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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: Twenty early surgical management cases of distal humerus type-C fractures were analyzed. Materials and Methods: This study analyzed 20 early patients, who received surgical management of distal humerus type-C fractures, and could be followed-ups for more than one year between March of 2013 and May of 2015. The operative time, bone union time, and elbow range of motion were analyzed. The Mayo’s functional score was used to evaluate their postoperative function. The primary and secondary complications of each patient immediately after each of their surgery were also reviewed. Results: All patient groups achieved bone union within an average period of 16.4 weeks. Based on the Mayo functional score, 6, 10, and 4 patients scored excellent, good, and fair, respectively. The average range of motion was a flexion contracture of 14.5o with a follow-up improvement averaging 120.7o. Six patients received nine revision operations due to major and minor complications. Two patients received revision fixation from an inadequate fixating power, and another patient received an ulnar nerve transposition. Other complications included olecranon osteotomy site displacement, superficial operational site infection, and pin loosening. Conclusion: Distal humerus fractures of the AO-C type can cause a range of complications and has a very high rate of revision due to its difficult nature of surgical manageability. Therefore, it is imperative for a surgeon to expect various complications beforehand and a careful approach to their postoperative rehabilitation is essential.
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참고문헌 (16)
참고문헌 신청
Eralp L / 2001 / Surgical treatment of distal intraarticular humeral fractures in adults / Int Orthop 25:46~50
Helfet DL / 1990 / Internal fixation of the distal humerus: a biomechanical comparison of methods / J Orthop Trauma 4:260~264
Gupta R / 1996 / Intercondylar fractures of the distal humerus in adults / Injury 27:569~572
Gupta R / 2002 / Intercondylar fractures of the distal humerus in adults: a critical analysis of 55 cases / Injury 33:511~515
Jupiter JB / 2002 / Interchondylar fractures of the humerus. An operative approach / J Bone Joint Surg Am 67:226~239
Helfet DL / 1990 / Internal fixation of the distal humerus: a biomechanical comparison of methods / J Orthop Trauma 4:260~264
Gupta R / 1996 / Intercondylar fractures of the distal humerus in adults / Injury 27:569~572
Gupta R / 2002 / Intercondylar fractures of the distal humerus in adults: a critical analysis of 55 cases / Injury 33:511~515
Jupiter JB / 2002 / Interchondylar fractures of the humerus. An operative approach / J Bone Joint Surg Am 67:226~239
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