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骨折의 delayed Union 및 Nonunion의 原因的 考察

Etiologic Analysis of Delayed Union and Nonunion of Fractures

대한정형외과학회지 1968년 3권 4호 p.19 ~ 22
김권우, 韓文植,
소속 상세정보
김권우 (  ) - 서울대학교 의과대학 정형외과학교실
韓文植 (  ) - 서울대학교 醫科大學 整形外科學敎室

Abstract


34 cases of delayed and nonunion examined at SNUH during the period of 1958 to 1967 were analysed as to their probable causes.
1. Of the 34 cases, there were 28 male and 5 female patients. This figure shows marked predominence of male over female.
2. The age group between 20 and 40 occupied 61.7%.
3. Of the bones involved, femur marked 11 cases, radius and ulna 7, and tibia 4 cases respectively.
4. As to the type of fractures, there were 24 cases of open and 10 cases of closed fractures.
5. At the time of initial treatment, 2 receivd no treatment at all, 14 were conservatively treated, and the
remaining 18- cases were operated on in order to attain internal fixation.
6. Of the probable causes of delayed union and nonunion, 12 were caused by inadequate immobilization, 10
by infection, and 5 by too much separation between fragments.
7. Infection played major role in 10 cases of which 3 were caused by infection primarily complicated on open fracture, and 7 by postsurgical infection. 4 out of 10 open fractures underwent surgical intervention and all of them turned out to be infected.
34 cases of delayed and nonunion were analysed and the author was quite surprised to find that most of the cases were caused by malpractice of physicians and were at the same time preventable.

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