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상완골 병적 골절의 수술적 치료

Other Titles
 Surgical Treatment of Pathologic Humeral Fracture 
Authors
 강호정  ;  황병윤  ;  이재정  ;  신규호  ;  한수봉  ;  김성재 
Citation
 Journal of the Korean Fracture Society (대한골절학회지), Vol.23(2) : 187-193, 2010 
Journal Title
 Journal of the Korean Fracture Society (대한골절학회지) 
ISSN
 1225-1682 
Issue Date
2010
Keywords
Humerus ; Pathologic fracture ; Surgical treatment
Abstract
PURPOSE: To evaluate and analyze the radiographic and clinical outcomes after the surgical treatments of pathologic humeral fractures. MATERIALS AND METHODS: From October 1993 to September 2007, a retrospective investigation was conducted with a total of 13 patients who underwent operations for pathologic humeral fractures. The methods of surgical treatment were as follows-four cases of open reduction and internal fixation; eight cases of closed reduction and internal fixation with intramedullary nailing; and one of radical excision and hemiarthroplasty. RESULTS: Of nine patients with metastatic bone lesions, three were diagnosed with primary cancer after the incidence of pathologic humeral fracture. The mean period between the diagnosis of primary cancer and pathologic fracture in the latter six cases was 36.7 (2~144) months and the mean survival period after the surgical treatments was 22.8 (12~35) weeks in all patients with bone metastasis. Fracture unions were noted in all four cases of primary humeral bone lesion but none in metastatic cases. Pain relief and functional recovery were noted in eleven patients of this study. CONCLUSION: Satisfactory clinical outcomes with sustained pain relief and functional recovery were observed after the surgical treatments of pathologic humeral fracture. Benign bone lesions require more active and early treatments in order to facilitate the functional recovery of upper extremities and fracture union. With pathologic humeral fractures originated from metastasis, palliative treatments were preferred to fracture union method for planning long-term pain relief and functional recovery
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Kim, Sung Jae(김성재)
Shin, Kyoo Ho(신규호)
Hahn, Soo Bong(한수봉)
Hwang, Byoung Yoon(황병윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101044
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