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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
- 2019.6
- 수록면
- 87 - 92 (6page)
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초록· 키워드
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Background: This study was conducted to compare the radiological and clinical outcomes of internal fixation using a Polarus humeral nail for treatment of a humeral shaft fracture according to fracture types.
Methods: From 43 patients, 13 were excluded and 30 patients were included. The 30 patients were divided into 2 groups: 15 in group I (Orthopaedic Trauma Association/Arbeitsgemeinschaft für Osteosynthesefragen classification type A and B) and 15 in group II (type C). The mean age was 63.1 years (range, 20–87 years), and mean follow-up period was 2.3 years (range, 1.0–6.1 years). The causes of injuries were as follows: 12, traffic accidents; 14, simple slips; 2, simple falls; 2, contusions after lower energy trauma. Radiological and clinical evaluations were performed.
Results: Radiological union was confirmed by plain anteroposterior and lateral radiographs on average of 5.0 months in group I, and 8.4 months in group II, respectively. Differences between the two groups were statistically significant (p<0.01). The clinical union value was 1.6 in group I, and 2.0 months in group II, but these values did not differ significantly (p=0.441). The mean Korean shoulder scoring system scores were 89.7 and 90.6, which did not differ significantly (p=0.352).
Conclusions: Intramedullary nailing using the Polarus humeral nail is considered to be a good treatment modality for all types of humeral shaft fractures. Additionally, the Polarus humeral nail can be an optimal choice for the treatment of complex type fractures such as segmental or comminuted humeral shaft fractures.
Methods: From 43 patients, 13 were excluded and 30 patients were included. The 30 patients were divided into 2 groups: 15 in group I (Orthopaedic Trauma Association/Arbeitsgemeinschaft für Osteosynthesefragen classification type A and B) and 15 in group II (type C). The mean age was 63.1 years (range, 20–87 years), and mean follow-up period was 2.3 years (range, 1.0–6.1 years). The causes of injuries were as follows: 12, traffic accidents; 14, simple slips; 2, simple falls; 2, contusions after lower energy trauma. Radiological and clinical evaluations were performed.
Results: Radiological union was confirmed by plain anteroposterior and lateral radiographs on average of 5.0 months in group I, and 8.4 months in group II, respectively. Differences between the two groups were statistically significant (p<0.01). The clinical union value was 1.6 in group I, and 2.0 months in group II, but these values did not differ significantly (p=0.441). The mean Korean shoulder scoring system scores were 89.7 and 90.6, which did not differ significantly (p=0.352).
Conclusions: Intramedullary nailing using the Polarus humeral nail is considered to be a good treatment modality for all types of humeral shaft fractures. Additionally, the Polarus humeral nail can be an optimal choice for the treatment of complex type fractures such as segmental or comminuted humeral shaft fractures.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (28)
참고문헌 신청
Gary F. Updegrove / 2018 / Humeral shaft fractures / Journal of Shoulder and Elbow Surgery 27(4):e87~e97
Michele Arcangelo Verdano / 2013 / Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff? / International Orthopaedics 37(10):2001~2007
Matt Walker / 2011 / Humeral shaft fractures: a review / Journal of Shoulder and Elbow Surgery 20(5):833~844
Yoichi Koike / 2008 / Internal fixation of proximal humeral fractures with a Polarus humeral nail / Journal of Orthopaedics and Traumatology 9(3):135~139
K. Kazakos / 2007 / Internal fixation of proximal humerus fractures using the Polarus intramedullary nail / Archives of Orthopaedic and Trauma Surgery 127(7):503~508
Michele Arcangelo Verdano / 2013 / Humeral shaft fractures treated with antegrade intramedullary nailing: What are the consequences for the rotator cuff? / International Orthopaedics 37(10):2001~2007
Matt Walker / 2011 / Humeral shaft fractures: a review / Journal of Shoulder and Elbow Surgery 20(5):833~844
Yoichi Koike / 2008 / Internal fixation of proximal humeral fractures with a Polarus humeral nail / Journal of Orthopaedics and Traumatology 9(3):135~139
K. Kazakos / 2007 / Internal fixation of proximal humerus fractures using the Polarus intramedullary nail / Archives of Orthopaedic and Trauma Surgery 127(7):503~508
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UCI(KEPA) : I410-ECN-0101-2019-514-000765055