대퇴골 원위부를 포함한 간부 분절 골절에서 역행성 골수정을 이용한 치료 = Retrograde Intramedullary Nailing or the Treatment of Segmental Femoral Shaft Fracture Including Distal Part

다국어 초록 (Multilingual Abstract)

Purpose: To evaluate the usefulness of the retrograde intramedullary nailing for the treatment of segmental femoral shaft fracture including distal part. Materials and Methods: We reviewed 15 patients of segmental femoral fracture, who had treated with retrograde intramedullary nailing and followed-up more than 1 year from January 2003 to October 2007. There were 10 men, 5 women, and the mean age was 45 years old. There were associated fracture in 10 cases. We evaluate the time for union, non-union and malunion by radiologic finding and functional assessment by Sanders` criteria. Results: The mean time of union was 21 weeks. There was one delayed union in proximal fracture site. There was no shortening more than 1.5 cm, no angular deformity more than 10 degrees, no postoperative infection or instability. According to Sanders` criteria, there were excellent clinical results in 9 cases, good results in 5 cases and fair result in 1 case. Conclusion: The retrograde intramedullary nailing can be a useful method for treatment of segmental femoral shaft fracture including distal part.

참고문헌 (Reference)

1 정필현, "역행성 골수강내 금속정을 이용한 대퇴골 과상-과간골절의 치료" 대한골절학회 17 (17): 110-116, 2004

2 오창욱, "동측 대퇴골 간부 및 경부 골절에 대한 역행성 또는 전향적 골수정을 이용한 치료비교" 대한골절학회 20 (20): 135-140, 2007

3 Moed B, "Unreamed retrograde intramedullary nailing of fractures of the femoral shaft" 12 : 334-342, 1998

4 Mize R, "Treatment options for fractures of the dista femur" 43 : 109-117, 1994

5 Sanders R, "Treatment of suprachondylar - intercondylar fractures of femur using the dynamic condylar screw" 3 : 214-222, 1989

6 Danziger MB, "Treatment of intercondylar and supracondylar distal femur fractures using the GSH supracondylar nail" 24 : 684-690, 1995

7 Ostrum RF, "Treatment of floating knee injuries through a single percutaneous approach" 375 : 43-50, 2000

8 Papadokostakis G, "The role and efficacy of retrograding nailing for the treatment of diaphyseal and distal femoral fractures: a systematic review of the literature" 36 : 813-822, 2005

9 Browner BD, "Skeletal trauma. 2nd ed" WB Saunders Co 2033-2079, 1998

10 Ricci W, "Retrograde versus antegrade nailing of femoral shaft fractures" 15 : 161-169, 2001

11 Patterson BM, "Retrograde nailing of femoral shaft fractures" 38 : 38-43, 1995

12 Acharaya KN, "Retrograde nailing for distal third femoral shaft fractures: a prospective study" 14 : 253-258, 2006

13 Anup K, "Retrograde femoral interlocking nail in complex fractures" 10 : 17-21, 2002

14 Ruedi TP, "Results after internal fixations of comminuted fractures of the femoral shaft with DC plates" 138 : 74-76, 1979

15 Ostrum R, "Prospective comparison of retrograde and antegrade femoral intramedullary nailing" 14 : 496-501, 2000

16 Lucas SE, "Intramedullary supracondular nailing of femoral fractures" 296 : 200-206, 1993

17 Leung KS, "Interlocking intramedullary nailing for supracondylar & intercondylar fracture of the distal part of the femur" 73 : 332-340, 1991

18 Cavallo RJ, "Functional outcome after operative management of supracondylar femur fractures above or below orthopaedics implants" 154-, 1995

19 Stewart MJ, "Fractures of the distal third of the femur: a comparison of methods of treatment" 48 : 784-807, 1966

20 Morgan E, "Effects of retraograde femoral intramedullary nailing of the patellofemoral articulation" 13 : 13-16, 1999

21 Wolinsky P, "Controveries in intramedullary nailing of femoral shaft fractures" 83 : 1404-1415, 2001

22 Anastopoulos G, "Closed interlocked nailing in comminuted and segmental femoral shaft fractures" 35 : 772-775, 1993

23 Kregor PJ, "Associated injuries complicating the management of acetabular fractures" 33 : 73-95, 2002

24 Tornetta III P, "Antegrade or retrograde reamed femoral nailing" 82 : 652-654, 2000