대퇴골 간부의 장사상 또는 나선상 골절 치료에 있어 역학적 압박 금속판과 나사고정의 비교 = Clinical Study of Long Oblique and Spiral Fracture of Femoral Shaft

다국어 초록 (Multilingual Abstract)

Fractures of the femoral shaft are among the common fractures enconutered in orthpedic practice and resulted from high energy. They bring many associated injury and have severe soft tissue injuries. Today, the interlocking intramedullary nail is regarded as a treatment of choice for fractures of the femoral shaft. But as to long oblique and spiral fractures of femoral shaft, dynamic compression plate and screw fixation are much more used.
The department of Orthopedic Surgery, Seoul hospital, Kon-Kuk University Medical center reports about two treatments and the result by comparing between 24 cases who were treated by dynamic compression plates and 20 cases who were treated by screw fixation for long oblique and spiral fractures for femoral shaft from January 1992 to December 1996.
The results were as follows:
1. Bony union was finished at average 38.3 weeks, at average 39.5 weeks in cases used dynamic compression plates, at average 37.8 weeks in cases used screw fixation.
2. Complications were 6 cases of joint stiffness of ipsilateral knee joint, 4 cases of nonunion, 2 cases of delayed union, 2 cases of angular deformity, and 1 case of limb shortening. But there was no significant difference between two treatments.
3. Bony union of long oblique and spiral fractures of the femoral shaft that treated by dynamic compression plates and screw fixation was done by so-called primary bone healing.
4. In the treatment of long oblique and spiral fractures of the femoral shaft, screw fixation was no difference in complication but better in bony union than using dynamic compression plate. So it seems to be a good treatment method for long oblique and spiral fractures of the femoral shaft.