Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Operative Treatment with Locking Compression Plate (LCP) in Proximal Humerus Fracture

잠김 압박 금속판을 이용한 상완골 근위부 골절의 치료

  • Ha, Sung-Sik (Department of Orthopedic Surgery, Seoul Adventist Hospital) ;
  • Kim, Jae-Young (Department of Orthopedic Surgery, Seoul Adventist Hospital) ;
  • Hong, Ki-Do (Department of Orthopedic Surgery, Seoul Adventist Hospital) ;
  • Sim, Jae-Chun (Department of Orthopedic Surgery, Seoul Adventist Hospital) ;
  • Kang, Jung-Ho (Department of Orthopedic Surgery, Seoul Adventist Hospital) ;
  • Park, Kwang-Hee (Department of Orthopedic Surgery, Seoul Adventist Hospital)
  • 하성식 (서울위생병원 정형외과) ;
  • 김재영 (서울위생병원 정형외과) ;
  • 홍기도 (서울위생병원 정형외과) ;
  • 심재천 (서울위생병원 정형외과) ;
  • 강정호 (서울위생병원 정형외과) ;
  • 박광희 (서울위생병원 정형외과)
  • Published : 2008.12.15
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Abstract

Purpose: To evaluate the clinical and radiographic results of the treatment of a proximal humerus fracture with a locking compression plate(LCP). Materials and Methods: This study reviewed the results of 24 cases of a proximal humerus fracture treated with a LCP from January 2005 to April 2007, after a follow up of more than 12 months. There were 8 males and 16 females with a mean age of 68.9(33-90) years. The clinical results were evaluated using the Neer's evaluation criteria, and the radiographic results were evaluated using the bone union time and Paavoleinen method. Results: The mean time for bone union was 11.9 weeks. Using the Neer's functional evaluation, 21 cases of the 24 patients (87%) showed excellent or satisfactory results. Twenty two cases (91%) showed good results according to the Paavoleinen method. The complications encountered were metal failure (1 patient), AVN of the humeral head (1 patient) and joint stiffness (1 patient). Conclusion: The LCP demonstrated good results in the treatment of a proximal humerus fracture and has relatively fewer complications than other internal fixators.

목적: 잠김 압박 금속판(LCP)을 이용한 상완골 근위부 골절의 수술적 치료에 대한 임상적, 방사선적 치료 결과를 평가해보고자 하였다. 대상 및 방법: 2005년 1월부터 2007년 4월까지 상완골 근위부 골절에 대해 LCP를 이용해 치료받고 12개월 이상 추시가 가능했던 24예를 대상으로 하였으며, 남자는 8예, 여자는 16예이었다. 평균 연령은 68.9세(33~90)이었다. 임상적 결과는 Neer의 기능적 평가 방법을, 방사선적 결과는 골 유합 시기 및 경간각을 이용한 Paavolainen의 방법으로 평가하였다. 결과: 평균 골 유합 기간은 11.9주(8~15)이었다. Neer의 기능적 평가상, 만족 이상의 결과를 보인 경우는 21예(87%)이었고, Paavolainen의 방법에 의한 방사선적 결과가 양호 이상인 경우는 22예(91%)이었다. 3예(13%)에서 금속 실패, 무혈성 골 두 괴사, 관절 강직의 합병증이 각각 발생하였다. 결론: 상완골 근위부 골절에 대해 LCP를 이용한 내고정술은 비교적 양호한 임상적, 방사선적 결과 및 적은 합병증을 보여, 상완골 근위부 골절의 수술적 치료에 유용한 방법 중 하나로 판단된다.

Keywords

References

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