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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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Purpose: This study was to evaluate the radiological and clinical mid-term results and the presence of post-traumatic osteo-arthritis after osteosynthesis in patients under the age of 50 years undergoing osteosynthesis for distal femur intra-articular fractures (AO/OTA 33-B & C) from high-energy trauma.Materials and Methods: Between January 2008 and January 2013, a total of twenty-one patients with more than three years of follow-up were enrolled. Recovery of the alignment of the lower extremity, union period, and the presence of post-traumatic osteoarthritis were confirmed by follow-up radiographs. Clinically, the range of motion, pain on fracture lesion, and Knee Society score (KSS) were evaluated.Results: The average duration of union was 18.2 weeks (10-28 weeks), and the alignment of the lower extremity was within normal range in all patients. Seven patients showed post-traumatic osteoarthritis at the final follow-up after more than three years. The presence of post-traumatic osteoarthritis was associated with the classification of fractures, coronal plane fracture, and age. The average range of motion, knee score among KSS, and function score at the last follow-up were 128.7o, 86.1, and 85.1, all showing a greater improvement when compared with the one-year follow-up scores.Conclusion: The mid-term result was radiologically and clinically satisfactory. Furthermore, only 33.3% of patients showed a slight progress of post-traumatic osteoarthritis, which critically effects the prognosis.
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참고문헌 (18)
참고문헌 신청
Martinet O / 2000 / The epidemiology of fractures of the distal femur / Injury 31(Suppl 3):C62~C63
Stover M / 2001 / Distal femoral fractures : current treatment, results and problems / Injury 32(Suppl 3):SC3~SC13
Vallier HA / 2006 / Failure of LCP condylar plate fixation in the distal part of the femur. A report of six cases / J Bone Joint Surg Am 88:846~853
Krettek C / 1997 / Transarticular joint reconstruction and indirect plate osteosynthesis for complex distal supracondylar femoral fractures / Injury 28(Suppl 1):A31~A41
Anderson DD / 2011 / Posttraumatic osteoarthritis: improved understanding and opportunities for early intervention / J Orthop Res 29:802~809
Stover M / 2001 / Distal femoral fractures : current treatment, results and problems / Injury 32(Suppl 3):SC3~SC13
Vallier HA / 2006 / Failure of LCP condylar plate fixation in the distal part of the femur. A report of six cases / J Bone Joint Surg Am 88:846~853
Krettek C / 1997 / Transarticular joint reconstruction and indirect plate osteosynthesis for complex distal supracondylar femoral fractures / Injury 28(Suppl 1):A31~A41
Anderson DD / 2011 / Posttraumatic osteoarthritis: improved understanding and opportunities for early intervention / J Orthop Res 29:802~809
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