상완골 간부 분쇄 골절의 최소 절개를 통한 관혈적 정복 및 교합성 골수강내 금속정 고정술 - 금속판 내고정술을 이용한 상완골 간부 분쇄 골절 치료와의 비교 -

한경진 ( Kyeong Jin Han ),어수익 ( Soo Ik Awe ),김태영 ( Tae Young Kim ),강신영 ( Shin Young Khang ) 대한골절학회 2002 대한골절학회지 Vol.15 No.4

후과 골절이 동반된 경골 원위부 나선상 골절의 치료

김영성(Young Sung Kim),이호민(Ho Min Lee),김종필(Jong Pil Kim),정필현(Phil Hyun Chung),박순영(Soon Young Park) 대한정형외과학회 2021 대한정형외과학회지 Vol.56 No.4

청소년기 전완부 양골 간부 골절의 치료

공규민,서병호,김성환,제갈믿음 대한수부외과학회 2011 대한수부외과학회지 Vol.16 No.4

목적: 청소년기 전완부 양골 간부 골절의 치료로 척골 골절에 대한 수술적 치료 후임상적 결과에 대해서 알아보고자 한다. 대상 및 방법: 2005년 3월부터 2009년 2월까지 전완부 양골 간부 골절로 수술적 치료를 받은 12세 이상 17세 이하의 환자 15명을 대상으로 하였다. 척골 골절에 대하여금속판 고정술을 시행하고 요골 골절에 대하여 골수강내 핀 고정술을 시행하였으며치료 결과를 방사선학적 및 임상적으로 분석하였다. 결과: 전 환자에서 방사선학적으로 평균 9.2주에 골유합이 이루어졌고, 골절부의 회전변형, 각형성이 건측과 비교하여 7˚미만으로 측정되었으며 Anderson의 기능적평가 방법 상 excellent의 결과를 보였다. 합병증으로 한 예에서 내고정물 제거후 척골에서 재골절이 발생하여 장상지 석고 고정 시행 후 치유되었다. 결론: 청소년기 전완부 양골 간부 골절 환자에게 척골 골절에 대하여 금속판 고정술,요골 골절에 대하여 골수강내 금속핀 고정술을 시행하는 것은 비교적 간단하면서 안정적인 고정을 얻을 수 있는 방법으로 생각된다. Purpose: To evaluate the results of surgical treatment for diaphyseal fractures of both forearm bones in adolescents. Materials and Methods: Between March 2005 and February 2009, fifteen adolescents with diaphyseal fractures in both forearm bones were treated with a compression plate for the ulnar fractures and intramedullary pin fixation for the radial fractures. They were clinically and radiologically evaluated retrospectively. Results: The mean time for radiological bone union was 9.2 weeks. At the last follow up, the rotational deformity and angulation were within seven degrees and evaluations of the functional results were excellent in all cases. One patient had a refracture of the ulna after plate removal, which was treated with a long-arm cast. Conclusion: The use of a compression plate for the ulnar fractures and intramedullary pin fixation for the radial fractures can be an effective method for unstable displaced diaphyseal fractures of both forearm bones in adolescents.

쇄골 간부 골절에서 금속판을 이용한 고정술과 나사형 Kirschner 강선을 이용한 고정술의 비교

고영진 ( Young Jin Ko ),박철현 ( Chul Hyun Park ),손욱진 ( Oog Jin Shon ),서재성 ( Jae Sung Seo ) 대한골절학회 2012 대한골절학회지 Vol.25 No.2

Purpose: To compare clinical outcomes of the plate and threaded K-wire for fixation of midshaft clavicular fractures. Materials and Methods: From 2005 Jan to 2009 May, medical records of 18 patients who underwent open reduction and internal fixation with plate (group 1) and 13 others who underwent intramedullary fixation with threaded K-wire (group 2) were reviewed. The mean follow up periods were 21.9 and 18.9months. The Functional results were evaluated with The Disabilities of the Arm, Shoulder and Hand (DASH) score and Constant shoulder score. The statistical evaluation was assessed with Paired T-test, Chi-square test. Results: The DASH score were 11.5±2.7 in group 1 and 12.4±4.3 in group 2. The constant shoulder score were 92.0±3.1 in group 1 and 87.1±2.8 in group 2. Length of surgical wound (cm) were 10.6±3.4 in group 1 and 4.8±1.5 in group 2. Postoperative pain and range of motion change were superior in group 1. Conclusion: There was no significant difference between the two groups in functional and radiological results. But, there were patient`s complaints about length of surgical wound in group 1 and hardware irritation in group 2.

성인 쇄골 간부 골절에서 두 가지 수술적 치료군 간의 결과 비교: 금속판을 이용한 관혈적 정복 및 내고정술과 Steinmann Pin을 이용한 경피적 겸자 정복 및 골수강내 고정술의 결과 비교

허성식 ( Sung Sik Ha ),심재천 ( Jae Chun Sim ),홍기도 ( Ki Do Hong ),김재영 ( Jae Young Kim ),강정호 ( Jung Ho Kang ),박광희 ( Kwang Hee Park ) 대한골절학회 2007 대한골절학회지 Vol.20 No.3

Purpose: To evaluate the results between open reduction and internal fixation with the plate and percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin for clavicle shaft fractures in adult. Materials and Methods: We have studied the results in 33 cases with the plate. 35 cases with the Steinmann pin among total 68 cases of clavicle shaft fracture. The patients were followed up over a period of at least 12 months. The final postoperative outcome was analyzed with the clinical outcomes using Kang`s criteria. radiological union time and operation time. Results: The clinical outcome that was good or excellent according to the Kang`s criteria showed a distribution of 88% in the group using the plate with 29 cases out of total 33 cases. 91% in the group using the Steinmann pin with 32 cases out of total 35 cases. The mean radiological union time was 8.9 weeks in the group using the plate. 9.1 weeks in the group using Steinmann pin. The mean operation time was 72 minutes in the group using the plate, whereas was 18 minutes in the group using Steinmann pin. Conclusion: In the treatment of adult clavicle shaft fracture. two groups did not show a significant statistical difference in clinical and radiological outcomes. However, the operation time and postoperative functional recovery was significantly shorter and faster in the group using Steinmann pin. Additionally economic and cosmetic aspect was more satisfactory in the group using Steinmann pin.

상완골 간부 골절의 금속판 내고정술과 교합성 골수강내 금속정 고정술과의 치료 비교

손명환(Myung Hwan Son),김병철(Byung Chul Kim),강남욱(Nam Wook Kang),김민용(Min Yong Kim) 대한골절학회 2001 대한골절학회지 Vol.14 No.4

Purpose: This study was to evaluate the results and the usefulness of the plate fixation and the interlocking IM nailing for the humeral shaft fractures. Materials and Methods: We have reviewed thirty cases of humeral shaft fractures, which were treated with plate fixation in seventeen cases and interlocking IM nailing in thirteen cases in period of February 1993 to May 1999. The Russel-Taylor nails were used in all cases for interlocking IM nailing. The clinical and the radiological results were evaluated after operation. Results: The average union time was 14.5 weeks for the plate fixation and 15.2 weeks for the interlocking IM nail respectively. There were two cases of wound infection and one case of radial nerve injury for the plate fixation, and two cases of rotator cuff injury on the shoulder were found after the interlocking IM nailing. Conclusion: Interlocking IM nailing is a relatively simple procedure with low rate of infection and radial nerve injury, but rotator cuff injury is a considerable problem after operation.

대퇴골 전자부 골절후 발생한 내고정 실패에서 칼날 금속판을 이용한 치료

장재석 ( Jae Suk Chang ),오형근 ( Hyoung Keun Oh ) 대한고관절학회 2006 Hip and Pelvis Vol.18 No.4

Purpose: To evaluate the results of blade plate fixation and bone grafting for the treatment of failed intertrochanteric hip fractures. Materials and Methods: Eight patients were treated with 95°blade plate fixation and bone grafts were performed in 7 patients. The mean age of the patients was 73 years old and the mean follow-up period was 26 months (range, 6 to 65 months). Clinical and radiological results were evaluated based on pain, walking ability, union period, and maintenance of reduction. Results: 6 of 8 patients obtained a solid union after a median period of 20 weeks. The neck-shaft angle was changed from 118°to 133°postoperatively. One patient underwent revision of a bipolar hemiarthroplasty due to failed blade plate fixation and varus malunion occurred in one patient Conclusion: Blade plate fixation and bone grafting for failed internal fixation of intertrochanteric hip fractures can provide a solid union and a good clinical result.

긴 사형 혹은 나선형의 상완골 간부 골절에서 강선 고정을 동반한 교합성 골수강내 금속정과 금속판 내고정의 비교

정필현(Phyl Hyun Chung),문상호(Sang Ho Moon) 대한골절학회 2000 대한골절학회지 Vol.13 No.3

Purpose: To compare functional results between interlocking intramedullary nail with wiring and plate for treating long oblique or spiral diaphyseal fractures of humerus. Materials and Methods: From April 1996 to February 1999, 9 long oblique or spiral fractures were treated with antegrade humeral locked nails and wiring after minimal open reduction, and another 9 fractures were fixed with plate and screws. Average age of patients was 45.8 years and average follow-up was 13.5 months. Results: Nail group showed earlier clinical and radiologic union than plate and screw group. All patients with plate and screw group(plate fixation) had clinical union within 5.8±2.5 weeks and radiologic union within 8.5±2.1 weeks. But, all patients with wiring had clinical union within 2.8±0.6 weeks and radiologic union within 5.5±1.6 weeks. At last follow-up, average range of shoulder motion in plate group was larger than nailing group, but that was stastically insignificant. Plate fixations had more complications than nailing, for example, deep infection, non-union, implant failure and radial nerve injury. Conclusioa: Interlocking intramedullary nail with wiring has the advantages of minimal tissue trauma and scar formation, sufficient reduction and fixation, early union and fewer complication. So it can be a worthy alternative for the treatment of long oblique or spiral fractures of humerus.

원위 경골 골간단부 골절의 치료에서 최소 침습적 금속판 내고정과 교합성 골수정 내고정의 비교

이광철 ( Gwang Chul Lee ),이준영 ( Jun Young Lee ),하상호 ( Sang Ho Ha ),손홍문 ( Hong Moon Sohn ),박이규 ( Yi Kyu Park ) 대한골절학회 2012 대한골절학회지 Vol.25 No.1

Purpose: To compare results between minimally invasive plate osteosynthesis using a periarticular plate and intramedullary nailing in distal tibial metaphyseal fractures in two treatment groups. Materials and Methods: Sixty-one cases of distal tibial metaphyseal fractures from December 2008 to December 2009 were evaluated. The minimal follow-up period was 12 months. Thirty patients treated by minimally invasive plate osteosynthesis using a periarticular plate were Group A; 31 patients treated by intramedullary nailing were Group B. We compared and analyzed the results of each group by radiological and clinical assessments. Results: The mean bony union time was 16.4 weeks in Group A and 17.2 weeks in Group B. The mean operation time was 45 minutes in Group A and 48 minutes in Group B. The mean radiation exposure times were 4.2 minutes and 4.8 minutes, respectively. VAS scores were 0.7 points and 0.5 points in each respective group. In Group A, the VAS score was 1.7 points when we applied pressure on the skin around the plate. The mean Olerud and Molander Ankle Score was 87.4 points and 86.3 points, respectively. A superficial wound infection occurred in 1 case in each group, and angular deformities more than 5 degrees occurred in 2 Group B cases. Conclusion: No significant differences in results were observed between the two groups. However, a higher incidence of angular deformity was seen in the intramedullary nailing group. Therefore, we must be careful during surgery.

원위 경골 골절의 최소 침습적 금속판 치료와 골수강내 금속정의 치료 결과 비교

홍창화 ( Chang Hwa Hong ),박종석 ( Jong Seok Park ),이상선 ( Sang Seon Lee ),어수익 ( Soo Ik Awe ),김우종 ( Woo Jong Kim ),정기진 ( Ki Jin Jung ) 대한골절학회 2010 대한골절학회지 Vol.23 No.3

Purpose: To compare the result of treatment between minimally invasive plate osteosynthesis (MIPO) using periarticular plate and intramedullary nailing in treatment of distal tibia fractures. Materials and Methods: 28 cases of distal tibia fractures form Jan. 2006 to Mar. 2008 were divided into two group. Minimum follow-up was for 12 month. Group 1 consisted of 14 patients who were treated by MIPO technique and group 2 consisted of 14 patients who were treated by interlocking intramedullary nailing. The results were compared by assessing radiologic and clinical result. Results: The mean bony union time was 14 weeks (8∼17) in group 1 and 15 weeks (11∼20) in group 2. Operation time was 58 minutes (55∼65) in group 1 and 82.7 minutes (70∼100) in group 2. The average angulation in AP view was 1.5 degrees (0∼2) in group 1 and 2 degrees (0∼5) in group 2, in lateral view was 1.8 degrees (0∼4) in group 1 and 2.3 degrees (0∼12) in group 2. The average range of motion for dorsi flextion was 17.5 degrees (15∼20) in group 1 and 18 degrees (16∼20) in group 2, for plantar flextion was 45 degrees (42∼50) in group 1 and 44 degrees (42∼50) in group 2, which means that there were no severe limitation of motion in all patients, resulting in satisfactory ambulation. There was no post operative complications such as skin irritation problem caused by internal device and no implant failure and superficial wound infection. Conclusion: There were no difference in bony union time, clinical result and anatomical reduction between Group 1 and Group 2 in distal tibia fractures, but operation time was shorter in MIPO than nailing.