원위 요골 골절후 발생한 불유합의 수술적 치료 - 7예 보고

• Published in: The journal of the Korean Orthopaedic Association pp. 322 - 328
• Main Authors: 강호정, 윤한국, 윤홍기, 한창욱, 정성훈, 한수봉
• Format: Journal Article
• Language: Korean
• Published: 대한정형외과학회 01.06.2008
• Subjects: 정형외과학
• ISSN: 1226-2102; 2005-8918

Purpose: To report the treatment results of 7 cases of distal radius nonunion with a review of the relevant literature. Materials and Methods: Seven patients treated with an autoiliac bone graft and rigid internal fixation for nonunion of the distal radius were analyzed retrospectively for the cause of injury, the factors affecting nonunion, radiological findings, treatment method and complications. The results were analyzed radiologically using Kreder's method and functionally using the Anderson' protocols. Results: Union was achieved in all cases after a mean period of 19 weeks. The functional result of treatment at the last follow-up was excellent in 4 cases and satisfactory in 3 cases. The probable factors of nonunion were instability of the fracture site in three cases, type II or III open fracture in 2 cases, postoperative infection in one case and idiopathic in one case. Conclusion: Infection control using a stepwise operation, rigid internal fixation and autogenous iliac bone graft showed satisfactory results in distal radius nonunion, which had developed in those with severe open fractures, postoperative infection, instability on the fracture site and associated distal ulnar fracture. KCI Citation Count: 0