• Clinics in Shoulder and Elbow
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• 제5권2호
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• pp.102-109
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• 2002

Purpose: To evaluate the results of the treatment of the supracondylar fractures of the humerus according to the fixation methods in adults Materials and Methods: Seven patients, aged 55 to 52 years (average,69 years), were reviewed after a mean follow-up of 37 months (range, 11-65 months). According to AO classification all fractures were classified as type A2 (simple transverse supracondylar fracture). Six patients underwent closed reduction and one patient, open reduction after failure of closed reduction. Percutaneous fixation with cannulated screws was performed to the 4 patients, per- cuta)leous fixation with Kirschner wires in 3 patients. All except one patients have associated medical problems. The results were assessed based on the Mayo Elbow Performance Score. Results: All the patients with cannulated screw fixation had stable bony union with excellent ranges of motion (mean: 5-125 degrees). All the three patients who received percuatnaous smooth K-wire fixation had nonunion with poor results, one of them had changed into cannulated screw. and then had good result. Conclusion: Although simple supracondylar fracture is similar to the pediatric fracture in nature, it should be firmly fixed with the method such as threaded cannualted screw rather than the simple fixation with K-wires.

• 대한족부족관절학회지
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• 제21권4호
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• pp.165-169
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• 2017

Secondary soft tissue injuries can occur from the pressure of the displaced fragment of posterior calcaneal tuberosity in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The soft tissue injury can be prevented by immediate reduction of the displaced fragments. Various techniques can be used to fix the fracture fragments, but the stability of fixation and minimal invasiveness to soft tissue should be considered. This paper reports the successful outcomes of patients with soft tissue compromises in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The fixation technique of a large cannulated screw and simple cerclage wiring is believed to be a useful surgical option for the treatment of secondary soft tissue compromised calcaneal fractures.

• 대한관절경학회지
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• 제6권1호
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• pp.25-30
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• 2002

목적 : 전위된 경골 과간 융기부 골절시 슬개골 하단을 통한 삽관 나사못 고정술의 효용성을 분석하고자 한다. 대상 및 방법 : 1998년 12월부터 2001년 5월까지 성인에서 전위된 경골 과간 융기부 골절을 관절경의 도움 하에 슬개골 하단을 통한 삽관 나사못 고정술을 시행하고 1년 이상 추시가 가능하였던 10예를 대상으로 임상적 및 방사선적 결과를 분석하였다. 결과 : 모든 예에서 골유합을 얻었으며 방사선적 골유합은 평균 9.2주였다 최종 추시시 전방 전위는 전방 stress 방사선상 평균 1.8 mm를 보였으며 KT-2000 arthrometer에서는 평균 1.1 mm였다. 신전 제한은 평균 4.1도를 보였다. 기능적 결과는 우수가 7예, 양호가 3예로 모두에서 만족할만한 결과를 보였다. 결론 : 성인에서 전위된 경골 과간 융기부 골절시 관절경적 수술 방법인 슬개골 하단을 통한 삽관 나사못 고정술은 슬개골 하단의 비관절면을 통하여 삽관 나사못을 고정함으로서 정확한 정복과 견고한 고정을 얻을 수 있었으며, 술 후 조기에 능동적 관절 운동을 허용할 수 있어 간편하면서도 유용한 수술방법이라 사료된다.

• 대한족부족관절학회지
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• 제20권2호
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• pp.67-72
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• 2016

Purpose: The purpose of this study was to assess the 2-year follow-up results of patients with a trimalleolar fracture, who had undergone an anterior incision cannulated screw fixation of the posterior malleolar fragment, which had more than 25% of articular involvement or had no cortical continuity with the distal tibia. Materials and Methods: Among 28 patients with a trimalleolar fracture who had undergone fixation of the posterior malleolar fragment between February 2005 and February 2010, 14 patients, who underwent an anterior incision cannulated screw fixation of posterior malleolar fragment and were followed-up for more than 2 years, were selected. The postoperative clinical and radiological findings immediately and at the 1- and 2-year follow-up were compared. The clinical findings were evaluated as American Orthopaedic Foot and Ankle Society (AOFAS) score. The radiological assessment was evaluated as the maintenance of reduction, period to bone union, and the presence of nonunion, malunion, and complications. Results: The clinical outcome by mean AOFAS score revealed 83.0 points in the group with preoperative displacement below 2 mm and 80.7 points in the group with preoperative displacement above 2 mm postoperatively. The mean AOFAS score was 91.7 and 93.1 points in the group with preoperative displacement below 2 mm on 1- and 2-year follow-up, respectively, and 89.8 and 91.7 points in group with the preoperative displacement above 2 mm on 1- and 2-year follow-up, respectively. After a 2-year follow-up among 14 cases selected for this study, 13 cases showed an excellent reduction state and only 1 case (7.1%) showed a displacement of more than 2 mm. No complication were encountered in the group with preoperative displacement below 2 mm. On the other hand, among 8 patients in the group with preoperative displacement above 2 mm, there were 3 with limitations of the range of motion of the ankle joint (37.5%) and 1 post-traumatic arthritis (12.5%) at the 2-year follow-up. Conclusion: Anterior incision cannulated screw fixation of the posterior malleolar fragment could be a valuable method for the treatment of trimalleolar fractures that provides satisfactory results.

• 대한족부족관절학회지
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• 제12권1호
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• pp.66-73
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• 2008

Purpose: To report the clinical results of tibio-talo-calcaneal arthrodesis fixed with multiple cannulated screws for the cases of painful ankle and hindfoot arthropathy regardless of any deformity or instability. Materials and Methods: A retrospective analysis was performed upon 10 patients that underwent tibio-talo-calcaneal arthrodesis from October 1999 to May 2006. There were 4 males and 6 females, with an average age of 63 years (43-70). The etioloty of arthrodesis included 5 osteoarthritis, 2 Charcot joints, 1 rheumatoid arthritis, 1 Tbc arthritis and 1 residual poliomyelitis. Chief complaints were pain in 9 cases and instability in 1 case. Three patients had combined severe varus deformity. Tibio-talo-calcaneal arthrodesis using multiple cannulated screws was performed by transfibular approach for all cases and short leg cast was applied for 12 weeks postoperatively. Results: The average follow-up period was 16.5 months (12-26 months). VAS pain score was average 8.2 (7-10) and modified AOFAS score was average 25 (8-40, total 86) preoperatively. At final follow-up, VAS score was average 1.0 (0-3) and AOFAS score improved to average 66 (58-75). There were 4 complications: 2 nonunion, 1 tibia stress fracture and 1 malunion. Seven of 8 patients were satisfied with the results at final follow-up. Conclusion: Fixation with multiple cannulated screws for tibio-talo-calcaneal arthrodesis through transfibular approach is a recommendable surgical option.

• 대한관절경학회지
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• 제2권1호
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• pp.59-63
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• 1998

There have been numerous methods to obtain a stable arthrodesis of the tibiotalar joint. However, a controvercy has arisen over the most successful and reproducible method to obtain an arthrodesis. The objective of this report is to show that an ankle arthrodesis can be performed successfully and advantageously by using cannulated screws under arthroscopic control and that our csaes will be a part of the multicentric study of arthroscopic ankle arthrodesis in korea. Between May 1996 and May 1997, we perfomed 3 ankle arthrodesis under arthroscopy using cannulated screws. Two patients had post-traumatic osteoarthritis and one had rheumatoid arthritis. Clinical ankylosis in one case and radiological union in two cases were obtained in 12 weeks postoperatively. We propose that arthroscopic ankle arthrodesis is effective procedure in patient who has minimal deformity and bone loss, advantages like small incision, minimal morbidity, low infection rate and rapid return to normal daily activity, but more cases and comparision with open tecnique will be needed.

• Hip & pelvis
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• 제35권1호
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• pp.47-53
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• 2023

Purpose: The purpose of this study is to compare the radiological results of fixation using the femoral neck system (FNS) and cannulated screw (CS) for treatment of femoral neck fractures. Materials and Methods: A retrospective study of patients with femoral neck fractures who underwent internal fixation and had follow-up of more than six months from 2010 to 2020 was conducted. A total of 87 patients were enrolled in the study. The FNS group included 20 patients and the CS group included 67 patients. Classification of fractures was performed according to Garden and Pauwels classification. Operation time, intraoperative blood loss, sliding distance of the implant, lateral soft tissue irritation caused by implants, and complications were evaluated. Results: The mean operation time was 40.30 minutes in the FNS group and 46.84 minutes in the CS group. The mean intraoperative bleeding volume was 51.25 mL in the FNS group and 72.16 mL in the CS group. Bone union was achieved in 18 patients in the FNS group (90.0%) and in 61 patients in the CS group (91.0%). The mean sliding distance of the implant was 4.06 mm in the FNS group and 3.92 mm in the CS group. No patients in the FNS group and 12 patients in the CS group complained of soft tissue irritation. Conclusion: A shorter operative time, less intraoperative bleeding, and less irritation of soft tissue were observed in the FNS group. FNS could be an alternative to CS for fixation of femoral neck fractures.

• Clinics in Shoulder and Elbow
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• 제13권1호
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• pp.127-131
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• 2010

목적: 저자들은 관절와 골절의 치료에 있어 고식적인 관절 절개술이 아닌 관절경을 이용한 골절의 정복 및 내 고정한 증례를 보고 하고자 한다. 대상 및 방법: 66세의 남자로 좌측 견관절의 쇄골 골절 및 관절와의 전위된 횡 골절 및 견갑골 골절이 있는 환자였으며 관절경을 이용하여 골절을 정복하고 유경나사로 내 고정 하였다. 결과: 술 후 9개월 째 좌측 견관절의 운동 범위는 완전히 회복 되었으며 환자는 일상 생활에 불편감이 거의 없었다. 술 후 12개월째 전신 마취 하 내 고정물의 제거 술을 시행 하였다. 결론: 관절경을 이용한 수술은 고식적인 수술보다 적은 통증, 적은 출혈량, 술 후 입원기간의 단축 및 조기 관절 운동이 가능하다는 장점이 있었고 술 후 견관절 운동 범위에서도 우수한 결과를 보였으며 임상적 평가에서도 만족스러운 결과를 보였다.

• 대한관절경학회지
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• 제13권3호
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• pp.254-258
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• 2009

경골 과간 융기부 골절은 슬관절의 뒤틀림, 과도한 굴곡 및 신전, 내반 및 외반 손상으로 인한 견열 골절의 형태로 발생을 하며 정확한 해부학적 정복이 이루어지지 않을 경우 슬관절의 불안정성과 관절 운동 제한을 초래할 수 있다. 최근 관절경을 이용한 정복과 다양한 고정 방법이 시행되고 있으며, 저자들은 이 중 견인 봉합술을 시행함에 있어서 도관 나사못을 이용한 터널을 만들어 기존에 시행되어지던 술기에 비해 보다 쉽고 편리하게 내고정을 얻을 수 있었으며, 이에 수술방법의 소개와 증례를 보고하고자 한다.

• 대한족부족관절학회지
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• 제12권2호
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• pp.180-184
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• 2008

Purpose: To evaluate the result of percutaneous fixation with cannulated screws and Ilizarov external fixator in triplane fracture of the distal tibial epiphysis in children. Materials and Methods: Between May 2004 and December 2007, 14 cases with triplane fractures were treated by percutaneous fixation with cannulated screws and Ilizarov external fixator after underwent CT imaging to assess the fracture pattern, articular disruption and to plan further management. Mean age and follow-up period were 14.1 years old and 15 months respectively. Results: There were satisfactory results in all 14 cases that had excellent reduction and stable fixation. All cases regained full range of movement within 6 weeks. Conclusion: We obtained satisfactory result after percutaneous fixation with cannulated screws and Ilizarov external fixator in triplane fractures of the distal tibial epiphysis in children.