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최익수,곽철호,최원석,노수인 대한골절학회 1997 대한골절학회지 Vol.10 No.2
The unions of the humeral fracture can be successfully achieved by conservative methods due to its anatomical uniqueness. The humerus hangs vertically along the body influenced by gravity, thus it is not difficult to maintain the anatomical position. Therefore the treatment can be achieved by nonoperative methods such as hanging arm cast, abduction splint, U-splint and functional brace, etc. However, complications such as nonunion that induced by other factors have been reported. These factors are insecure internal fixation, unwise internal device selection, incorporation of patient himself, complicating infection and open fractures. Once the nonunion occurs, surgeons have to consider how to eliminate such factors. We have studied 13 cases of nonunions on the humeral diaphyseal fractures from Jan, 1988 to Jun, 1996 to analysize the causes and to access the prevention of humeral nonunion. Following results were obtained, 1. The main cause of nonunion was inadequate fixation(61.4%). 2. In 1 l out of 13 cases(85%), the primary treatment was done surgically, emplying plates, intramedullary nails and half pin external uinplanar fixator. 3. Nonunions were prevalent in the age-group of 30 to 40(61.5%) and in male(2.3: 1) 4. Unions were achieved successfully in all 13 cases with the union period being average 20.4 weeks. They were treated in various method which included rigid internal fixation with compression plates supplemented by autogenous iliac bone graft or allograft, monofocal Ilizarov device and interlocking medullary nailing with bone graft after removal of failed plate and screws. 5. Bone graft was performed in 11 out of 13 cases(84.6%). 6. The average postoperative immobilzation was 7.5 weeks with long arm cast, functional brace and posterior gutter splinting.
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하홍주,최익수,김우일,강진구,노수인,고승찬 대한골절학회 1999 대한골절학회지 Vol.12 No.2
Recently, distal radius fractures are recognized as very complex injuries with a variable prognosis according to the fracture type and the treatment. Especially, there are several problems, including joint stiffness and skin necrosis due to a long term immobilization, radial shortening and collapse due to the loss of reduction in the elderly. Thus, the anatomical reduction and rigid internal fixation and early rehabilitation were recommanded. We analyzed ]6 patients with distal radius fractures in the elderly, who were treated with open reduction and internal fixation with T-plate from January, 1991 to June, 1997 and were followed up for more than 12 months. The results were as follows; 1. According to the Fernandez classification, 3 cases were type I, 3 cases were type II, 7 cases were type III, 1 case was type IV and 2 cases were type V. 2. As complications, there were 2 cases of arthritic change, 3 cases of radial shortening, and I case of screw loosening. 3. Anatomically satisfactory results were obtained in 75%(12 cases). 4. Functionally and clinically satisfactory results were obtained in 87%(14 cases). 5. In the treatment of distal radius fractures in the elderly, three dimensional structure and recovery of joint congruency were related to the clinical prognosis.