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소아 대퇴골 골절의 임상적 고찰 Overgrowth Following Fracture of the Shaft of Femur in Childhood

대한정형외과학회지 1973년 8권 2호 p.107 ~ 112
신경호, 김재식, 노락균, 이영헌,
소속 상세정보
신경호 (  ) 
경북대학교 의과대학 정형외과학교실

김재식 (  ) 
경북대학교 의과대학 정형외과학교실
노락균 (  ) 
경북대학교 의과대학 정형외과학교실
이영헌 (  ) 
경북대학교 의과대학 정형외과학교실

Abstract


Compensatory overgrowth following fracture of the shaft of femur in children has been reported by some authors but the practical implications of various scientific and statistical studies are still not apparent to the average clinician.
The purpose in making this study was to establish principles which would aid in predicting over-growth.
At the Kyungpook National University Hospital, we have made a study of the end result in 36 cases of the femoral shaft fractures in children under 15 years of age. These cases have been followed from 6 months to 4 years and 4 months.
We have analysed three principal factors which influenced growth acceleration following fracture.
1. Location of the fracture:
Fracture occurred most commonly in the middle third of the femur shaft. Overgrowth was greatest in proximal one third fractures. Average overgrowth was 1.2cm in length.
2. Types of fracture:
Growth acceleration was greatest in oblique fractures followep by comminuted. spiral and transverse. Average overgrowth in oblique fractures was 1.0 cm in length.
3. Age of patients:
Among the chlldren 4 to 9 years of age, significant overgrowth (average 1.2cm) was seen.
It is suggested that 0.5 to 1.Ocm overriding of the femoral shaft fractures in children be provided. From these observation, it would appear that growth acceleration is related to the amount of osseous and soft tissue disruption.

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