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수술 후 발생한 주두골 불유합의 치료

Other Titles
 Olecranon Nonunion after Operative Treatment of Fracture 
 강호정  ;  김지섭  ;  신명호  ;  고일현  ;  최윤락 
 Journal of the Korean Fracture Society (대한골절학회지), Vol.28(1) : 30-37, 2015 
Journal Title
 Journal of the Korean Fracture Society (대한골절학회지) 
Issue Date
Olecranon ; Nonunion
Purpose : Olecranon nonunion after surgical management is relatively rare, but it leads to limitation of motion of joint or instability. This retrospective study was conducted in order to analyze the cause and result of treatment. Materials and Methods : We analyzed 11 cases treated for nonunion of olecranon fractures. Nonunion was classified according to the spot of the lesion and the extent of articular surface damage. Evaluation was performed using Mayo elbow performance score (MEPS), Oxford elbow score (OES), Disabilities of the Arm, Shoulder and Hand (DASH) scores, and the range of motion. Results : According to the spot of the lesion and the extent of articular surface damage, nonunion was categorized as IA (2 cases), IIA (5 cases), and IIIA (4 cases). One case of IA underwent nonunion fragment excision and the remaining cases were treated by bone grafting. A plate was used in seven cases and the other three cases had both plate and tension band wiring fixation. All nonunions finally became union. The 11 patients with one year follow-up had average MEPS of 87.7 points (range: 60-100 points), average OES of 43.2, and average DASH score of 18.8 points. Complications included limitation of motion (2 cases) and ulnar nerve symptoms (3 cases). Conclusion : Bone grafting and fixation by plate may be beneficial. In addition, excision can be useful in type I.
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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, Ji Sup(김지섭)
Choi, Yun Rak(최윤락)
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