대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제6권1호
- /
- Pages.54-59
- /
- 2002
- /
- 1738-3757(pISSN)
- /
- 2288-8551(eISSN)
족관절 내과 골절에 대한 금속나사고정술과 변형 긴장대고정술의 임상적 비교
Comparison between Screw Fixation and Modified Tension Band Wiring for Medial Malleolar Fracture
- 고상훈 (대진의료재단 분당제생병원 정형외과학 교실) ;
- 박영준 (대진의료재단 분당제생병원 정형외과학 교실) ;
- 정유영 (대진의료재단 분당제생병원 정형외과학 교실) ;
- 김우석 (대진의료재단 분당제생병원 정형외과학 교실)
- Ko, Sang-Hun (Department of Orthopedic Surgery, Pundang Jesaeng General Hospital, Dae JinMedical Center) ;
- Park, Young-Jun (Department of Orthopedic Surgery, Pundang Jesaeng General Hospital, Dae JinMedical Center) ;
- Jeong, You-Young (Department of Orthopedic Surgery, Pundang Jesaeng General Hospital, Dae JinMedical Center) ;
- Kim, Woo-Suk (Department of Orthopedic Surgery, Pundang Jesaeng General Hospital, Dae JinMedical Center)
- 발행 : 2002.06.01
초록
Purpose: To compare the clinical results between the screw fixation and modified tension band wiring in the treatment of medial malleolar fracture. Materials and Methods: From September 1998 to April 2002, 52 patients were treated by screw fixation and 43 patients were treated by modified tension band wiring for medial malleolar fracture. Results: Accoding to Lauge- Hansen classification, there were 28 cases of supination-external rotation type (53.8%), 9 of supination-adduction type (17.3%), 8 of pronation -external rotation type (15.4 %), 7 of pronation -abduction type (13.5 %) in screw fixation group and 21 (48.9%),11 (25.6%), 7 (16.3%) 4 (9.3%) of each type in tension band wiring group. The average time to union was 15.7 weeks in screw fixation group and 12.8 weeks in tension band wiring group.(p<0.05) In the functional outcome (according to Meyer and Kumler), 29 patients treated (76.2 %) with screw fixation showed excellent results and 34 patients (86.6%) treated with tension band wiring had excellent results (p<0.05). Conclusion: We concluded that more satisfactory result could be obtained with modified tension band wiring compared with screw fixation in the treatment of the medial malleolar fracture.