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김종오,윤여헌,김동욱,고영도,유재두,조중호,Kim, Jong-Oh,Yun, Yeo-Hun,Kim, Dong-Wook,Koh, Young-Do,Yoo, Jae-Doo,Cho, Choong-Ho 대한족부족관절학회 2001 대한족부족관절학회지 Vol.5 No.1
Study design: Clinical results were retrospectively analyzed in 11 patients with fractures of talar neck who were treated in our department from Jan. 1994 to Dec. 1999. Objective: The purpose of this study is to evaluate the short-term results and to assess the prognostic factors of talar neck fractures. Material and Method: 11 cases with fractures of talar neck were reviewed retrospectively with minimum 1 year follow-up. There were 8 men & 3 women, and the average age was 25. The most common cause was traffic accident. According to the modified Hawkins classification, type I was in 4 cases, type II in 5, type III in 2, and type IV was none. All type I fractures were treated conservatively, and others were treated operatively. Results: According to Hawkins criteria, there was excellent result in 7 cases(64%), good in 2(18%), and fair in 2(18%). Post-traumatic arthritis occurred in 2 cases, but there was no avascular necrosis. Conclusion: Careful selection of method of treatment and urgent management are important prognostic factors in talar neck fractures. The longer follow-up in more cases is necessary to evaluate the long-term clinical results and complications more accurately.
척추경 나사못과 후궁 갈고리를 이용한 흉요추부 골절의 수술적 치료
왕진만,노권재,윤여헌,고영도,오종건,정훈,김동준 대한척추외과학회 1998 대한척추외과학회지 Vol.5 No.1
Study Design : Clinical and radiographic results of spine fracutre treated with pedicle screws and hooks were reviewed. Objectives : Evaluate the efficacy of the pedicle screw and hook for thoracolumar bursting fracture Summary of Literature Review : Despite of the mechanical advantage of the pedicle screw, the metal failure in short segment fusion has been reported. A biomechanical study showed additional laminar hook increased rotational strength. Materials and Methods : Between 1994 and 1996, seventeen patients who had a Denis type B bursting fracture of the thoracolumbar spine were treated by posterior instrumentation with pedicle screws and laminar hooks and anterior interbody fusion after partial corpectomy. They have been followed for an average of 13.4 months. Results : At last follow-up, radiographs showed successful fusion of the injured spinal segment in all patient. The subsidence of grafts which were used in anterior interbody fusion was an average of 0.76㎜. There was a loss of 2.6 degrees on average in the correction of the kyphosis. No patients had screw breakage or loosening. Conclusions : We concluded that posterior fixation with screws and hooks, anterior decompression by partial corpectomy, and strut-grafting in patient who had a Denis type B bursting fracture of the thoracolumbar spine yielded good radiographic and functional results.