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KMID : 0371219930150010106
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Medical Bulletin of the Presbyterian Medical Center
1993 Volume.15 No. 1 p.106 ~ p.111
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Predicular Screw Fixation of the Thoracholumbar Fracture using Cotrel-Dublousset Instrumentation
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Abstract
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In general, satisfactory results can be obtained by nonoperative means in the management of proximal femoral shaft fractrue I children. However, it is sometimes difficult to maintain the fracture alignment by the nonoperative means because of
different
muscle pulls in the thigh.
The poximal fragment tend to be displaced and roentgenograms are difficult to be taken durring traction. These problems have led some authors to advocate open reduction and internal fixation which facilitate overall care.
We report our experiences on nonoperative and operative treatment for proximal femoral fractrue at the Chon-ju Presbytrian Medical Center from Feburary 1987 to January 1991.
@ES The results are aws follows:
@EN 1. There were 20 cases in male, 7 cases in female.
Average age injury was 6.9 years (range, 6 months to 12 years and 8 months).
Traffic accident was the most common c ause(70.3%).
2. Average immobilization time was 9.2 weeks (range, 6.0 weeks to 12.1 weeks) in the nonoperative treatment group (17 cases), while 8.1 weeks(range, 6.1 weeks to 11.4 weeks)in the operative treatment group(10 cases).
3. Average bony union time was 9.6 weeks(range, 6.3 weeks to 12.5 weeks) in the nonoperative treatment group (17 cases) and 11.2 weeks(range, 9.0 weeks to 13.4 weeks) in the operative treatment group(P<0.05).
4. Average overgrowth of femur was 3.3mm(range, -5mm to 9mm) in the nonoperative treatment group (17 cases) and 5.4mm (range, 0mm to 12mm) in the operative treatment group(10 cases). However, there was no statically significant differences in
the
overgrowth between the grups.
5. Overall satisfactory result was similar between the nonoperative and the operative treatment group.
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KEYWORD
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