대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제10권1호
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- Pages.66-70
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- 2006
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
유관 나사와 분쇄 골이식을 사용한 거골하 관절 유합술
Subtalar Arthrodesis using Cannulated Screws and Morselized Bone Graft
- 안재훈 (을지대학교 의과대학 정형외과학교실) ;
- 김갑중 (을지대학교 의과대학 정형외과학교실) ;
- 최원식 (을지대학교 의과대학 정형외과학교실) ;
- 나규현 (을지대학교 의과대학 정형외과학교실)
- Ahn, Jae-Hoon (Department of Orthopaedic Surgery, Eulji University College of Medicine) ;
- Kim, Kap-Jung (Department of Orthopaedic Surgery, Eulji University College of Medicine) ;
- Choy, Won-Sik (Department of Orthopaedic Surgery, Eulji University College of Medicine) ;
- Na, Kyu-Hyun (Department of Orthopaedic Surgery, Eulji University College of Medicine)
- 발행 : 2006.06.01
초록
Purpose: To analyze the clinical and radiological outcome of subtalar arthrodesis using cannulated screws and morselized bone graft. Materials and Methods: Twenty one patients with follow-up of more than 1 year after subtalar arthrodesis were included in this study. Mean age was 40.8 years, and mean follow-up duration was 38 months. Underlying diseases were 19 cases of posttraumatic arthritis (18 calcaneal fractures and 1 talar fracture) and 2 cases of tarsal coalition. Clinically AOFAS ankle-hindfoot score, operation time, complication and satisfaction of patients were analyzed. Radiologically time to union, arthritis of surrounding joints, preoperative and postoperative talar declination angle were analyzed. Results: AOFAS ankle-hindfoot score was improved from preoperative 33 points to postooperative 79 points. Eighteen patients (86%) were satisfied with the results. Mean operation time was 91 minutes. All cases were fixed with 1-2 cannulated screws and morselized bone graft. Mean time to radiologic union was 12.1 weeks. There was 1 case of delayed union. There was no significant perioperative changes in talar declination angles. Conclusion: Subtalar arthrodesis using cannulated screws and morselized bone graft seems to be relatively simple and effective treatment method for subtalar arthritis.