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조성도,조현오,곽경덕,손앙현 대한골절학회 1992 대한골절학회지 Vol.5 No.1
Among the many devices available for the internal fixation of the trochanteric fractures of the femur, the sliding-screw plate method has gained considerable acceptance. However, the procedure is demanding to be more delicate and skillfull, and its problems are not infrequent especially in the elderly patients with unstable fractures. A retrospective study of roentgenograms and charts was made of the trachanteric fractures in the elderly, treated with the Dynamic Hip Screw; to investigate the relationships between the type of fracture, the type of reduction, the presence of osteoporosis, the implant position, and technical complications and re-operations. The results were as follows: 1. Technical complications occurred in 7 unstable cases (17.9%) 2. Complication rates were 14.3% in cases of medial reduction; 21.5%, anatomical reduction; and 50.0%, lateral reduction. 3. More unstable fractures and technical complications were noted in cases with osteoporosis. 4. Technical complications were more frequent in cases of the lag screw tip inserted into the superior portion of the femoral head. 5. Unstable fractures (mean; 9.lmm) collapsed more than stable cases (mean; 3.6mm). 6. The change of neck-shaft angle was most noticeable in unstable fractures with anatomic reduction.
조성도,조현오,곽경덕,손앙현 대한골절학회 1993 대한골절학회지 Vol.6 No.1
Treatment of the distal radius fracture remains challenging. Various methods were attempted for the treatment of the distal radius fracture including immobilization in a plaster cast, percutaneous pinning, external skeletal fixation, limited open reduction and open reduction and internal fixation. Whichever method is attempted, the ultimate goal should be the restoration of articular surface and the maintenance of reduction until the fracture heals. Authors attempted to establish the methods of treatment according to the A-0 classification, reviewing the end results of 49 unstable cases treated operatively.
전위된 상완골 근위부 골절의 수술적 치료 : 내고정물 선택에 따른 골절 치유와 임상적 결과에 미치는 영향을 중심으로
조성도,조현오,곽경덕,서중환,손앙현 대한골절학회 1992 대한골절학회지 Vol.5 No.1
Displaced unstable fractures of the proximal humerus may result in pain as well as in delay of union, both contributing to prolonged immobilization and unsatisfactory results. Therfore, we must consider operative treatment for these fracture. When surgery is attempted, however, major technical problems may be encountered precluding stable fixation allowing early motion. Authors have attempted various methods of fixation for displaced proximal humeral fractures and compared the pitfalls and complications related to the each methods of fixation. The following results were obtained. 1. According to Neer classification, three-part. fracture(45.8%) was the commonest type. 2. Two-part fractures were treated mainly by closed method and fractures of three-part or more, by open reduction. 3. Postoperative immobilization period was shortest (mean 9 days) in the group of rigid fixation with a plate and screws. 4. Overall clinical result according to Neer criteria as excellent or good in 68.5% (24 of 35 cases) ' 60% (6 of 10 cases) in K-wire fixation and 50% (2 of 4 cases) in long staple fixation after closed reduction, and 55.6%(4 of 7 cases) in K-wire k screw fixation and 85.7%(12 of 14 cases) in a plate k screw fixation after open reduction. 5. The commonest complication was joint stiffness (6 cases) and 4 cases of these were in the group of closed methods. Four cases of malunion were all 3-part fractures treated with K-wire fixation after closed reduction, and redisplacement developed in 4 cases in closed reduction 8c K-wire or long staple fixation. And 2 cases of nonunion developed all after long staple fixation.