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Condylar plate 를 이용한 전자직하부 골절의 치험
최영욱,박병철,김익동,김풍택,유영구,조영덕 대한골절학회 1990 대한골절학회지 Vol.3 No.1
대퇴골 전자하 골절 8례에 대하여 Condylar plate를 이용하여 관혈정복 및 압박내고정술을 시행하였던 경험을 보고자 한다. 골절의 분류는 Seinsheimer의 분류를 따랐으며 술식의 AO의 방법으로 시행하였다. 술기상의 error로 blade의 후방돌출이 1례, 내측 안정성 성취실패가 2례있었고 합병증으로 수술중 대퇴간부골절 1례, 금속판의 피로 골절 1례, 금속나사 이완 1례가 있었다. 생역학적 운리 및 술식의 적응을 고찰했으며 재래식 내고정보다 우수한 압박고정을 얻을 수 있으므로 특히 전자 직하부 골절에 시도해 볼만한 가치가 있다고 사료된다.
최영욱,박병철,김승호,김익동,김풍택,유영구 대한골절학회 1989 대한골절학회지 Vol.2 No.2
We Clinically analysed 10 cases of fractures of the neck of the talus which had been treated at the Department of Orthopedic Surgery, Kyungbook Nantional University Hospital from 1984 to 198B and the following results were obtained. 1. Of the 10 cases, Hawkins type I was 2 cases, type II, 4 cases and type g, 4 cases. 2. Avascular necrosis was developed in 7 cases. 1 of type I, 3 of type II and 3 of type III. 3. In all 6 cases with comminution at subtalar and medial aspect of talus, avascular necrosis was developed. 4. Hawkins sign was evident in the plane rcentgenogram from 5th weeks to 12th weeks(mean at 8th weeks) and we could diagnose the avascular necrosis of talar body at 9.3th weeks. 5. Bone scan was not a helpful diagnostic tool for the confirmation of the avascular necroisis of the talar body. 6. Absolute non-weight bearing is mandatory until solid union is obtamed and partial weight bearing with PTB brace is advisable after emergence of the sign of revascularization on the plane roentgenogram. 7. Of the 10 cases of the fracture of the neck of the talus, satisfactory results were obtained in 7 cases and of the 7 cases with avascular necrosis, relatively good results were in 5 cases.