대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제18권4호
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  • Pages.183-188
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  • 2014
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
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관절경적 족관절 유합술 후 조기 체중부하 보행

Early Weight Bearing Ambulation after Arthroscopic Ankle Arthrodesis

  • 김윤정 (가톨릭대학교 의과대학 성빈센트병원 정형외과학교실) ;
  • 조성욱 (가톨릭대학교 의과대학 여의도성모병원 정형외과학교실) ;
  • 정진화 (가톨릭대학교 의과대학 여의도성모병원 정형외과학교실)
  • Kim, Yoon-Chung (Department of Orthopedic Surgery, St. Vincent's Hospital, School of Medicine, The Catholic University of Korea) ;
  • Cho, Sung-Wook (Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, School of Medicine, The Catholic Universtiy of Korea) ;
  • Chung, Jin-Wha (Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, School of Medicine, The Catholic Universtiy of Korea)
  • 투고 : 2014.06.29
  • 심사 : 2014.10.14
  • 발행 : 2014.12.15
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초록

Purpose: The accepted general management principle after ankle arthrodesis is to maintain non-weight bearing for 6 to 8 weeks. The aim of this study was to report clinical outcome of patients allowed early weight bearing after arthroscopic arthrodesis. Materials and Methods: We analyzed medical records and radiographs to determine fusion rate and complication risk of 22 sequential patients allowed to walk under short leg cast within 3 days after arthroscopic ankle arthrodesis using 2 screws from January 2008 to June 2012. The minimum follow-up period was 18 months, and the mean age of the patients was 67 years. Results: The mean visual analog scale was decreased from 8.9 points preoperatively to 2.3 points after 12 months. Complete ankle fusion was achieved in 19 patients (86.4%) at 3-month follow-up. There were 2 cases of delayed union and one case of nonunion at 12-month follow-up. There was no other complication such as wound problem, persistent swelling of the ankle. Conclusion: Bony union may not be interfered even though patients were allowed to walk under cast within a few days after arthroscopic ankle arthrodesis.

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참고문헌

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