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Paratrooper’s Ankle Fracture: Posterior Malleolar Fracture
기원영,김진수,조재호,김형석,조훈기,이경태 대한정형외과학회 2015 Clinics in Orthopedic Surgery Vol.7 No.1
Background: We assessed the frequency and types of ankle fractures that frequently occur during parachute landings of specialoperation unit personnel and analyzed the causes. Methods: Fifty-six members of the special force brigade of the military who had sustained ankle fractures during parachute landingsbetween January 2005 and April 2010 were retrospectively analyzed. The injury sites and fracture sites were identified andthe fracture types were categorized by the Lauge-Hansen and Weber classifications. Follow-up surveys were performed with respectto the American Orthopedic Foot and Ankle Society ankle-hindfoot score, patient satisfaction, and return to preinjury activity. Results: The patients were all males with a mean age of 23.6 years. There were 28 right and 28 left ankle fractures. Twenty-twopatients had simple fractures and 34 patients had comminuted fractures. The average number of injury and fractures sites perperson was 2.07 (116 injuries including a syndesmosis injury and a deltoid injury) and 1.75 (98 fracture sites), respectively. Twentythreecases (41.07%) were accompanied by posterior malleolar fractures. Fifty-five patients underwent surgery; of these, 30 hadplate internal fixations. Weber type A, B, and C fractures were found in 4, 38, and 14 cases, respectively. Based on the Lauge-Hansen classification, supination-external rotation injuries were found in 20 cases, supination-adduction injuries in 22 cases, pronation-external rotation injuries in 11 cases, tibiofibular fractures in 2 cases, and simple medial malleolar fractures in 2 cases. Themean follow-up period was 23.8 months, and the average follow-up American Orthopedic Foot and Ankle Society ankle-hindfootscore was 85.42. Forty-five patients (80.36%) reported excellent or good satisfaction with the outcome. Conclusions: Posterior malleolar fractures occurred in 41.07% of ankle fractures sustained in parachute landings. Because mostof the ankle fractures in parachute injuries were compound fractures, most cases had to undergo surgical repairs.
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Treatment of Acute Achilles Tendon Rupture
박승환,Ho Seong Lee,기원영,서상교 대한정형외과학회 2020 Clinics in Orthopedic Surgery Vol.12 No.1
There is no clear consensus on the optimal treatment of acute Achilles tendon rupture. Recently, studies have demonstrated the critical role of functional rehabilitation in the treatment of ruptured Achilles tendons. Hence, conservative treatment is preferred by a growing number of surgeons seeking to treat the condition without the risk of complications from surgery. However, operative treatment is still considered as a more reliable treatment option for acute Achilles tendon rupture. In this review article, we provide an overview of recent treatment strategies for acute rupture of the Achilles tendon.
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