지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Purpose: To evaluate the results and efficacy of posterior dual plating for distal shaft fractures of the humerus. Materials and Methods: We retrospectively analyzed 12 patients, who underwent open reduction and internal fixation using posterior dual plating for distal shaft fractures of the humerus, between July 2007 and July 2015, with at least 6 months of follow-up. After locating the radial nerve without dissection via posterior triceps splitting, the fracture was stabilized using a short 3.5 mm locking compression plate. Then additional fixation, using a long 3.5 mm locking compression plate, was performed. The clinical outcomes were assessed in accordance with the Mayo Elbow Performance Index (MEPI) scoring system, and the radiological outcomes were assessed using serial plain radiographs. Results: Eleven patients (91.7%) had bony union, and the mean union period was 13.9 weeks. In one patient, delayed union was treated by autogenous iliac bone graft at 8 months after surgery, which resulted in bony union. The mean MEPI score was 95.8, and the clinical outcomes were excellent in 9 patients and good in 3 patients. Postoperative complications included 1 elbow stiffness by heterotopic ossification and 1 temporary radial nerve palsy. One patient with temporary radial nerve palsy was completely recovered within the first 4 days after surgery. Conclusion: Posterior dual plating for distal shaft fractures of the humerus revealed satisfactory clinical and radiological outcomes. It can be a useful alternative to provide stable fixation without the need for a dissection of the radial nerve.
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참고문헌 (13)
참고문헌 신청
이승구 / 2004 / 외측 도달법에 의한 원위 상완골 간부 골절의 수술적 치료 / 대한골절학회지 17(2):83~89
권대규 / 2012 / 전외측과 외측 병용 도달법에 의한 관절 외 원위 상완골 골절의 치료 / 대한골절학회지 25(3):185~190
Parmaksızoğlu AS / 2016 / Fixation of extra-articular distal humeral fractures with a lateral approach and a locked plate: an alternative method / Acta Orthop Traumatol Turc 50:132~138
Prasarn ML / 2011 / Dual plating for fractures of the distal third of the humeral shaft / J Orthop Trauma 25:57~63
Rubel IF / 2002 / Open reduction and internal fixation of humeral nonunions: a biomechanical and clinical study / J Bone Joint Surg Am 84:1315~1322
권대규 / 2012 / 전외측과 외측 병용 도달법에 의한 관절 외 원위 상완골 골절의 치료 / 대한골절학회지 25(3):185~190
Parmaksızoğlu AS / 2016 / Fixation of extra-articular distal humeral fractures with a lateral approach and a locked plate: an alternative method / Acta Orthop Traumatol Turc 50:132~138
Prasarn ML / 2011 / Dual plating for fractures of the distal third of the humeral shaft / J Orthop Trauma 25:57~63
Rubel IF / 2002 / Open reduction and internal fixation of humeral nonunions: a biomechanical and clinical study / J Bone Joint Surg Am 84:1315~1322
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