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KMID : 0361619730080040350
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Journal of the Korean Orthopaedic Association
1973 Volume.8 No. 4 p.350 ~ p.354
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A Clinical Study of Bone Union in Fracture Patients associated with Spastic Paralysis
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Abstract
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Sixty fracture patients (93 fractures) with spastic paralysis due to brain damage have been treated and managed at the Department of Orthopedic Surgery and Neurosurgery, Kyungpook National University Hospital during the 3 years period from June 1970 to June 1973.
The authors experenced many problems such as nonunion, malunion which results of spasticity and exuberant callus formation. Up to now, there leas been a few literatures regarding in the particular field.
They were analysed clinically and the results of this study are as follows:
1. Immobilization of fracture site was unstable due to repeated and continued severe muscle spasm and many cases developed severe deformity which necessitated secondary correction.
2. The cases were handled with conservative or operative method according to the patients condition and less deformities were found in the cases which treated with skeletal traction.
3. Exuberant callus formation was observed very frequently in the healing stage of fractures associated with spastic paralysis.
4. In order to detect of inducing factors of exuberant callus formation, the authors studied blood chemistries including calcium, phosphorus, alkalinephosphatase and acid-phosphatase of the patients but no significant changes were found.
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