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슬개골 재발성 및 습관성 탈구에 있어 변형된 Elmslie - Traillat 수술법
조우신(Woo Shin Cho),박종희(Jong Hi Park),이상원(Sang Won Lee) 대한슬관절학회 2002 대한슬관절학회지 Vol.14 No.1
Purpose: To evaluate the effectiveness of the modified Elmslie-Trillat operation on recurrent and Materials and Methods: From November 1993 to December 2000, 16 cases of modified Elmslie-Trillat operation were performed in 13 patients. Recurrent dislocation were 10 cases, habitual were 6 cases. Mean age was 26 years old(15~46) and male was 1 patient, female were 12 patients. We checked the Q angle and congruence angle to compare the postoperative state with the preoperative result by radiologic finding. Crosby and Insall 's criteria was used to evaluate the clinical results. Results: The congruence angle and Q angle were improved from average 46`(10`~77`) and 20.2`(16`~35`) in preoperative state to average -5`(-10`~4`) and 9.5`(4`~15`) in postoperative state. Patella alta were 2 cases and patella baja was none in preoperative measurement. There was no change of patella alta in postoperative measurement. In Crosby and Insall's criteria, 5 cases showed excellent, 10 cases good, l case poor result. At final follow-up, there were no postoperative complications such as degeneratve arthritis, nonunion, ROM limitation except 1 case of patellar redislocation. Conclusion: Modified Elmslie-Trillat operation is good alternatives to the recurrent and habitual patella dislocation.
김정재,박종희,김기용,조우신 대한골절학회 1997 대한골절학회지 Vol.10 No.3
The intraarticular fractures of the distal tibia, so-called pilon fractures have been difficult in management due to the severe comminution of articular surface and frequent soft tissue problems. So there have been many controversies in the method of treatment. Although historically the results of various type of treatment of these fractures have been less than optimal, there has been a recent trend that suggests success in the majority of cases through operative treatment following the principles outlined by the AO/ASIF group. Among the patients of pilon fracture admitted to our hospital from October 1989 to August 1995 who were treated by open reduction and internal fixation, 32 patients(34 cases) were included who could be follow up for more than 2 years. According to AO/ASIF classification, type B l 5 cases, type B2 7 cases, type B3 5 cases, type Cl 3 cases, type C2 4 cases, type C3 10 cases. The authors analyzed the clinical and radiological results of tibial pilon fractures exclusively treated by internal fixation. The results as follow: 1. Among 34 cases, 12 cases(35.3%) were not associated with of fibula fracture. There was no stastical relationship between the severity of pilon fracture and the presence of fibula fracture. 2. Good results in fracture reduction was obtained at 26 cases( 76.5 9b) and good functional results was obtained at 26 cases( 76.5 %). 3. The most common postoperative complication was infection combined with skin problem(6 cases), which were treated by antibiotics and flap surgery. 4. Anatomical reduction and stable internal fixation of articular surface, careful manipulation of soft tissues and early range of motion exercise yielded good results of surgical treatment of pilon fracture.