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전자간 외반 절골술을 이용한 대퇴골 경부 골절 불유합의 치료

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Author(s)
강창수민병우배기철
Keimyung Author(s)
Kang, Chang SooMin, Byung WooBae, Ki Cheor
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
대한고관절학회지
Issued Date
1997
Volume
9
Issue
2
Abstract
Non-union following fracture of the femoral neck continues to present one of the major orthopaedic problems. The present accepted methods of treatment for ununited fracture of the femoral neck include bone-grafting, valgus osteotomy, arthrodesis, femoral head replacement and total joint replacement. We report a series of 10 patients ranging from 20 to 65 years of age who had an ununited femoral neck fracture treated by a Pauwels abduction (intertrochanteric valgus) osteotomy and internal fixa- tion with sliding compression hip screw or blade plate. All patients were followed up more than 2 years (average 5.8 years) so that any late complications could be documented. One patient had required prosthetic replacement because of the femoral head avascular necrosis, and the results of 9 others were evaluated using the Harris hip rating scale and radiographic examination: 6(66%) were rated excellent, 2(22%) good, and l(11%) fair. In these patients the Harris hip score averaged 88. For active patients with non-union of a femoral neck fracture, Pauwels abduction (intertrochanteric valgus) osteotomy and intemal fixation with sliding compression hip screw or blade plate provide a high proportion of good results, and autogenous cancellous bone graft and additional multiple Knowles pins are much helpful occasionally. If osteotomy fails, prosthetic replacement is still possible.
Alternative Title
Intertrochanteric Valgus Osteotomy for Non-union Following Fracture of the Femoral Neck
Keimyung Author(s)(Kor)
강창수
민병우
배기철
Publisher
School of Medicine
Citation
강창수 et al. (1997). 전자간 외반 절골술을 이용한 대퇴골 경부 골절 불유합의 치료. 대한고관절학회지, 9(2), 164–172.
Type
Article
ISSN
1226-9409
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/37603
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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