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Surgical Treatment Using Anchor Suture of Coracoid Process Fracture with Acromioclavicular Joint Dislocation - A Case Report -

견봉-쇄골관절 탈구를 동반한 오구 돌기 골절의 봉합나사를 이용한 수술적 치료 - 증례 보고 -

  • Jeong, Woon-Seob (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Lee, Sang-Soo (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Yoo, Yon-Sik (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Kim, Do-Young (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine) ;
  • Park, Keun-Min (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University, College of Medicine)
  • 정운섭 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 이상수 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 유연식 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 김도영 (한림대학교 의과대학 춘천성심병원 정형외과학교실) ;
  • 박근민 (한림대학교 의과대학 춘천성심병원 정형외과학교실)
  • Published : 2009.12.15

Abstract

Purpose: This study examined the outcomes of closed reduction and fixation of the coracoid process fracture using a suture anchor in a patient with combined acromioclavicular dislocation for which the coraco-clavicular ligament was intact. Materials and Methods: A 26 year-old male patient with a coracoid process fracture that was associated with a type III acromioclavicular joint dislocation was operated on with anchor suture fixation. This is the first trial of this operative procedure. Results: At the postoperative follow-up at 3 months, complete union of the coracoid process fracture was seen. The shoulder had a full range of motion and the shoulder function was normal. Conclusion: Closed reduction and fixation using one suture anchor for treating coracoid process fracture is a safe, effective procedure.

목적: 본 논문은 오구 쇄골 인대가 온전하면서 견봉-쇄골 관절 탈구를 동반한 오구 돌기 골절에서 봉합나사를 이용한 고정술의 소개와 임상적 결과를 알아보고자 하였다. 대상 및 방법: 26세 남자 환자로 제3형 견봉-쇄골 탈구와 동반된 오구돌기 골절을 최초로 봉합 나사를 이용한 간접적 정복술을 시행하였다. 결과: 술 후 3개월에 골절의 완전한 유합 및 정상 견관절 운동 범위 및 기능의 회복을 얻었으며, 합병증의 소견은 없었다. 결론: 봉합나사를 이용한 간접적 정복 및 고정술은 견봉-쇄골 관절 탈구를 동반한 오구돌기 골절의 치료에 있어서 안전하고 유용한 수술 방법으로 사료된다.

Keywords

References

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