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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.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.6
- 수록면
- 91 - 95 (5page)
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초록· 키워드
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Background: Our aim was to make a comparative analysis of radiological and clinical outcomes of using either one or two interlocking distal screws on a Polarus intramedullary nail for the internal fixation of humeral shaft fractures.
Methods: From January 2008 to March 2014, we enrolled 26 patients with humeral shaft fractures who were operated on using intramedullary nails. The patients were divided into 2 groups according to how many interlocking distal screws were used to lock the Polarus nail: in group 1, a single interlocking distal screw was used in 12 patients; and in group 2, double interlocking distal screws, in 14 patients. We compared the degree of recovery of the displaced fracture fragments between the two groups. To compare the nonunion and shoulder function, we assessed each patient’s modified American Shoulder and Elbow Surgerns (ASES) score.
Results: We found that 10 of 12 fractures achieved union in group 1, and 13 of 14 fractures, in group 2. We did not find a meaningful difference in the time to bone union between the two groups. The percentage of recovery of displaced fracture fragments until union was 66.9% for group 1 and 59.41% for group 2. At the final follow-up, we found that the scores for shoulder joint modified ASES was 78.7 for group 1 and 80.7 for group 2.
Conclusions: Our results show that if locked appropriately, even a single screw on a Polarus nail can provide satisfactory radiological union and improved clinical outcome after intramedullary nailing of humeral shaft fractures.
Methods: From January 2008 to March 2014, we enrolled 26 patients with humeral shaft fractures who were operated on using intramedullary nails. The patients were divided into 2 groups according to how many interlocking distal screws were used to lock the Polarus nail: in group 1, a single interlocking distal screw was used in 12 patients; and in group 2, double interlocking distal screws, in 14 patients. We compared the degree of recovery of the displaced fracture fragments between the two groups. To compare the nonunion and shoulder function, we assessed each patient’s modified American Shoulder and Elbow Surgerns (ASES) score.
Results: We found that 10 of 12 fractures achieved union in group 1, and 13 of 14 fractures, in group 2. We did not find a meaningful difference in the time to bone union between the two groups. The percentage of recovery of displaced fracture fragments until union was 66.9% for group 1 and 59.41% for group 2. At the final follow-up, we found that the scores for shoulder joint modified ASES was 78.7 for group 1 and 80.7 for group 2.
Conclusions: Our results show that if locked appropriately, even a single screw on a Polarus nail can provide satisfactory radiological union and improved clinical outcome after intramedullary nailing of humeral shaft fractures.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (20)
참고문헌 신청
[학술지(정기간행물)] - Ekholm R / 2006 / Fractures of the shaft of the humerus. An epidemiological study of 401 fractures / J Bone Joint Surg Br 88 (11) : 1469 ~ 1473
[학술지(정기간행물)] - Sarmiento A / 2002 / Diaphyseal humeral fractures : treatment options / Instr Course Lect 51 : 257 ~ 269
[학술지(정기간행물)] - 남태석 / 2005 / 상완골 간부 불유합 / 대한골절학회지 18 (3) : 302 ~ 306
[학술지(정기간행물)] - 이현주 / 2012 / 상완골 간부 골절의 수술적 치료: 고식적 또는 최소 침습적 금속판 고정술 / 대한골절학회지 25 (2) : 155 ~ 155
[학술지(정기간행물)] - Meekers FS / 2002 / Operative treatment of humeral shaft fractures. The Leuven experience / Acta Orthop Belg 68 (5) : 462 ~ 470
[학술지(정기간행물)] - Sarmiento A / 2002 / Diaphyseal humeral fractures : treatment options / Instr Course Lect 51 : 257 ~ 269
[학술지(정기간행물)] - 남태석 / 2005 / 상완골 간부 불유합 / 대한골절학회지 18 (3) : 302 ~ 306
[학술지(정기간행물)] - 이현주 / 2012 / 상완골 간부 골절의 수술적 치료: 고식적 또는 최소 침습적 금속판 고정술 / 대한골절학회지 25 (2) : 155 ~ 155
[학술지(정기간행물)] - Meekers FS / 2002 / Operative treatment of humeral shaft fractures. The Leuven experience / Acta Orthop Belg 68 (5) : 462 ~ 470
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UCI(KEPA) : I410-ECN-0101-2016-514-001625869