비 확공성 골수강내 교합정을 이용한 경골 간부 골절의 치료 = Treatment with Unreamed Interlocking Intramedullary Nail

다국어 초록 (Multilingual Abstract)

Recently intramedullary nailing has become the most common method treating tibial fractures. Reamed intramedullary nailing technique leaves the problem of destroying thc endosteal blood supply, which associated with delayed union and postoperative infection. Recent reports have shown excellent rate of union and low rate of infection with unreamed interlocking intramedullary nail. Author reviewed 58 cases of tibia shall fractures that were treated with unreamed interlocking nail from Feb. 1992 to Feb. 1994. I. Forty nine fractures were closed and 9 were open (Gustilo-Andersonl;3,II;5, IIIa;1). Thirty one fractures involved the distal portion, 19 fractures the middle portion, 6 fractures the proximal portion and 2 fractures were segmental. 2. Thirty six cases were male and 22 were female. The most common age was 3rd decade (25.8%). 3. The most common cause was traffic accident. 4. Average interval from injury to operation were 5.7 days in closed fracture and 11.3 days in open fracture. 5. The mean duration of hone union were 15.7 weeks in closed fracture and 19.5 weeks in open fracture. 6. Complications include I case of delayed union, I case of joint stifmess and 1 case of screw failure. 7. According to the functional results by Klemm and Borner, 42 cases were excellent, 15 cases were good and 1 was fair.