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나비형 골절이 동반된 쇄골 골절 치료에 대한 임상적 고찰
이상홍,표영배,임근식 대한골절학회 1992 대한골절학회지 Vol.5 No.1
In case of clavicular fractures in adult, the goal of treatment is to achieve bone healing with minimum morbidity, minimal loss of function and minimal residual definity. Fractures of clavicle with butterfly fragment have been treated by various methods. such as modified shoulder spica cast, figure-of-eight bandages and surgical operation. It is very difficult to decide the method of treatment conservatively or operatively. The authors treated 20 cases of clavicular fractures with butterfly fragment from January 1987 to August 1990. Among these, 12 cases were treated by operative methods and 8 cases by modified shoulder spica cast or figure of 8 bandages. By comparison of clinical results on both treatment group, many complications were noticed in operative group. It is difficult to arrive at any definite conclusions, because we experienced in few cases. But, closed treatment constitute the preferred procedure in majarity of patients except few specific patients.