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        거골 골절 및 탈구에 대한 분석 및 고찰

        이정모,최승준,전창훈,안재인,원예원 대한골절학회 2000 대한골절학회지 Vol.13 No.2

        Purpose: Talar fractures are uncommon and so surgeon's experience in the treatment of the talar fracture is limited. This study was undertaken to evaluate the incidence, associated injuries, complications of talar fracture and results of treatment. Materials and Methods: Authors experienced 15 cases of the talar fractures treated at Ajou University Hospital from 1995 to 1998 with minimal 1 year follow-up period and obtained following result. Results: Of 15 cases, fall down injury was the most common cause of injury(11/15). 4 ipsilateral medial malleolar fractures, 2 lateral malleolar fractures and other associated injury was occured. According to the Hawkins' classification 5 cases in type I, 1 cases in type II, 2 cases in type III were observed. 2 posttraumatic arthritis, l skin necrosis, 1 avascular necrosis, were observed as complications but nonunion was not observed. Conclusions: We suggest that early and accurate anatomical reduction and rigid internal fixation of the fracture dislocation of the talus can prevent complications such as avascular necrosis, posttraumatic arthritis.

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