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Bent Semitubular Plate 를 이용한 상완골 근위부 골절의 치료
이충길,권진우,손경태,신승호,김완업 대한골절학회 1997 대한골절학회지 Vol.10 No.3
There is no consensus on the best way to treat complicated fractures of the proximal humerus. Open reduction and internal fixation with plate is one of the most popular method, but it has several disadvantages. Thus we used bent semitubular plates to fix the proximal humeral fractures, which were reported by Szabo and Sehr, Moda etc.. This method provided relatively firm fixation and then early ROM exercise was possible even in case of osteoporotic or severely comminuted fractures. We treated 9 cases of proximal humerus fractures which were with bent semitubular plates from January 1992 to June 1996 and followed up more than 6 months. The following results were obtained.: 1. The bent semitubular plate fixation was useful method even in treatment of comminuted or osteoporotic proximal humerus fractures. 2. The mean duration of radiologic bone union was postoperative 10 weeks. 3. Complications developed in 2 cases; one case was plate failure and the other was humeral head penetration by blade portion. 4. According to Neer criteria 5 cases were excellent, 2 cases satisfactory, l case unsatisfactory and 1 case failure.
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이상훈,이충길,권진우,박재흠,김완업,신은식 대한골절학회 1996 대한골절학회지 Vol.9 No.4
In the adolescent gymnasts, recent studies have shown that wrist is particularly vulnerable to chronic stress. In the immature skeleton, growth plate is especially vulnerable to acute or chronic trauma since the joint capsule and ligamentous structures are strong. The purpose of this study is to report the frequency, finding of radiologic abnormalities and the type of sports to cause wrist pain. The authors examined 26 adolescent gymnasts, 20 males and 6 females. The age range was 11 years 10 months to 17 years 5 months for males and 11 years 9 months to 14 years 4 months for females. The results were as follows; 1. The radiologic abnormalities were found in 23 cases(88%), l9 males and 4 females. 2. Wrist pain was most frequently caused by pommel horse exercise in males and by floor exercise in females. 3. Among 23 cases, IS showed widening of distal radial growth plates and irregularities of the margins of the growth plate (l5 cases were bilateral). Widening of distal ulna growth plates were combined in six cases. ulna styloid process fracture in 3 cases and radial styloid process fracture in 1 CRSC. 4. Among 23 cases, 5 cases showed widening of distal radial metaphysis and increased ulnar lilting.
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