대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제9권1호
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- Pages.31-37
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- 2005
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
거골 골절 탈구 후 무혈성 괴사의 장기 추시: 5예
Long Term Follow-up of Avascular Necrosis after Talar Fracture and Dislocation: 5 Cases
- 김병철 (부산의료원 정형외과학교실) ;
- 최성종 (부산의료원 정형외과학교실) ;
- 김휘택 (부산대학교 의과대학 정형외과학교실) ;
- 류총일 (부산대학교 의과대학 정형외과학교실) ;
- 정성원 (부산대학교 의과대학 정형외과학교실) ;
- 은일수 (부산의료원 정형외과학교실) ;
- 구정모 (부산의료원 정형외과학교실) ;
- 김종균 (부산의료원 정형외과학교실)
- Kim, Byung-Cheol (Department of Orthopaedic Surgery, Pusan Medical Center) ;
- Choi, Sung-Jong (Department of Orthopaedic Surgery, Pusan Medical Center) ;
- Kim, Hui-Taek (Department of Orthopaedic Surgery, Pusan National University College of Medicien) ;
- Yoo, Chong-Il (Department of Orthopaedic Surgery, Pusan National University College of Medicien) ;
- Jung, Sung-Won (Department of Orthopaedic Surgery, Pusan National University College of Medicien) ;
- Eun, Il-Soo (Department of Orthopaedic Surgery, Pusan Medical Center) ;
- Ku, Jeong-Mo (Department of Orthopaedic Surgery, Pusan Medical Center) ;
- Kim, Jong-Kyun (Department of Orthopaedic Surgery, Pusan Medical Center)
- 발행 : 2005.06.01
초록
Purpose: To report our opinions of management about avascular necrosis following operative treatment of talar fracture and dislocation. Materials and Methods: We followed up 5 patients who were diagnosed as talar avascular necrosis after operation of talar fracture and dislocation. Clinical and radiological analysis were performed. The mean age of patients was 36 years. There were 4 males and 1 females. The average follow up was 51 months. Hawkins scoring system was used as clinical evaluation. Results: Regardless of radiological sclerotic finding, all patients showed satisfactory clinical result. Despite arthritic change in one patient, there were no further radiological and clinical deterioration to require salvage procedure. Conclusion: Most avascular necrosis after operative treatment of talar fracture and dislocation showed satisfactory result with conservative treatment. Thus, salvage operation such as talectomy or ankle fusion should be reserved in cases of intractable ankle pain and claudication.