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비확공성 정적 골수강내 금속정 고정술을 이용한 폐쇄성 경골 간부 골절의 치료
신영식,양정호,이상언,박헌영 대한골절학회 1998 대한골절학회지 Vol.11 No.2
For the treatment of tibial shaft fracures interlocking intramedullary nailing has been used widely. Recently choosing between reamed or unreamed interlocking nailing for closed tibial shaft fracture is still controversial. The purpose of this study is to evaluate the results and complications of unreamed interlocking nailing for closed tibial shaft fractures. We reviewed 28 closed tibial shaft fractures that were treated with unreamed static medullary nailing from May 1993 to December 1996 at the Department of Orthopaedic surgery, Pohang St. Mary s Hospital. The results were as follows l. In all 28 cases, union of the fracture was achieved at average I 9.6 weeks and there was no malunion. 2. We performed additional procedures in 4 cases(14.3%) for union: autogenous iliac hone graft in 1 case(3.5%) that was unstable segmental fracture and dynamization in 3 cases( I0.7%). 3. There was breakage of distal locking screw in l case but no breakage of intramedullary nail.