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KMID : 0361619950300030709
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Journal of the Korean Orthopaedic Association
1995 Volume.30 No. 3 p.709 ~ p.716
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A Comparison of using Interlocking IM Nail versus Plate Fixation in Humeral Shaft Fractures
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정화재
김도영/신주호/주의탁/임승렬
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Abstract
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The authors have reviewed 47 cases of humeral shaft fractures, which were treated with interlocking IM nail in 21 cases and plate fixation in 26 cases, from March 1989 to December 1993.
@ES The results were as follows :
@EN 1. The average time of operation in interlocking IM nail was 70 minutes and that of plate fixation was 110 minutes.
2. The average time for bone union were about 14.7 weeks in interlocking IM nail and 14.3 weeks in plate fixation.
3. The complications of interlocking IM nail were 1 case of postoperative radial nerve palsy, 3 cases of delayed or nonunion and 4 cases of pain and stiffness of shoulder.
4. The complications of plate fixation were 2 cases of metal failure, 2 cases of nonunion and 2 cases of pain and stiffness of elbow.
We concluded that the results of interlocking IM nail were not superior to the results of plate fixation. But, although it is an attractive technique for the rapid closed stabilization of polytrauma patients and for pathologic fractures,
technical
difficulties and its problems especially irritation problems to shoulder joint must be improved.
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KEYWORD
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