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      상완골 병적 골절의 수술적 치료 = Surgical Treatment of Pathologic Humeral Fracture

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      https://www.riss.kr/link?id=A82332223

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      다국어 초록 (Multilingual Abstract)

      Purpose: To evaluate and analyze the radiographic and clinical outcomes after the surgical treatments of pathologic humeral fractures. Materials and Methods: From October 1993 to September 2007, a retrospective investigation was conducted with a total of 13 patients who underwent operations for pathologic humeral fractures. The methods of surgical treatment were as follows-four cases of open reduction and internal fixation; eight cases of closed reduction and internal fixation with intramedullary nailing; and one of radical excision and hemiarthroplasty. Results: Of nine patients with metastatic bone lesions, three were diagnosed with primary cancer after the incidence of pathologic humeral fracture. The mean period between the diagnosis of primary cancer and pathologic fracture in the latter six cases was 36.7 (2∼144) months and the mean survival period after the surgical treatments was 22.8 (12∼35) weeks in all patients with bone metastasis. Fracture unions were noted in all four cases of primary humeral bone lesion but none in metastatic cases. Pain relief and functional recovery were noted in eleven patients of this study. Conclusion: Satisfactory clinical outcomes with sustained pain relief and functional recovery were observed after the surgical treatments of pathologic humeral fracture. Benign bone lesions require more active and early treatments in order to facilitate the functional recovery of upper extremities and fracture union. With pathologic humeral fractures originated from metastasis, palliative treatments were preferred to fracture union method for planning long-term pain relief and functional recovery.
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      Purpose: To evaluate and analyze the radiographic and clinical outcomes after the surgical treatments of pathologic humeral fractures. Materials and Methods: From October 1993 to September 2007, a retrospective investigation was conducted with a total...

      Purpose: To evaluate and analyze the radiographic and clinical outcomes after the surgical treatments of pathologic humeral fractures. Materials and Methods: From October 1993 to September 2007, a retrospective investigation was conducted with a total of 13 patients who underwent operations for pathologic humeral fractures. The methods of surgical treatment were as follows-four cases of open reduction and internal fixation; eight cases of closed reduction and internal fixation with intramedullary nailing; and one of radical excision and hemiarthroplasty. Results: Of nine patients with metastatic bone lesions, three were diagnosed with primary cancer after the incidence of pathologic humeral fracture. The mean period between the diagnosis of primary cancer and pathologic fracture in the latter six cases was 36.7 (2∼144) months and the mean survival period after the surgical treatments was 22.8 (12∼35) weeks in all patients with bone metastasis. Fracture unions were noted in all four cases of primary humeral bone lesion but none in metastatic cases. Pain relief and functional recovery were noted in eleven patients of this study. Conclusion: Satisfactory clinical outcomes with sustained pain relief and functional recovery were observed after the surgical treatments of pathologic humeral fracture. Benign bone lesions require more active and early treatments in order to facilitate the functional recovery of upper extremities and fracture union. With pathologic humeral fractures originated from metastasis, palliative treatments were preferred to fracture union method for planning long-term pain relief and functional recovery.

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      참고문헌 (Reference)

      1 김정일, "전이성 골종양의 수술적 치료와 예후 인자" 대한정형외과학회 43 (43): 438-444, 2008

      2 박승림, "상완골 간부 골절의 교합성 골수강 내 금속정을 이용한 치료 결과 및 술 후 견관절 기능 평가" 대한골절학회 20 (20): 9-9, 2007

      3 Dijstra S, "Treatment of pathological fractures of the humeral shaft due to bone metastases: a comparison of intramedullary locking nail and plate osteosynthesis with adjunctive bone cement" 22 : 621-626, 1996

      4 Vail TP, "Treatment of pathologic fractures of the humerus" 268 : 197-202, 1991

      5 Carlin BI, "The natural history, skeletal complications, and management of bone metastases in patients with prostate carcinoma" 88 (88): 2989-2994, 2000

      6 Galasko CSB, "Skeletal metastases" Butterworth 1986

      7 Jacobson AF, "Prognostic significance of the number of bone scan abnormalities at the time of initial bone metastatic recurrence in breast carcinoma" 91 : 17-24, 2001

      8 Bae SW, "Postoperative functional assessments in adult humerus shaft fractures comparison among plates and screws, intramedullary nail and external fixatior" 대한골절학회 14 : 228-235, 2001

      9 Lancaster JM, "Pathologic fractures of the humerus" 81 : 52-55, 1988

      10 Flemming JE, "Pathologic fracture of the humerus" 203 : 258-260, 1986

      1 김정일, "전이성 골종양의 수술적 치료와 예후 인자" 대한정형외과학회 43 (43): 438-444, 2008

      2 박승림, "상완골 간부 골절의 교합성 골수강 내 금속정을 이용한 치료 결과 및 술 후 견관절 기능 평가" 대한골절학회 20 (20): 9-9, 2007

      3 Dijstra S, "Treatment of pathological fractures of the humeral shaft due to bone metastases: a comparison of intramedullary locking nail and plate osteosynthesis with adjunctive bone cement" 22 : 621-626, 1996

      4 Vail TP, "Treatment of pathologic fractures of the humerus" 268 : 197-202, 1991

      5 Carlin BI, "The natural history, skeletal complications, and management of bone metastases in patients with prostate carcinoma" 88 (88): 2989-2994, 2000

      6 Galasko CSB, "Skeletal metastases" Butterworth 1986

      7 Jacobson AF, "Prognostic significance of the number of bone scan abnormalities at the time of initial bone metastatic recurrence in breast carcinoma" 91 : 17-24, 2001

      8 Bae SW, "Postoperative functional assessments in adult humerus shaft fractures comparison among plates and screws, intramedullary nail and external fixatior" 대한골절학회 14 : 228-235, 2001

      9 Lancaster JM, "Pathologic fractures of the humerus" 81 : 52-55, 1988

      10 Flemming JE, "Pathologic fracture of the humerus" 203 : 258-260, 1986

      11 Sim FH, "Orthopaedic management using new devices and prostheses" 312 : 160-172, 1995

      12 Harrington KD, "Methylmethacrylate as an adjunct in internal fixation of pathologic fractures. Experience with three hundred and seventyfive cases" 58 : 1047-1055, 1976

      13 Kollender Y, "Metastatic renal cell carcinoma of bone: indications and technique of surgical intervention" 164 : 1505-1508, 2000

      14 Habermann ET, "Metastatic disease of bone and treatment of pathological fractures" 20 : 469-486, 1989

      15 Sim FH, "Metastatic disease in the upper extremity" 169 : 83-94, 1982

      16 Mirels H, "Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures" 249 : 256-264, 1989

      17 Chin HC, "Metastatic diaphyseal fractures of the shaft of the humerus. The structural strength evaluation of a new method of treatment with a segmental defect prosthesis" 248 : 231-239, 1989

      18 Chao EYS, "Management of pathological fracture. In: Kim AH ed. Diagnosis and management of metastatic bone disease. A multidisciplinary approach" Raven Press 283-290, 1988

      19 van der Hulst RR, "Intramedullary nailing of (impending) pathologic fractures" 36 : 211-215, 1994

      20 Redmond BJ, "Interlocking intramedullary nailing of pathological fractures of the shaft of the humerus" 78 : 891-896, 1996

      21 Damron TA, "Intercalary spacers in the treatment of segmentally destructive diaphyseal humeral lesions in disseminated malignancies" 324 : 233-243, 1996

      22 Friedl W, "Indication, management and results of surgical therapy for pathological fractures in patients with bone metastases" 18 : 380-396, 1990

      23 Dijstra S, "Impending and actual pathological fractures in patients with bone metastases of the long bones. A retrospective study of 233 surgically treated fractures" 160 : 535-542, 1994

      24 Townsend PW, "Impact of postoperative radiation therapy and other perioperative factors on outcome after orthopedic stabilization of impending or pathologic fractures due to metastatic disease" 12 : 2345-2350, 1994

      25 Brage ME, "Evaluation, prognosis, and medical treatment considerations of metastatic bone tumors" 15 : 589-596, 1992

      26 Patel B, "Evaluation of the risk of pathologic fractures secondary to metastatic bone disease" 24 : 612-617, 2001

      27 Frassica FJ, "Evaluation and treatment of metastases to the humerus" 415 : S212-S218, 2003

      28 Janjan N, "Bone metastases: approaches to management" 28 (28): 28-34, 2001

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      학술지 이력

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      연월일 이력구분 이력상세 등재구분
      2027 평가예정 재인증평가 신청대상 (재인증)
      2021-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2018-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2015-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2014-01-08 학술지명변경 외국어명 : 미등록 -> Journal of the Korean Fracture Society KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2008-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2007-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2006-07-21 학회명변경 영문명 : The Journal Of The Korean Society -> The Korean Fracture Society KCI등재후보
      2006-01-01 평가 등재후보 1차 FAIL (등재후보2차) KCI등재후보
      2005-05-30 학술지등록 한글명 : 대한골절학회지
      외국어명 : 미등록
      KCI등재후보
      2005-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2003-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.05 0.05 0.04
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.05 0.05 0.217 0
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