Journal of Yeungnam Medical Science
- 제10권1호
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- Pages.197-211
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- 1993
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- 2799-8010(eISSN)
대퇴골 과상부 골절 및 치료에 대한 임상적 고찰
The Clinical Study of the Supracondylar Fracture of the Femur
- 안종철 (영남대학교 의과대학 정형외과학교실) ;
- 김세동 (영남대학교 의과대학 정형외과학교실) ;
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안면환
(영남대학교 의과대학 정형외과학교실) ;
-
서재성
(영남대학교 의과대학 정형외과학교실) ;
-
이동철
(영남대학교 의과대학 정형외과학교실) ;
- 이용주 (영남대학교 의과대학 정형외과학교실)
- Ahn, Jong-Chul (Department of Orthopeadic Surgery College of Medicine, Yeungnam University) ;
- Kim, Se-Dong (Department of Orthopeadic Surgery College of Medicine, Yeungnam University) ;
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Ahn, Myun-Whan
(Department of Orthopeadic Surgery College of Medicine, Yeungnam University) ;
-
Seo, Jae-Sung
(Department of Orthopeadic Surgery College of Medicine, Yeungnam University) ;
-
Lee, Dong-Chul
(Department of Orthopeadic Surgery College of Medicine, Yeungnam University) ;
- Lee, Young-Joo (Department of Orthopeadic Surgery College of Medicine, Yeungnam University)
- 발행 : 1993.06.30
초록
1989년 12월부터 1992년 1월까지 영남대학교 의과대학 부속병원 정형외과에서 치료한 대퇴골 과상부 골절 환자중 1년 이상 원격 추시 가능한 20례를 대상으로 다음과 같은 결론을 얻었다. 1. 활동성이 많은 10-40대가 전체의 85%를 차지하였으며 남자가 70%를 차지하였다. 2. 원인으로는 교통사고가 75%, 추락사고가 15%였다. 개방성골절은 천체의 35%였으며 교통사고 군에서 약 60%를 차지하여 강력한 외상에 의한 것으로 추정되었다. 3. 골절분류는 ASIF group에 의한 분류를 하였으며 Type A가 4례, Type B가 4례, Type C가 12례로 이중
Recently, the Supracondyle fracture of the femur is so severe and comminuted that it is difficult to treat open reduction and rigid fixation sufficiently due to violent traffic accident and external forces. The associated injuries are accompanied variously. So complications of the supracondyle fractures including joint stiffness, delayed union, infection are serious. However development of internal implant and operation skill result in relatively satisfactory function than conservative management. The authors reviewed 20 cases of the supracondyle fracture of the femur treated at Yeungnam University Hospital from 1989, Dec. To 1992, Jan. The results were as follows : 1. The male was common(70%). The 2nd-4th decade was most(87%). 2. The most common cause of injuries was traffic accident. The rate of open fracture was 35%, most of it was traffic accident. 3. According to the ASIF group classification. 4 cases were type A, 4 in type B, 12 in type C (10 in type