대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제6권1호
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- Pages.60-65
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- 2002
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
경비 인대 결합 나사못의 이상적인 삽입부위
Ideal Insertion Position of Ankle Syndesmosis Screw
- Park, Hong-Gi (Department of Orthopaedic Surgery, Gil Medical Center, Gachon Medical College) ;
- Moon, Seon-Sang (Department of Orthopaedic Surgery, Gil Medical Center, Gachon Medical College)
- 발행 : 2002.06.01
초록
Purpose: The purposes of the present study were to find the ideal insertion position syndesmosis screw and relation to the surrounding anatomical structures when indirectly inserting the screw anteriorly at a 30 angle at 3 cm proximal portion of the ankle join t. Materials and Methods: We performed computed tomography from the axial view in 20 normal individuals at 3 cm proximal portion of the ankle joint and divided the lateral side of the fibula into 4 sections. We drew a line from the middle of each of these 4 sections to the posterolateral tibia at a 30 angle and determined the relationship between each of these lines and the surrounding anatomical structures and confirmed the site at which each of these 4 lines passed through the posterolateral tibia which divided into 3 sections and the site of the fibula at which each of these lines passed through the middle 1/3 portion of the tibia. Results: The posterior 3/4 portion of the fibula that passed through the middle 1/3 portion of the posterolateral tibia in 18 cases. The portion did not approach the surrounding anatomical structures(Peroneal vessels and the muscular portion of FHL). Conclusion: The ideal insertion position of syndesmosis screw at 3 cm proximal portion of the ankle joint at a 30 angle is the posterior 3/4 portion of the lateral side of the fibula, and injury to the surrounding anatomical structures could be avoided when the screw passes through the middle 1/3 portion of the posterolateral tibia.