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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.7
- 수록면
- 837 - 841 (5page)
- DOI
- 10.3349/ymj.2017.58.4.837
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초록· 키워드
오류제보하기
Purpose: To evaluate the time to bone union after open reduction and internal fixation with cerclage cables followed by intramedullarynailing (IMN) for unstable humeral shaft fractures.
Materials and Methods: Patients with a humeral shaft fracture treated by IMN were enrolled. One group of patients was treated via open reduction and internal fixation with cables followed by IMN (cable group; n=32), while the other group was treated with a conventionalclosed IMN (non-cable group; n=64). The length of time to bone union and functional scores [Disabilities of the Arm, Shoulder and Hand (DASH) and University of California, Los Angeles (UCLA) scores] were measured for all patients.
Results: No significant differences were found in terms of age, gender, injury type, or smoking history between the two groups, exceptfor the type of fracture. The cable group had significantly more complex types of fracture than the non-cable group (p<0.001). The mean time to bone union was 3.9 months in the cable group, while in the non-cable group, it was 4.4 months (p=0.041). The incidence of postoperative complications, such as non-union, delayed union, and radial nerve palsy, was similar between the two groups (p>0.05). No differences were identified in terms of DASH and UCLA scores (28.8 and 32.1 in the cable group and 26.4 and 32.6 in the non-cable group, respectively; p=0.335 and 0.264).
Conclusion: In unstable humeral shaft fractures treated by IMN, open reduction and internal fixation with additional cerclage cablesdo not delay the length of time to bone union or increase the rate of other complications.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Bhandari M / 2006 / Compression plating versus intramedullary nailing of humeral shaft fractures--a meta-analysis / Acta Orthop 77:279~284
Metsemakers WJ / 2015 / Intramedullary nailing of humeral shaft fractures: failure analysis of a single centre series / Arch Orthop Trauma Surg 135:1391~1399
Chen F / 2013 / Outcomes of nails versus plates for humeral shaft fractures: a Medicare cohort study / J Orthop Trauma 27:68~72
Atalar AC / 2008 / Comparison of three different treatment modalities in the management of humeral shaft nonunions (plates, unilateral, and circular external fixators) / J Orthop Trauma 22:248~257
Whitson RO / 1954 / Relation of the radial nerve to the shaft of the humerus / J Bone Joint Surg Am 36-A:85~88
Metsemakers WJ / 2015 / Intramedullary nailing of humeral shaft fractures: failure analysis of a single centre series / Arch Orthop Trauma Surg 135:1391~1399
Chen F / 2013 / Outcomes of nails versus plates for humeral shaft fractures: a Medicare cohort study / J Orthop Trauma 27:68~72
Atalar AC / 2008 / Comparison of three different treatment modalities in the management of humeral shaft nonunions (plates, unilateral, and circular external fixators) / J Orthop Trauma 22:248~257
Whitson RO / 1954 / Relation of the radial nerve to the shaft of the humerus / J Bone Joint Surg Am 36-A:85~88
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