대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제16권4호
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- Pages.270-275
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- 2012
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
종골 부정 유합에 동반된 거주상 관절 아탈구의 치료 (1예 보고)
Treatment of Talonavicular Subluxation Accompanied by Calcaneal Malunion (A Case Report)
- Cha, Seong-Mu (Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine) ;
- Chang, Bo Hoon (Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine) ;
- Suh, Jin-Soo (Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine)
- 투고 : 2012.10.18
- 심사 : 2012.11.13
- 발행 : 2012.12.15
초록
There may be complications after comminuted or intraarticular calcaneal fracture regardless of the initial treatment. Transcalcaneal talonavicular dislocation is rarely reported severe form of calcaneal fracture. We experienced a neglected transcalcaneal talonavicular subluxation case, who had been treated for intraarticular calcaneal fracture conservatively. Subtalar distraction bone block fusion was done for calcaneal malunion with talonavicular subluxation. Inspite of successful subtalar fusion, pain was persisted because of talonavicular re-subluxation with arthritis and calcaneocuboid arthritis. So, second operation, the talonavicular and calcaneocuboid fusion, was done. After union achieved, the patient's foot pain was improved. Calcaneal malunion combined with talonavicular subluxation and unstable transverse tarsal joint, such as this case, initial triple arthrodesis could be considered.
키워드