Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Treatment of Two- and Three-Part Fracture of Proximal Humerus using LCP

잠김 압박 금속판(LCP)을 이용한 상완골 근위부 이분 및 삼분 골절의 치료

  • Shin, Sung-Il (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Song, Kyung-Won (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Lee, Jin-Young (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Lee, Seung-Yong (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Kim, Gab-Rae (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Hyun, Yoon-Suk (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Park, Deok-Yong (Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine)
  • 신성일 (한림대학교 의과대학 정형외과학 교실 강동성심병원) ;
  • 송경원 (한림대학교 의과대학 정형외과학 교실 강동성심병원) ;
  • 이진영 (한림대학교 의과대학 정형외과학 교실 강동성심병원) ;
  • 이승용 (한림대학교 의과대학 정형외과학 교실 강동성심병원) ;
  • 김갑래 (한림대학교 의과대학 정형외과학 교실 강동성심병원) ;
  • 현윤석 (한림대학교 의과대학 정형외과학 교실 강동성심병원) ;
  • 박덕용 (한림대학교 의과대학 정형외과학 교실 강동성심병원)
  • Published : 2007.12.15
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Abstract

Purpose: To evaluate the result and complication of treatment using Locking Compression Plate (LCP) for fracture of proximal humerus. Materials and Methods: Between 2004 and 2006, 21 patients with two-part and three-part fractures of the proximal humerus were treated by LCP fixation. Their average age was 54.9 years. Postoperative mean follow-up period was 22.9 months. The reduction was qualified and complication were assessed with final radiographs. The functional outcome was evaluated by Neer's rating system. Results: By Neer's functional evaluation, mean score of shoulder function was 86.3 and 18 case (86%) had excellent or satisfactory results. There was one case of nonunion but no infection or avascular necrosis of the humeral head. No correlation was found between the final result and the type of fracture, age, gender or quality of reduction. Conclusion: We obtained satisfactory result of LCP fixation for fracture of proximal humerus in this study. LCP fixation for proximal humerus fracture is a reliable method to obtain satisfactory reduction, rigid fixation and early exercise.

목적: 본 연구는 잠김 압박 금속판(LCP)을 이용한 상완골 근위부 골절 치료의 결과와 합병증을 평가하고자 하였다. 대상 및 방법: 2004년 부터 2006년 까지 잠김 압박 금속판으로 치료한 상완골 근위부의 이분 골절과 삼분 골절을 가진 21명의 환자를 대상으로 하였다. 평균 나이는 54.9세 였다. 술후 평균 추시 기간은 22.9개월 이었다. 정복과 합병증의 평가는 최종 방사선 소견을 이용하였고, 기능적 평가는 Neer의 기능적 평가기준을 사용하였다. 결과: Neer의 기능적 평가기준에 의해 견관절 기능의 평균 점수는 86.3 이었고, 18예에서 만족스러운 결과를 보였다. 불유합은 1예 발생하였으며, 상완골 두의 감염이나 무혈성 괴사는 없었다. 최종 결과와 골절의 유형, 나이, 성별 또는 정복의 양상과는 임상적 연관을 보이지 않았다. 결론: 본 연구에서는 상완골 근위부 골절의 치료에서 잠김 압박 금속판 고정으로 만족스러운 결과를 얻었다. 상완골 근위부 골절의 치료에서 잠김 압박 금속판을 이용한 고정은 만족스러운 정복, 강한 고정 그리고 조기 관절 운동을 얻는 좋은 방법이라고 생각된다.

Keywords

References

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