족관절 내과를 침범한 두 부분 삼면 골절(4예 보고)

Two Part Triplane Fracture with Extention through Medial Malleolus (Four Cases Report)

  • 차승도 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 김형수 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 정수태 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 유정현 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 박재형 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 김주학 (관동대학교 의과대학 명지병원 정형외과학교실) ;
  • 김용훈 (관동대학교 의과대학 명지병원 정형외과학교실)
  • Cha, Seung-Do (Department of Orthopaedic Surgery and Pathology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Kim, Hyung-Soo (Department of Orthopaedic Surgery and Pathology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Chung, Soo-Tae (Department of Orthopaedic Surgery and Pathology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Yoo, Jeong-Hyun (Department of Orthopaedic Surgery and Pathology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Park, Jai-Hyung (Department of Orthopaedic Surgery and Pathology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Kim, Joo-Hak (Department of Orthopaedic Surgery and Pathology, Myongji Hospital, Kwandong University College of Medicine) ;
  • Kim, Yong-Hoon (Department of Orthopaedic Surgery and Pathology, Myongji Hospital, Kwandong University College of Medicine)
  • 발행 : 2009.12.15

초록

The triplane fracture has been described as a fracture of the distal tibial epiphysis occurring across three planes-sagittal, transverse and coronal. The characteristic pattern of fusion of distal tibial epiphysis explains the special configuration of the fragments in the triplane fracture. According to Dias-Tachdjian classification, triplane fracture is classified two part fracture, three part fracture, four part fracture and two part fracture with extension to the medial malleolus. Among four types, two part triplane fracture with extension to the medial malleolus is a relatively rare injury and generally is not treated by closed reduction. Such fractures should have an anatomic reduction and adequate fixation to restore the joint congruity and obtain an anatomic reduction of the growth plate to prevent a future growth deformity. This is usually best accomplished with an open reduction and screw fixation or k-wire fixation. We experienced two part triplane fracture with extension to medial malleolus and check the CT to define the extent of the injury completely. And then we underwent open reduction and screw fixation for the fracture. As a result, we present four cases of two part triplane fracture with extension with review of related literatures.

키워드

참고문헌

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