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수근 주상골 불유합에 대한 수술적 치료 결과

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Author(s)
편영식박진욱
Keimyung Author(s)
Pyun, Young Sik
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Keimyung Medical Journal
Issued Date
2003
Volume
22
Issue
별호
Keyword
Bone graftHerbert screwInternal fixationK-wiresNonunionScaphoid
Abstract
The operative methods, which can result in better functional outcome and an early union in the nonunion of scaphoid fracture were evaluated. The study included 20 patients who were diagnosed from June 1994 to June 2001 as non-union scaphoid fracture. Twenty patients were treated with autogenous iliac bone graft and internal fixation by Herbert screw or K-wires at keimyung university Hospital. The average follow-up period was 24.8 months. Bone unions were obtained in 19 cases (95%) with an average of 13.5 weeks in K-wires group and 9.7 weeks in the Herbert screw group. Eleven cases (78%) in the K-wires group and 5 cases (89%) in the Herbert screw group showed excellent and good result, judged by the Maudsley method. The above results led us to conclude that the autogenous iliac bone graft and internal fixation by K-wires and Herbert screw are good treatments for nonunion scaphoid fracture. We further believe that the Herbert screw, which has better stability, is a more profitable fixation device for improved functional recovery.
Alternative Title
Operative Treatment
of Carpal Scaphoid Nonunions
Keimyung Author(s)(Kor)
편영식
Publisher
Keimyung University School of Medicine
Citation
편영식 and 박진욱. (2003). 수근 주상골 불유합에 대한 수술적 치료 결과. Keimyung Medical Journal, 22(별호), 73–80.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15302
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2003
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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