소아 경골 원위 골단부 삼면 골절의 경피적 나사못 고정술과 Ilizarov 외고정 장치를 이용한 치료

Percutaneous Fixation with Cannulated Screws and Ilizarov External Fixator in Triplane Fracture of the Distal Tibial Epiphysis in Children

  • 현윤석 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 김갑래 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 이광남 (한림대학교 의과대학 강동성심병원 정형외과학교실) ;
  • 이은수 (한림대학교 의과대학 강동성심병원 정형외과학교실)
  • Hyun, Yun-Seok (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Kim, Gab-Lae (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Lee, Kwang-Nam (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Lee, Eun-Su (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine)
  • 발행 : 2008.12.01

초록

Purpose: To evaluate the result of percutaneous fixation with cannulated screws and Ilizarov external fixator in triplane fracture of the distal tibial epiphysis in children. Materials and Methods: Between May 2004 and December 2007, 14 cases with triplane fractures were treated by percutaneous fixation with cannulated screws and Ilizarov external fixator after underwent CT imaging to assess the fracture pattern, articular disruption and to plan further management. Mean age and follow-up period were 14.1 years old and 15 months respectively. Results: There were satisfactory results in all 14 cases that had excellent reduction and stable fixation. All cases regained full range of movement within 6 weeks. Conclusion: We obtained satisfactory result after percutaneous fixation with cannulated screws and Ilizarov external fixator in triplane fractures of the distal tibial epiphysis in children.

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