Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Clinical usefulness of the tangential projection view of Radius groove after Distal Radius Fracture operation using the T-type Plat

전방 잠금형 금속판을 이용한 요골 원위부 골절수술 후 요골구 접선방향 촬영법의 임상적 유용성

  • Seo, Sun-Youl (Department of Public Health, The Graduate School of Eulji University) ;
  • Cho, Jeong-Hee (Department of Public Health, The Graduate School of Eulji University) ;
  • Han, Man-Seok (Kangwon University department of radiiologic science) ;
  • Kim, Tae-Hyung (Kangwon University department of radiiologic science) ;
  • Yoo, Se-Jong (Department of Public Health The Graduate School of Konyang University) ;
  • Kim, Yong-Kyun (Department of Radiological Technology, Daewon University College) ;
  • Han, Dong-Kyoon (Eulji University department of radiiologic science)
  • 서선열 (을지대학교 일반대학원 보건학과) ;
  • 조정희 (을지대학교 일반대학원 보건학과) ;
  • 한만석 (강원대학교 방사선학과) ;
  • 김태형 (강원대학교 방사선학과) ;
  • 유세종 (건양대학교 일반대학원 보건학과) ;
  • 김용균 (대원과학대 방사선과) ;
  • 한동균 (을지대학교 방사선학과)
  • Received : 2013.04.02
  • Accepted : 2013.06.07
  • Published : 2013.06.30
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Abstract

Introduction : The projection method to check existence and nonexistence of radius groove penetration of screw after distal radius fracture operation clinical using the T-type plate and the radiation of radial groove tangential is to propose a new test. Material and Methods : On the tangential projection view of radius groove, elevation angle of distal radius is 2.5, 5, 7.5, 10 degree. and forearm and radiation detector of angle is 60, 70, 80, degree each changed. that analyzed check existence and nonexistence of radius groove penetration of screw. Results : For the image of Radial groove tangential. the case of not radius groove penetration of screw(63.95%, n=55), medial penetration of radius groove(10.47%, n=9) or lateral penetration of radius groove(25.58%, n=22) was analysis. The radius groove penetrating of screw length was a range of 0.43 ~ 2.72mm, the average was 1.06mm. the check existence and nonexistence of radius groove penetration of medial or lateral was analysis that it accurate for the image of Radial groove tangential. the radiography of radial groove is well described elevation angle of distal radius 2.5 to 7.5 degree(90% over), forearm and radiation detector of angle 70degree(80%over) Conclusion : It is elevation angle of distal radius is 5degree, forearm and radiation detector of angle 70degree recommended.

서론 : 본 논문은 전방 잠금형 금속판을 이용한 요골 원위부 골절 수술 후 나사못(screw)의 요골구 관통 유무를 확인하기 위한 방법으로 방사선 요골구 접선방향촬영법의 새로운 검사법을 제시하고자 한다. 재료 및 방법 : 요골구 접선방향 촬영 시 요골 원위부 거상 각도는 2.5, 5, 7.5, 10도와 전완골과 방사선 검출기와의 각도를 60, 70, 80도로 각각 변화시켜 촬영한 방사선영상에서 나사못의 요골구 관통유무를 분석하였다. 결과 : 요골구 접선방향 영상에서는 요골구를 관통하지 않은 경우와 요골구 내관통, 요골구 외관통인 경우가 각각 55명(63.95%), 9명(10.47%), 22명(25.58%)으로 분석 되었고, 요골구를 관통한 나사못의 길이는 0.43~2.72mm의 범위로 평균 1.06mm이었다. 요골구가 잘 묘사되는 방사선 촬영법은 요골 거상각도 2.5~7.5도에서 90%이상, 전완골과 방사선 검출기의 각도 70도에서 요골구가 80%이상 잘 묘사되는 것으로 분석 되었다. 결론 : 요골구 접선방향 촬영법은 요골 원위부 거상 각도 5도, 전완골과 검출기의 각도는 70도를 추천 한다.

Keywords

References

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