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금속판 고정술을 이용한 주두 골절의 치료

Other Titles
 Fixation of Olecranon Fractures Using Plating System 
 강호정  ;  이원용  ;  김형식  ;  고일현  ;  최윤락  ;  이재정 
 Journal of the Korean Society for Surgery of the Hand, Vol.17(1) : 29-36, 2012 
Journal Title
Journal of the Korean Society for Surgery of the Hand(대한수부외과학회지)
Issue Date
Olecranon ; Olecranon fracture ; Plate fixation ; Indication
Purpose: To evaluate the clinical and radiological outcomes of plate fixation for olecranon fractures which was difficult to be fixed firmly with tension band wiring alone.
Materials and Methods: From 1995 through 2008, 20 patients who underwent plate fixation of an olecranon fracture were included in this retrospective study. According to the Mayo classification, there were 3 type IIA fracture, 7 type IIB, and 10 type IIIB fractures. Clinical evaluation was done based on radiographic union of olecranon and measurements of range of motion at last follow-up. Disability of the arm, shoulder and hand (DASH) score and Mayo Elbow Performance score was used for evaluation of functional recovery.
Results: Union was achieved in 18 (90%) at an average of 5.6 months. The mean arc of elbow motion was 123° and the mean rotation arc was 81°. According to the MEPS, sixteen of twenty patients had a good or excellent outcome. The mean DASH score was 16.3. Most common complication was hardware irritation in 3 patients.
Conclusion: Plate fixation is an effective treatment option for severe olecranon fracture pattern like comminuted fractures, Monteggia equivalent with unstable elbows and nonunions.
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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, Hyoung Sik(김형식) ORCID logo https://orcid.org/0000-0002-9303-4116
Lee, Won Yong(이원용)
Lee, Jae Jeong(이재정)
Choi, Yun Rak(최윤락)
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