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주상골 골절에 대한 관혈적 배측 접근법을 이용한 무두 자가압박 나사 고정술

Other Titles
 Headless Autocompression Screw Fixation of Scaphoid Fractures Using Open Dorsal Approach 
 강호정  ;  원유건  ;  권지원  ;  고일현  ;  최윤락 
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지), Vol.18(3) : 111-117, 2013 
Journal Title
Journal of the Korean Society for Surgery of the Hand(대한수부외과학회지)
Issue Date
Scaphoid fracture ; Headless screw ; Nonunion ; Dorsal approach ; Trans-scaphoid perilunate dislocation
Purpose: We present the clinical and radiological results of open reduction and internal fixation for scaphoid fracture with retrograde headless screw fixation via dorsal approach.
Methods: This study carried out a survey targeting 15 patients who have a retrograde headless screw fixation on nonunion of scaphoid fracture without previous operation, 2 patients who have a retrograde headless screw fixation on nonunion of scaphoid fracture with previous operation and 8 patients who have a trans-scaphoid perilunate dislocation. We figured out a mechanism of injury, and clinical symptom, radiologic findings. The surgery was done with open dorsal approach which is retrograde headless screw fixation internally, with or without bone graft. We analyzed the result by Maudsley method, in terms of bone union, duration for union, radiologic finding, clinical outcomes.
Results: After surgery, 22 of 25 patients had union result on fracture and other 3 patients had nonunion result. It took 12 weeks to achieve bone union on average. Based on radiograhs, we had one case of partial avascular necrosis of proximal fragment without clinical symptoms. We had one case of each scaphoid nonunion without previous operation, with operation and trans-scaphoid perilunate dislocation had arthritic change and non-symptomatic nonunion result. In terms of clinical outcome, 22 patients showed satisfactory results and 3 patients had slight limitation of range of motion.
Conclusion: Retrograde headless screw fixation with or without bone graft for the treatment of scaphoid fracture is recommendable.
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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
Kwon, Ji-Won(권지원) ORCID logo https://orcid.org/0000-0003-4880-5310
Won, You Gun(원유건)
Choi, Yun Rak(최윤락)
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