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제2-3기 주상골 불유합 진행성 붕괴의 관혈적 무두나사 고정 및 자가 장골 이식술 치료

Other Titles
 Preservation of Scaphoid in Scaphoid Nonunion Advanced Collapse Stage II and III 
Authors
 강호정  ;  고일현  ;  최윤락  ;  김지섭  ;  박영창 
Citation
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.51(2) : 125-132, 2016 
Journal Title
 Journal of the Korean Orthopaedic Association (대한정형외과학회지) 
ISSN
 1226-2102 
Issue Date
2016
Keywords
scaphoid bone ; scaphoid nonunion advanced collapse ; scaphoid nonunion advanced collapse stage II & III ; headless screw fixation and auto iliac bone graft
Abstract
Purpose : The purpose of this study is to investigate the outcome of open reduction and internal fixation with a headless screw and auto iliac bone graft for patients of scaphoid nonunion advanced collapse (SNAC) stage II and III. Materials and Methods : A retrospective analysis was conducted for 10 patients diagnosed with stage II or III SNAC, and consequently treated with open reduction and internal fixation with a headless screw and auto iliac bone graft with or without radial styloidectomy between 2010 and 2013. Radiographic results were evaluated by bone union, the scapholunate angle and lateral intrascaphoid angle. Clinical results were evaluated by range of motion, pain, grip strength, Mayo wrist score, and assessment of Maudsley. Results : All patients showed union after the operation. Final follow-up X-rays show smoothening of the articular surface with improvement of sclerotic lesions of the articular surface, cystic lesions and osteopenic lesions. Pain decreased after the operation compared with preoperative status, grip strength and Mayo wrist score showed significant improvement. Scapholunate angle and lateral intrascaphoid angle decreased after the operation, but it was not significant. According to assessment of Maudsley, among 10 cases, there were 4 excellent cases, 4 good cases and 2 fair cases. Conclusion : Restoration of stability of scaphoid is important to SNAC stage II and III, open reduction and internal fixation with a headless screw and auto iliac bone graft shows satisfactory clinical and radiologic outcomes. Thus it is considered a recommendable operation.
Files in This Item:
T201604636.pdf Download
DOI
10.4055/jkoa.2016.51.2.125
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)
Park, Young Chang(박영창)
Choi, Yun Rak(최윤락)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152546
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