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Journal of the Korean Society for Surgery of the Hand 2008;13(2):112-116.
Published online June 1, 2008.
Flexible Intramedullary Nailing of the Fracture of Radial Shaft in Adults
Ho-Seung Jeon,Chan-Sam Moon,Seung-Ju Jeon,Haeng-Kee Noh,Seung-Ju Ha
성인 요골 간부 골절의 유연성 골수강내 고정술
전호승,문찬삼,전승주,노행기,하승주
Abstract
Purpose
To assess the results of the flexible intramedullary nailing for the radial shaft fracture in adults and to evaluate the technical factors thereof. Materials and Methods: Materials for this study are 20 adults who had a single radial shaft fracture or internal fixation (plate and screws) of ulnar fractures in both forearm bones fracture with more than 1 year follow-up out of 82 adults of forearm fractures discovered during periods from August 1996 to December 2005. After classifying into four groups regardless of fixatives as follows ; radial shaft fractures with 1 flexible intramedullary nail (Group I), the cases of 2 flexible intramedullary nail (Group II), and as for the subgroups of the preceding cases, the group of three-point fixation with more than 1 fixative in subchondral bone of radial head or cortex of radial neck (subgroup-a) and that of short fixative whose head is out of reach to radial neck (subgroup-b), we deduced the technical factors effecting the results with the evaluation the outcome of the treatment for each cases through Anderson’s method. Results: Satisfactory outcomes were attained for 3 cases out of 4 (75%) in group Ia, 1 out of 3 (33%) in group Ib, 7 out of 7 (100%) in group IIa, 4 out of 6 (67%) in group IIb. Nonunion was found in 1 case of group Ib and revision surgery was performed with plate and screws fixation. Angular deformity was also found in the same group. Conclusion: Insertion of two fixatives is recommendable to gain a stability of fracture site in the flexible intramedullary nailing of the radial shaft fractures in adults. When unavailable, use of a fixative of enough length to get three-point fixation is helpful in getting satisfactory results.
 
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