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일차 수술이 실패한 주상골 불유합에 대한 재유합술

Other Titles
 Revision Osteosynthesis after Failed Surgery for Scaphoid Nonunion 
Authors
 정민  ;  최윤락  ;  고일현  ;  김영진  ;  강호정 
Citation
 Journal of the Korean Society for Surgery of the Hand, Vol.16(2) : 85-92, 2011 
Journal Title
Journal of the Korean Society for Surgery of the Hand(대한수부외과학회지)
ISSN
 1598-3889 
Issue Date
2011
Keywords
Scaphoid ; Nonunion ; Revisional surgery ; Herbert screw ; Bone grafting
Abstract
Purpose: The purpose of this study was to evaluate the outcomes of revision osteosynthesis using Herbert screw fixation combined with autogenous cancellous bone grafting for scaphoid nonunions after failed primary surgery.
Materials and Methods: Twelve patients who underwent revision osteosynthesis for a scaphoid nonunion after a mean of 13.6 months following primary surgical failure were studied. There were 9 waist fractures and 3 proximal fractures. The revision osteosynthesis was performed using autogenous iliac cancellous bone grafting combined with Herbert screw fixation.
Results: Union was achieved in 11 of 12 cases. The results of eleven united cases were clinically satisfactory at the mean follow up of 16.9 months after revision. The motion range of wrist joint improved: average flexion was 51°, average extension was 65°, average radial deviation 15°, and average ulnar deviation was 21°.
Conclusion: Herbert screw fixation and autogenous iliac cancellous bone grafting was proved to be a useful method as a revisional operation for a scaphoid nonunion after failed primary surgery
Files in This Item:
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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, Young Jin(김영진)
Jung, Min(정민) ORCID logo https://orcid.org/0000-0002-7527-4802
Choi, Yun Rak(최윤락)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95002
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