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후방 이중 금속판 고정술을 이용한 상완골 원위 간부 골절의 치료

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Author(s)
조철현정광영김범수
Keimyung Author(s)
Cho, Chul Hyun
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Journal of Korean Fracture Society
Issued Date
2017
Volume
30
Issue
3
Keyword
Distal humerus, Fracture, Posterior approach, Dual plating
Abstract
Purpose: To evaluate the results and efficacy of posterior dual plating for distal shaft fractures of the humerus.
Materials and Methods: We retrospectively analyzed 12 patients, who underwent open reduction and
internal fixation using posterior dual plating for distal shaft fractures of the humerus, between July
2007 and July 2015, with at least 6 months of follow-up. After locating the radial nerve without dissection
via posterior triceps splitting, the fracture was stabilized using a short 3.5 mm locking compression
plate. Then additional fixation, using a long 3.5 mm locking compression plate, was performed. The
clinical outcomes were assessed in accordance with the Mayo Elbow Performance Index (MEPI) scoring
system, and the radiological outcomes were assessed using serial plain radiographs.
Results: Eleven patients (91.7%) had bony union, and the mean union period was 13.9 weeks. In one
patient, delayed union was treated by autogenous iliac bone graft at 8 months after surgery, which
resulted in bony union. The mean MEPI score was 95.8, and the clinical outcomes were excellent in 9
patients and good in 3 patients. Postoperative complications included 1 elbow stiffness by heterotopic
ossification and 1 temporary radial nerve palsy. One patient with temporary radial nerve palsy was completely
recovered within the first 4 days after surgery.
Conclusion: Posterior dual plating for distal shaft fractures of the humerus revealed satisfactory clinical
and radiological outcomes. It can be a useful alternative to provide stable fixation without the need for
a dissection of the radial nerve.
Alternative Title
Posterior Dual Plating for Distal Shaft Fractures of the Humerus
Keimyung Author(s)(Kor)
조철현
Publisher
School of Medicine (의과대학)
Citation
조철현 et al. (2017). 후방 이중 금속판 고정술을 이용한 상완골 원위 간부 골절의 치료. Journal of Korean Fracture Society, 30(3), 117–117. doi: 10.12671/jkfs.2017.30.3.117
Type
Article
ISSN
1225-1682
DOI
10.12671/jkfs.2017.30.3.117
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41393
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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