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김한식,강호정,신동은,강응식 대한골절학회 1997 대한골절학회지 Vol.10 No.3
The treatment of 16 intraarticular fractures at the base of the fifth metacarpal was studied. Intraarticular fractures at the base of the fifth metacarpal resembled Bennett's and Rolando's fractures in their pattern and in their tendency to instability. The problem was usually not the reduction, but rather maintaining the reduction. A force hitting the head of the fifth metacarpal along the longitudinal axis of the metacarpal was the most common cause of injury. Five fractures were immobilized in a plaster cast after closed reduction. Six fractures were treated by closed reduction and percutaneous pinning, 4 by open reduction and pinning, l by open reduction and plating. At follow up after median 14.8 months, the result of 1l cases was satisfactory. Two cases nonoperated showed decreased grip power, limited motion, radiographical signs of osteoarthritis, and pain. Three cases operated showed decreased grip power. We concluded that restoration of articular surface and internal fixation againt the muscular pull was mandatory for a satisfactory outcome.
신상진,강호정,김형식,강응식 대한골절학회 2000 대한골절학회지 Vol.13 No.3
Purpose: The capitellar fractures of the humerus are rare. Furthermore, the treatment of the fracture has been controversial. This study presents the experience in the operative treatment of capitellar fractures of the humerus. Materials and methods: Eleven patients with an average age of 41.0 years (range, 15-76 years) were included in this study. The average length of follow-up was 13.6 months (range, 12-17 months). Type I fracture was noticed in ten patients and type III in one patient. Herbert screws, Kirschner wires, cancellous screw and miniscrew were used for internal fixation. The postoperative immobilization period averaged 6.7 days (range, 3-10 days). Results: Flexion of the elbow averaged 135 degrees (range, 100-150 degrees), with an average flexion contracture of 17 degrees (range, 5-45 degrees). Supination averaged 83 degrees (range, 20-90 degrees) and pronation averaged 87 degrees (range, 80-90 degrees). Seven patients had an excellent functional results, two good and two fair according to Broberg and Morrey elbow-rating scale. The complications included loosening of Kirschner's wires in two patients, osteochondral loose body in one, nonunion and heterotopic ossification in one and severe limitation of motion in one. Conclusion: The early motion of the elbow joint after anatomical reduction and internal fixation for the displaced capitellar fracture is an effective treatment in restoring normal elbow function.