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Treatment of Humerus Shaft Fracture with Intramedullary Nail
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Dong Kyu Shin, Kwoing Woo Kwun, Shin Kun Kim, Sang Wook Lee, Chang Hyuk Choi, Sang Bong Ko
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J Korean Soc Fract 2000;13(3):562-569. Published online July 31, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.3.562
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 Abstract
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- PURPOSE
This study was performed to evaluate the results of treatment of the humerus shaft fracture with interlocking IM nail.
MATERIALS AND METHODS
The result of IM nailing for 29 patients with humerus shaft fracture were evaluated radiologically and clinically. We tried to compare the result of Seidel nail and that of interlocking nail.
RESULTS
The results were as follows ; 1. Nonunion rate was 50% in Seidel nail group and 27% in interlocking nail group(p=0.264). 2. Operation time was shorter in Seidel nail group(67.8min) than in interlocking nail group(115.4min)(p=0.002). 3. Fracture site distraction was present in 9 cases and resulted in nonunion in 8 cases. 4. Union time except the nonunion cases was 10.4weeks in Seidel nail group and 11.9weeks in interlocking nail group but was not considered to be significant due to many nonunion cases.
5. Proximal protrusion was present in 6 cases but resulted in shoulder LOM and pain in only 2 ). cases.
CONCLUSION
Although the operation time in Seidel nail group was shorter than in interlocking nail group, we couldn't find any other difference between the two nails. The results of treatment of humeral shaft fracture with interlocking nail was unsatisfactory in terms of union rate, complications, union time and functional result.
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Comparative study between operative and conservative treatment in 3 part and 4 part fracture of the proximal humerus
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Chang Hyuk Choi, Kwoing Woo Kwun, Shin Kun Kim, Sang Wook Lee, Dong Kyu Shin, Bum Jin Park
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J Korean Soc Fract 2000;13(2):390-396. Published online April 30, 2000
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DOI: https://doi.org/10.12671/jksf.2000.13.2.390
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Abstract
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- PURPOSE
: Majority of 3-part and 4-part fracture of proximal humerus had been treated by surgical methods. However, Surgical treatment might be inappropriate due to the medical status or combined injures if the patients. Therefore, we compared the operative treatment with the conservative treatment in 3-part and 4-part fracture of proximal humerus.
MATERIALS AND METHODS
: Among the 39 cases of 3-part(30) and 4-part(9) fracture of proximal humerus, 22 cases(57%) were treated by conservative methods and 17 cases(43%) were treated by operative methods with T-plate, wire, arthroplasty and screw.
RESULTS
: Among 30 cases of 3-part fracture of proximal humerus, according to the Neer's functional criteria, 12cases(60%) had excellent or satisfactory result in conservative treatment and 7cases(70%) had excellent or satisfactory result in operative treatment. In 9 cases of 4-part fracture of proximal humerus, 2 cases(100%) had poor result in conservative treatment, and 5 cases(71%)had excellent or satisfactory result in operative treatment.
CONCLUSION
: There was no difference in functional result according to the treatment modality in 2-part fracture(p>0.05). but in 4-part fracture, we prefer to treat by operative methods due to avascular necrosis at humeral head and poor functional result with conservative treatment.
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