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주상골 불유합에 대한 재수술의 치료결과

Other Titles
 Revisional Surgery for Scaphoid Nonunion 
 강호정  ;  정성훈  ;  박상훈  ;  이수건  ;  한수봉 
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지), Vol.13(1) : 8-14, 2008 
Journal Title
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지) 
Issue Date
Scaphoid ; Nonunion ; Revisional surgery
Purpose: To evaluate the outcome of revisional surgery on scaphoid nonunions after operation. Materials and Methods: Five patients who underwent revision for scaphoid nonunion from May, 2000 to December, 2005, after primary surgery failure were studied. The average age was 32.8 years. Follow up period was an average 19.4 months (5~43 months). The diagnosis of scaphoid nonunion was made after an average of 52 months postoperatively. Fresh fractures were treated using internal fixation in 3 cases; K-wires were fixed in 2 cases and Herbert screw was inserted in 1 case. The other two cases were treated using internal fixation and bone graft as the primary operation. Fracture fragment excision and salvage operation were excluded. Proximal pole of scaphoid included 3 cases and waist fracture 2 cases. Fixation using Herbert screw was applied on 4 patients, and one case was done using multiple Kirshner’s wire. Results: After second surgery through fixation using Herbert screw and bone graft, union was achieved after an average 4 months on all cases except for 1 case that required reoperation. All cases were satisfactory clinically after revisional surgery and there was no poor result. However, in three cases, mild pain persisted after union, and on final observation after the second surgery, the motion range of wrist joint showed improvement: flexion 68 on average (30~90,) extension 36 (15~80,) radial deviation 12 (10~15,) and ulnar deviation 15. Conclusion: Revisional surgery with Herbert screw and cancellous chip bone graft proved to be a useful treatment method when considering secondary surgery after scaphoid nonunion.
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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
Jung, Sung Hoon(정성훈)
Hahn, Soo Bong(한수봉)
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