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비 확공성 골수강내 교합정을 이용한 경골 간부 골절의 치료
전호승,윤형구,전광표,정대은,박만제 대한골절학회 1996 대한골절학회지 Vol.9 No.2
Recently intramedullary nailing has become the most common method treating tibial fractures. Reamed intramedullary nailing technique leaves the problem of destroying thc endosteal blood supply, which associated with delayed union and postoperative infection. Recent reports have shown excellent rate of union and low rate of infection with unreamed interlocking intramedullary nail. Author reviewed 58 cases of tibia shall fractures that were treated with unreamed interlocking nail from Feb. 1992 to Feb. 1994. I. Forty nine fractures were closed and 9 were open (Gustilo-Andersonl;3,II;5, IIIa;1). Thirty one fractures involved the distal portion, 19 fractures the middle portion, 6 fractures the proximal portion and 2 fractures were segmental. 2. Thirty six cases were male and 22 were female. The most common age was 3rd decade (25.8%). 3. The most common cause was traffic accident. 4. Average interval from injury to operation were 5.7 days in closed fracture and 11.3 days in open fracture. 5. The mean duration of hone union were 15.7 weeks in closed fracture and 19.5 weeks in open fracture. 6. Complications include I case of delayed union, I case of joint stifmess and 1 case of screw failure. 7. According to the functional results by Klemm and Borner, 42 cases were excellent, 15 cases were good and 1 was fair.
전호승,윤형구,전광표,정대은,장대영 대한골절학회 1995 대한골절학회지 Vol.8 No.2
Fractures of the tibia are one of the most common injury encountered by orthopaedic surgeons and their treatments are considered to be difficult due to serious complications. Many treatment modalities were introduced. Among them, Ender nailing is considered one of the useful modality because it is a relatively simple and, less invasive procedure. Authors analized l23 tibial fractures treated with Endr nails from Feb. 1986 to Feb. 1992 to solve the problems during Ender nailing. The follow up ranged from 12months to 57 months with an average of 17 months. The results are as follows; l. Among 123 patients, 93 cases are male and 30 cases are female. Traffic accident is the most common cause of injury. 2. Average interval from injury to operation is 9 days and average 2.7 Ender nails are used. The mean duration of the bone union is 19.1 weeks. 3. To prevent knee joint pain, more distal medial and lateral portal of entry and more posteriorly located lateral portal of entry were used. 4. To provide stability of distal 1/3 fracture, 3 or more nails are introduced with fanning in AP and lateral plane. 5. to provide stability of the comminuted fractures, convexities of at least 2 nails are located at the comminuted site. 6. To prevent rotation of the middle fragments of segmental fractures, technique of temporary Steinmann pin fixation for handling the middle fragment during operation were used.
김동수,강경훈,전광표,김진일,윤형구,강철원 대한골절학회 1999 대한골절학회지 Vol.12 No.4
Purpose: In children, fractures of the femoral shaft have been traditionally treated by immobilization in a spica cast, either immediately or after a period in traction except open fracture or for patient with head injuries. More recently, there has been a growing trend towards surgical treatment with widening of the indications including isolated femoral fractures. To evaluate the clinical, radiological results of surgical treatment for femoral shaft fractures in children, we reviewed 13 cases of femoral shaft fractures in children treated with flexible intramedullary nailing and followed for more than 12 months. Materials & Methods: The average age of the patients was 11 years and 4 months(range 10-14 years). The average follow-up period was 1 years and 3 months(range 1 years-I years and 8 months)after surgery.10 cases and 3 cases were inserted through antegrade and retrograde entry. Results: No major complications were found except 1 intraoperative iatrogenic fracture and 2 postoperative bursitis; all fractures were united and radiologic union was obtained at 9.5 weeks after surgery. Conclusion: The clinical results obtained using flexible intramedullary nails for the stabilization of femoral shaft fracture in children are comparable to non-operative treatment, but with less disruption to family life and a shorter hospitalization while achieving near anatomic alingment, maintaining length, and allowing early active motion at the hip and knee.