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KMID : 0374919950160040601
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Inje Medical Journal
1995 Volume.16 No. 4 p.601 ~ p.612
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A Clinical Study on the Fractures of Femur Treated by Intramedullary Interlocking Nailing
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권칠수
안종국/김용욱/김진혁/정병현/성열보/강재철
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Abstract
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The rigid internal fixation of femur shaft fracture with intramedullary nailing enables early joint motion and weight bearing. This procedure has been used with wide popularity because it is possible simultaneously to preserve the range of motion
and to
obtain the bone union. But in the proximal and distal femur fracture, the interlocking screws are too close to the fracture site, the rigid fixation cannot be achieved and when early weight bearing is permitted. Failure of the metal is possible.
Also,
when femur fractures in the adolescence be treated with traction followed by casting, sometimes angular deformity and shortening may develop. These problems have solved to the use by intramedullary nailing. The authors reviewed and analyzed 54
cases of
the fractures of femur treated by interlocking nails at Sang-Gye Paik Hospital from August 1989 to July 1992.
@ES The results were as follows:
@EN 1. Among the 54 patients, male were 42 and female were 12.
2. The mean time of bone union was 19.3 weeks.
3. The authors usually used the closed locked nailing technique to fix the mid-shaft fracture of femur. In cases such as mid-shaft fracture combined with proximal or distal femoral fracture, for the stability of fracture and the early
mobilization, a
reconstruction nail or modified nailing technique was used and excellent bone union was obtained without any complication.
4. In a mid-shaft fractures of the femur in adolescents or young adult, the authors used interlocking nails of proper length or diameter by cutting-off the distal portion of the nail or by over-reaming of the too narrow medullary canal, and the
outcome
was favorable.
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KEYWORD
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