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일차 수술이 실패한 주상골 불유합에 대한 재유합술

Other Titles
 Revision Osteosynthesis after Failed Surgery for Scaphoid Nonunion 
 정 민  ;  최윤락  ;  강호정  ;  김영진  ;  고일현 
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지), Vol.16(2) : 85-92, 2011 
Journal Title
 Journal of the Korean Society for Surgery of the Hand  (대한수부외과학회지) 
Issue Date
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
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실)
Yonsei Authors
강호정(Kang, Ho Jung) ; 고일현(Koh, Il Hyun) ; 김영진(Kim, Young Jin) ; 최윤락(Choi, Yun Rak)
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