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논문 기본 정보

자료유형
학술저널
저자정보
최성주 (Department of Orthopaedic Surgery, Nowon Eulji Medical Center, Eulji University, Seoul, Korea) Sung Youn Jung (Department of Orthopaedic Surgery, Dong-A University College of Medicine, Busan, Korea) Min Bom Kim (Department of Orthopedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.)
저널정보
대한수부외과학회 Archives of Hand and Microsurgery Archives of Hand and Microsurgery 제29권 제1호
발행연도
2024.3
수록면
34 - 39 (6page)
DOI
10.12790/ahm.23.0039

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Purpose: A diaphyseal simple transverse fracture (DSTF) of the upper extremity (UE) requires direct anatomical reduction and absolute stability. No standard efficient method exists for reducing and maintaining a DSTF, despite its importance. Here, we introduce our transosseous wiring (TOW) method for UE-DSTFs. Methods: To maintain reduction, the UE-DSTF was first fixed with TOW before definitive fixation with a locking plate across the fracture. We retrospectively reviewed 15 patients with at least 1 year of postoperative follow-up treatment from 2019 to 2021. Results: All patients had achieved anatomical reduction and bone union at the final follow-up. Three patients had hardware removed because of irritation caused by the plate and screws. However, none of those three patients complained of irritation from the wire. One patient experienced refracture at the same site after hardware removal after a fall. The same technique was used in this case, and the bone union was observed 6 months after surgery. Conclusion: TOW is a simple straightforward method that can be applied without special instruments. It could be an efficient method for interfragmentary compression and attachment of a locking plate without the burden of maintaining the reduction of UE-DSTFs.

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