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골다공증 환자에 발생한 원위 요골 골절을 동반한 척골 골간단 골절의 수술적 치료

Other Titles
 Surgical Treatment of Ulnar Metaphyseal Fracture Associated with Distal Radius Fracture in Osteoporotic Patients 
Authors
 강호정  ;  이승환  ;  고일현  ;  최윤락  ;  김성재  ;  김형식 
Citation
 Journal of the Korean Society for Surgery of the Hand, Vol.15(3) : 128-135, 2010 
Journal Title
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지) 
ISSN
 1598-3889 
Issue Date
2010
Keywords
Osteoporosis ; Ulnar metaphyseal fracture ; Distal radius fracture
Abstract
Purpose: To evaluate the results of operative treatment for the unstable ulnar metaphyseal fractures associated with a distal radius fracture in osteoporotic patients. Materials and Methods: Retrospective study was done on 10 patients with a ulnar metaphyseal fracture which was remained unstable after reduction and fixation of the distal radius fracture between March 2002 and Feb 2006. The average age was 72 years old. The mean follow up period was 25 months. Of 5 cases of Biayni type 1, 2, 3 fracture, 4 cases were treated with closed reduction and percutaneous pinning and one with open reduction and internal fixation with plate. All type 4 fractures were treated with ulnar resection. Range of motion, visual analogue scale for pain and grip strength were measured and clinical results were evaluated by Cooney’s method. Results: In ulnar fixation group, average motion was 68.5, 45.5, 65.3 and 75.8 degrees for flexion, extension, supination and pronation, respectively. The average grip strength was 102% of uninjured hand. In ulnar resection group, average motion was 65.5, 50.4, 75.2 and 75.5 degrees for flexion, extension, supination and pronation, respectively. The mean grip strength was 86.7% of uninjured hand. According to Cooney’s method, there were excellent in one patient, good in seven, fair in one and poor in one. Fair and poor results were noted in case of AO type C fractures. Conclusion: Unstable ulnar metaphyseal fractures associated with distal radius fractures in osteoporotic patients can be treated successfully with ulnar fixation or resection. Ulnar resection is useful option in selected cases such as severe comminuted fractures.
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
Koh, Il Hyun(고일현) ORCID logo https://orcid.org/0000-0001-9823-8516
Kim, Sung Jae(김성재)
Kim, Hyoung Sik(김형식) ORCID logo https://orcid.org/0000-0002-9303-4116
Choi, Yun Rak(최윤락)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102329
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