Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Bony Fragment Excision Followed by Multiple Drilling and Fragment Fixation Using Bio-absorbable Pins for Bilateral Osteochondral Fracture of the Lateral Talar Dome: A Case Report

양측 족관절에 발생한 외측 거골원개 골연골의 골절에 대한 골편제거 후 다발성 천공술 및 생흡수성 핀을 이용한 골편고정: 증례 보고

  • Lee, Yong Jae (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital) ;
  • Suh, Jin Soo (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital) ;
  • Choi, Jun Young (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital)
  • 이용재 (인제대학교 일산백병원 정형외과학교실) ;
  • 서진수 (인제대학교 일산백병원 정형외과학교실) ;
  • 최준영 (인제대학교 일산백병원 정형외과학교실)
  • Received : 2019.10.01
  • Accepted : 2019.11.19
  • Published : 2019.12.15
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Abstract

An osteochondral fracture is considered to be an injury involving the cartilage and subchondral bone. Acute traumatic osteochondral fractures can be related to joint instability because abnormal joint motion causes shearing and rotatory stress. Acute osteochondral fractures are frequently missed or misdiagnosed as a pure soft tissue injury. Thus, surgeons' proactive attention is highly required as articular cartilage has limited potential for self-repair and these lesions may develop osteoarthritis. In order to minimize the progression of post-traumatic osteoarthritis, it is important to properly identify and treat osteochondral fractures. Yet, little is known about the operative management of acute osteochondral fractures of the talus. We report here on a case of a middle-aged male with acute osteochondral fractures of the bilateral lateral talar dome. We applied different operative methods on each side with regard to fragment size and stability. A favorable clinical outcome was obtained at 18 months follow-up.

Keywords

References

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