Journal of Trauma and Injury

  • 제28권2호
  • /
  • Pages.55-59
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  • 2015
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

다발성 역행성 K 강선을 이용한 중수골 경부 골절의 치료에서 2개의 강선과 3개의 강선 사용군의 비교

Comparison between Two Kirschner Wire Fixation and Three Wire Fixation, in Treating of Metacarpal Neck Fracture Using Multiple Retrograde Kirschner Wire Fixation

  • 곽상호 (서울대학교 의과대학 서울대학교병원 정형외과학교실) ;
  • 이영호 (서울대학교 의과대학 서울대학교병원 정형외과학교실) ;
  • 서길준 (서울대학교 의과대학 서울대학교병원 응급의학교실) ;
  • 백구현 (서울대학교 의과대학 서울대학교병원 정형외과학교실)
  • Kwak, Sang-Ho (Department of Orthopaedic Surgery, Seoul National University Hospital) ;
  • Lee, Young Ho (Department of Orthopaedic Surgery, Seoul National University Hospital) ;
  • Seo, Gil Joon (Department of Emergency Medicine, Seoul National University Hospital) ;
  • Baek, Goo Hyun (Department of Orthopaedic Surgery, Seoul National University Hospital)
  • 투고 : 2014.12.11
  • 심사 : 2015.05.15
  • 발행 : 2015.06.30
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초록

Purpose: To compare clinical and radiographic outcomes of between two and three Kirschner wire(K-wire) intramedullary fixation for fractures in the neck of the metacarpal bone. Methods: A single institutional retrospective review identified 28 cases of metacarpal fractures between March 2010 and August 2014. Each of the cases met the inclusion criteria for closed, extra-articular fractures of the neck of the metacarpal bone. The patient groups were divided by the number of K-wire. Outcomes were compared for range of motion of the metacarpophalangeal joint, radiographic parameters, and period until union. Results: The fractures were treated with either 2 Kirschner wire fixation (n=10) or 3 Kirschner wire fixation (n=18). The active range of motion of metacarpophalangeal joint and radiographic result showed no statistically significant difference between the two groups. The mean union period was 5.9 weeks. However, four cases suffered distal head perforation in 2 K-wire fixation group and one case in 3 K-wire fixation group. Conclusion: Multiple retrograde intramedullary Kirschner wire fixation is a good treatment of choice for fractures in the neck of the metacarpal bone. To prevent metacarpal head perforation, it is preferred to use three K-wires than two K-wires.

키워드

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