대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제10권2호
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- Pages.190-195
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- 2006
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
전위된 거골 경부 골절의 수술적 치료
Operative Treatment of Displaced Talar Neck Fracture
- 안재훈 (을지대학교 의과대학 정형외과학교실) ;
- 백창현 (을지대학교 의과대학 정형외과학교실) ;
- 최원식 (을지대학교 의과대학 정형외과학교실) ;
- 김용인 (을지대학교 의과대학 정형외과학교실)
- Ahn, Jae-Hoon (Department of Orthopaedic Surgery Eulji University College of Medicine) ;
- Baek, Chang-Hyun (Department of Orthopaedic Surgery Eulji University College of Medicine) ;
- Choy, Won-Sik (Department of Orthopaedic Surgery Eulji University College of Medicine) ;
- Kim, Yong-In (Department of Orthopaedic Surgery Eulji University College of Medicine)
- 발행 : 2006.12.01
초록
Purpose: To evaluate the results of open reduction and internal fixation for displaced talar neck fracture. Materials and Methods: Fourteen patients were followed for more than 1 year after open reduction and internal fixation of displaced talar neck fracture. The mean age was 41.5 years, and the mean follow-up period was 3.8 years. There were 10 type II, 3 type III and 1 type IV fractures per Hawkins. There were 3 open fractures. Clinically AOFAS ankle-hindfoot scale and Hawkins criteria were utilized. Radiologically quality of reduction, duration of bony union, avascular necrosis and posttraumatic arthritis were evaluated. Results: At last follow-up, AOFAS scale was mean 89.1 points. There were 8 excellent, 4 good, and 2 fair results according to Hawkins criteria. Radiologically anatomical reduction was obtained in 13 cases. Mean duration of bony union was 11.8 weeks. There were 3 avascular necrosis and 2 post-traumatic arthritis. There was no significant difference in the incidence of avascular necrosis between early operation group and surgically delayed group. Conclusion: Accurate open reduction and rigid internal fixation seem to be prerequisites for satisfactory treatment of a displaced talar neck fracture.