지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.12
- 수록면
- 223 - 228 (6page)
이용수
초록· 키워드
오류제보하기
Background: The aim of study was to confirm the clinical effectiveness and results of wide and single anterior approach for fractures occurring along length of humerus.
Methods: A total of 23 patients with humeral fracture were enrolled into our study who were able to participate in at least one year of follow-up. Seven patients had segmental comminuted humeral fractures and 16 patients had distal humeral fractures. We made various tractions of the muscles to expose the proximal and the middle third humerus between the biceps and brachialis and the distal humerus by partial splitting of lateral side of biceps through a single incision. Postoperatively, we measured the Mayo elbow performance index(MEPI).
Results: we achieved bone union in all 23 patients. Solid union of the bone was achieved at an average 13.9 weeks. Postoperatively, two complications were observed screw loosening and nonunion. Revision surgery was performed in both patients. The patient with bone nonunion was treated using bone grafts. No postoperative infections or peripheral neuropathies were observed. At the final followup (average 20 months), we found that the average MEPI functional score of the patients was 91.7 points regardless of the fracture site.
Conclusions: Our whole humerus with a single incision was effective for the treatment of segmental comminuted and distal fractures. we believe it is a useful alternative to preexisting methods of fracture fixation.
Methods: A total of 23 patients with humeral fracture were enrolled into our study who were able to participate in at least one year of follow-up. Seven patients had segmental comminuted humeral fractures and 16 patients had distal humeral fractures. We made various tractions of the muscles to expose the proximal and the middle third humerus between the biceps and brachialis and the distal humerus by partial splitting of lateral side of biceps through a single incision. Postoperatively, we measured the Mayo elbow performance index(MEPI).
Results: we achieved bone union in all 23 patients. Solid union of the bone was achieved at an average 13.9 weeks. Postoperatively, two complications were observed screw loosening and nonunion. Revision surgery was performed in both patients. The patient with bone nonunion was treated using bone grafts. No postoperative infections or peripheral neuropathies were observed. At the final followup (average 20 months), we found that the average MEPI functional score of the patients was 91.7 points regardless of the fracture site.
Conclusions: Our whole humerus with a single incision was effective for the treatment of segmental comminuted and distal fractures. we believe it is a useful alternative to preexisting methods of fracture fixation.
목차
Introduction
Methods
Results
Discussion
Conclusion
References
참고문헌 (18)
참고문헌 신청
[학술지(정기간행물)] - Volgas DA / 2004 / Nonunions of the humerus / Clin Orthop Relat Res (419) : 46 ~ 50
[학술지(정기간행물)] - Sarmiento A / 2000 / Functional bracing for the treatment of fractures of the humeral diaphysis / J Bone Joint Surg Am 82 (4) : 478 ~ 486
[학술지(정기간행물)] - Farragos AF / 1999 / Complications of intramedullary nailing for fractures of the humeral shaft : a review / J Orthop Trauma 13 (4) : 258 ~ 267
[학술지(정기간행물)] - Shin SI / 2007 / Treatment of two-and threepart fracture of proximal humerus using LCP / J Korean Shoulder Elbow Soc 10 (2) : 204 ~ 211
[학술지(정기간행물)] - Vander Griend R / 1986 / Open reduction and internal fixation of humeral shaft fractures. Results using AO plating techniques / J Bone Joint Surg Am 68 (3) : 430 ~ 433
[학술지(정기간행물)] - Sarmiento A / 2000 / Functional bracing for the treatment of fractures of the humeral diaphysis / J Bone Joint Surg Am 82 (4) : 478 ~ 486
[학술지(정기간행물)] - Farragos AF / 1999 / Complications of intramedullary nailing for fractures of the humeral shaft : a review / J Orthop Trauma 13 (4) : 258 ~ 267
[학술지(정기간행물)] - Shin SI / 2007 / Treatment of two-and threepart fracture of proximal humerus using LCP / J Korean Shoulder Elbow Soc 10 (2) : 204 ~ 211
[학술지(정기간행물)] - Vander Griend R / 1986 / Open reduction and internal fixation of humeral shaft fractures. Results using AO plating techniques / J Bone Joint Surg Am 68 (3) : 430 ~ 433
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UCI(KEPA) : I410-ECN-0101-2017-514-001985119