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상완골 간부 골절의 수술적 치료 : 금속판 내고정술과 Ender 정 고정술의 비교
최용수,오세인,백인규,김기수 대한골절학회 1995 대한골절학회지 Vol.8 No.1
The treatment of humeral shaft fractures remains controversal. The decision should be based on the type and location of the fracture, The presence of concomitant injuries, and the age and condition of the patient. Auhors reviewed and analyzed plate fixation in 30 patients and Ender nailing in 21 patients having humeral shaft fractures. These patients were treated at the Department of Orthopaedic Surgery, Kwang ju Christian Hospital from January 1988 to December 1993. The results were as follows, 1. Males had a dominant incidence in social active age groups, the major causes of these injuries were traffic accidents. 2. Most of surgical indications were polytrauma patients in Ender nailing groups, while failure of conservative management and radial nerve palsy in plate fixation groups. The bony union rate was 80.9% in Ender nailing groups and 100% in plate fixation groups. 3. Among the seven radial nerve palsy sustaining high energy accidents two cases had poor results. Nonunion of the humeral shaft fracture occured in four cases and were associated with insecure fixation, distraction of fracture site and open fracture, these four patients were only in the Ender nailing gropus. When swgical management is indicated, internal fixation using plate osteosynthesis combining interfragmentary compression can give good results. Closed inuamedullary Ender nailing have advantages and can be performed effectively in selected fractures of the humeral shaft such as polytrauma patients.