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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Clinical analysis of fracture of femral shaft in 73 cases treated at the 17 Army Hospital during the period from May 1965 to July 1968 is presented.
1) All the patient were males and in the 3rd decade of life.
2) Sites of fracture were 28 in midshaft, 23 in lower one-third, 22 in upper one-third, and 29 cases: had open fracture.
3) 32 cses(43. 8%) were injured by traffic accident which is the most common cause in this series.
4) Conservative treatmet was given in 30 cases, plate fixation in 15 cases, and Kuentscher type of I. M. nailing in 28 cases.
5) Criteria evaluating the results were; knee joint motion, length & alignment of the femur, and pain during weight bearing.
6) Severely comminuted fracture tends to deserve conservative measure only and sites of fracture contraindicated for I. M. nailing were best treated by plate or screw fixation.
7) A comparison has been made between the functional results treated by conservative method and open reduction (plate & screw fixation and I. M. Kuentscher nailing). Excellent or good results were obtained, by conservative (30 cases), plate and screw fixation. (15cases), and I. M. Kuentscher nailing(28cases), in 46.7%, 60%, and 60.7% respectively. Functional results were slightly better in I. M. nailing than the other two methods.
8) Time of complete healing by solid bone union was; 6.5 months in (30 cases of) conservative treatment, 6 months in (10 cases of) plate and screw fixation, and 5. 5 months in (22 cases of) I. M. Kuentscher nailing.
9) Postoperative infection rate,severe enough to interfere healing) was 6.6% (only one case) of plate group and 3.6%(only one case) of I.M. nailing group.
1) All the patient were males and in the 3rd decade of life.
2) Sites of fracture were 28 in midshaft, 23 in lower one-third, 22 in upper one-third, and 29 cases: had open fracture.
3) 32 cses(43. 8%) were injured by traffic accident which is the most common cause in this series.
4) Conservative treatmet was given in 30 cases, plate fixation in 15 cases, and Kuentscher type of I. M. nailing in 28 cases.
5) Criteria evaluating the results were; knee joint motion, length & alignment of the femur, and pain during weight bearing.
6) Severely comminuted fracture tends to deserve conservative measure only and sites of fracture contraindicated for I. M. nailing were best treated by plate or screw fixation.
7) A comparison has been made between the functional results treated by conservative method and open reduction (plate & screw fixation and I. M. Kuentscher nailing). Excellent or good results were obtained, by conservative (30 cases), plate and screw fixation. (15cases), and I. M. Kuentscher nailing(28cases), in 46.7%, 60%, and 60.7% respectively. Functional results were slightly better in I. M. nailing than the other two methods.
8) Time of complete healing by solid bone union was; 6.5 months in (30 cases of) conservative treatment, 6 months in (10 cases of) plate and screw fixation, and 5. 5 months in (22 cases of) I. M. Kuentscher nailing.
9) Postoperative infection rate,severe enough to interfere healing) was 6.6% (only one case) of plate group and 3.6%(only one case) of I.M. nailing group.
목차
Abstract
緖論
症例의 分析
治療結果의 評價基準
治療結果
合倂症
總括 및 考按
結論
REFERENCES
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UCI(KEPA) : I410-ECN-0101-2010-514-001398832