. Forearm fracture patterns were various but the olecranon fracture was the most common forearm fracture(4/6) in the aged. We. treated fractures by many combinations of operative and conservative means. Generally K-wires were applied to the children when internal fixation was indicated. The shaft of long bones were fixated usually by dynamic compression plate and comminuted articular fractures by Egyre plate or K-wires. The average follow up period was 15 months(5-35 months). 17 complications were resulted. There were 4 nonunions, 3 elbow ankylosises, I Volkmann's s ischemic contracture, 7 nerve paralysises (4 ulna nerve, 3 radial nerve) and 2 infections.

UCI(KEPA)

I410-ECN-0102-2009-510-005268463

간행물정보

  • : 의약학분야  > 정형외과학
  • : KCI등재
  • :
  • : 계간
  • : 1225-1682
  • : 2287-9293
  • : 학술지
  • : 연속간행물
  • : 1988-2020
  • : 2325


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1SYMPOSIUM : Fracture of the Proximal Humerus

저자 : 김휘택

발행기관 : 대한골절학회 간행물 : 대한골절학회지 11권 2호 발행 연도 : 1998 페이지 : pp. 231-237 (7 pages)

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2SYMPOSIUM : Classification and Radiologic Findings of Proximal Humerus Fractures

저자 : 이용걸

발행기관 : 대한골절학회 간행물 : 대한골절학회지 11권 2호 발행 연도 : 1998 페이지 : pp. 238-239 (2 pages)

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4SYMPOSIUM ; Fracture of the Proximal Humerus Complication

저자 : 양규현

발행기관 : 대한골절학회 간행물 : 대한골절학회지 11권 2호 발행 연도 : 1998 페이지 : pp. 245-246 (2 pages)

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5저에너지 초음파를 이용한 골절치유 촉진

저자 : 양규현(Kyu Hyun Yang) , 최종혁(Chong Hyuk Choi) , 조재호(Jae Ho Cho)

발행기관 : 대한골절학회 간행물 : 대한골절학회지 11권 2호 발행 연도 : 1998 페이지 : pp. 247-253 (7 pages)

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We performed a preliminary study to evaluate the effect of ultrasound in canine osteotomy model. Both ulna shafts were osteotomized and one side was irradiated with low-energy pulsing ultrasound, 50mW/cm2, 1 MHz, 200 microsecond bursting sine wave for I5 minutes, 6 days a week. Effect on the fracture healing was evaluated by radiologic scoring system, amount of uptake of radioactive isotope, and time to union. Results were as follows: At postoperative 2 months, means of the radiologic healing score were 4.5 in the irradiated side and 2.5 on the control side (p=0.019). Mean isotope uptake in the irradiated side was 44.4 count and 33.8 count in the control side (p=0.028). Two nonunion developed on the control side, Mean time to union of eight dogs was 2.6 months in the irradiated side and 3.1 months on the control side. Based on the cumulative union rate curve, fracture healing was stimulated and union was obtained one month faster in the irradiated side than the control side.

6상완골 간부골절에서 교합성 골수강내 금속정을 이용한 치료의 합병증

저자 : 이충길(Choong Gil Lee) , 권진우(Jin Woo Kwon) , 손경태(Kyung Tae Son) , 신승호(Sung Ho Sin) , 박종천(Jong Cheon Park)

발행기관 : 대한골절학회 간행물 : 대한골절학회지 11권 2호 발행 연도 : 1998 페이지 : pp. 254-261 (8 pages)

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Locked intramedullary nailing has been used as a popular method in treating humeral shaft fracture because of relatively less invasive procedure, good stability and allowing early rehabilitation. However many problems such as rotator cuff injury, iatrogenic fracture, difficult distal locking at operation and painful limitation of shoulder motion due to protrusion of the nail above the greater tuberosity, frequent delayed or nonunion were reported. We reviewed our experience with 26 cases of humeral shaft fracture that were treated by interlocking intramedullary nailing to evaluate the pitfalls and the complications of this technique. The results were as follows. l. In five cases(19.2k) iatrogenic fractures occured during nail insertion. Three were in the site of inlet arid two were in the original fracture site. 2. 1n four cases(15.4%) painful limitation of shoulder motion was persisted for 2 months. Two were caused by subacromial impingement due to nail protrusion and two were by intraoperative rotator cuff injury. 3. Nonunion occured in two cases(7.7%) which were middle one third transverse fractures and were not fixed with distal locking screws. 4. Intraoperative and postoperative complication rate was 42.3%.

7정적 교합성 골수강내 금속정 고정 후 지연유합시 역동화의 유용성

저자 : 신규석(Kyoo Seag Shin) , 이동화(Dong Wha Lee) , 김종순(Jong Soon Kim) , 서진환(Jin Hwan Seo)

발행기관 : 대한골절학회 간행물 : 대한골절학회지 11권 2호 발행 연도 : 1998 페이지 : pp. 262-268 (7 pages)

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We had investigated the effect of dynamization in static interlocking intramedullary nailing for the long bone fracture of the femur and tibia treated in Bongsentg Memorial Hospital for last 3 years (from San. I 994 to Jan. I 997) Total 62 patients (37 tibia, 28 femur) were treated, 35 cases were reamed at operation and 27 cases not reamed. Following results were obtained; l. In all except 24 fracture., the static interlocking intramedullary nail was preserved without dynamization and got to mean union time of 17.2 weeks (femur) and 6.4 weeks (tibia). 2. The 24 patients (14 femur, 10 tibia) did not show callus formation and complained of vague pain in fracture site at 20 weeks after static mode. In those case., we tried dynamization as a initial treatment modality. 3. The success rate after dynamization was about 87%. 4. The interval between nailing and dynamization did not affect the success rate. 5. Dynamization could be done day surgery.

8분만중 발생한 치골 결합 분리 - 2례 보고 -

저자 : 정영기(Yung Khee Chung) , 신성일(Sung Il Shin) , 나성주(Seong Ju Na)

발행기관 : 대한골절학회 간행물 : 대한골절학회지 11권 2호 발행 연도 : 1998 페이지 : pp. 269-272 (4 pages)

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Separation of the symphysis pubis during vaginal delivery and associated with clinical symptoms is rare. However, the lack of recognition of this lesion and widespread use of conduction analgesia, such a separation may go unnoticed for many hours causing diagnosis to be delayed. Then we report on two unusual cases which were satisfactory result from hammock traction and pelvic corset.

9성인 전위성 쇄골 간부 골절의 수술적 치료

저자 : 김재혁(Jae Hyek Kim) , 김익곤(Ig Gon Kim) , 김철현(Chul Hyun Kim) , 황룡(Ryong Hwang)

발행기관 : 대한골절학회 간행물 : 대한골절학회지 11권 2호 발행 연도 : 1998 페이지 : pp. 273-280 (8 pages)

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Clavicle fracture is one of the most common fracture, which had been managed via conservative methods with some exceptions such as nonunion. Operative treatment had been regarded as an important cause of nonunion and poor outcome. Nowadays, however, the goal of fracture treatment has become anatomical reduction, rigid fixation and early rehabilitation for better final results. We managed 43 clavicular shaft fracture which was displaced above 11 mm, with conservative treatment (23 cases) and operative treatment (20 cases) since 1990 to 1995. All patients achieved good union in both group, except 5 nonunions of conservative treatment and no significant difference in union time. By functional evaluation of shoulder by Weitzman 23), final results were excellent in 17, good in 2 case., fair in 1 case with operative treatment and excellent in 12, good in 4, fair in 3 and poor in 4 cases with conservative treatment. It was concluded that early operative treatment of clavicular shaft fracture showed better result than conserative treatment, especially in displaced and comminuted ones.

10압박성 교합 골수정을 이용한 대퇴골 간부골절의 치료

저자 : 정성택(Sung Taek Jung) , 윤택림(Taek Rim Yoon) , 선종근(Jong Keun Seon)

발행기관 : 대한골절학회 간행물 : 대한골절학회지 11권 2호 발행 연도 : 1998 페이지 : pp. 281-287 (7 pages)

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The results of treatment of femoral shaft fractures with interlocking compression nail, the third generation nail, were evaluated to determine the incidence of union of the fracture & clinical usefulness. Fifty-three femoral fractures that had been treated by interlocking compression nailing between February 1994 and March 1996 and had been followed for more than twelve months were included in this study. Forty-eight cases were fresh closed fracture and five, fresh open fracture. The results were as follows 1. According to Winquist-Hansen classification, 25 cases were type I, 13 type II, 7 type III, 5 type IV, 3 type V. 2. Union occurred in 52(97%) of 53 femoral shaft fractures. The mean fracture union period was I 8. I weeks with a range of 10 to 32 weeks. 3, Postoperative complication were delayed union(5 cases), leg length discrepancy(2 cases) and nonunion( 1 case). We concluded that interlocking compression nailing for femoral shaft fracture seems to promote the fracture healing process without conversion to dynamic intramedullary fixation.

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