• 제목/요약/키워드: tibia fracture

검색결과 158건 처리시간 0.019초

원위 경골 골절의 수술적 치료 (Surgical Treatment of Distal Tibia Fractures)

  • 정재중;강도준
    • 대한족부족관절학회지
    • /
    • 제17권3호
    • /
    • pp.174-181
    • /
    • 2013
  • Distal tibia fractures were mainly caused by high energy trauma and the lower legs were enveloped in poor soft tissue. Therefore, there are many open fractures and concomitant soft tissue injuries in distal tibia fractures. For the restoration of ankle function, the surgical treatment was performed in distal tibia fractures. However, it is difficult to treat the distal tibia fracture surgically. There are many complications in distal tibia fracture due to highly comminuted fracture and poor soft tissue condition. There are many surgical methods for distal tibia fractures, such as, external fixator, intramedulary nailling, open reduction & internal fixation, and minimally invasive plate osteosynthesis. We reviewed the surgical treatments of distal tibia fractures.

Kirschner 철사와 원형 철사를 이용하여 개의 휘어진 경골 골절을 정복한 증례 (Reduction of Bowed Tibia Fracture by Fixation with Kirschner and Cerclage Wires in a Dog: A Case Report)

  • 엄미영;김영기;왕지환;이희천;이효종;연성찬
    • 한국임상수의학회지
    • /
    • 제25권5호
    • /
    • pp.408-410
    • /
    • 2008
  • A four months old, 3.6 kg intact female Miniature Dachshund dog was referred for non-weight bearing lameness at right hind limb due to car accident. On physical examination, the patient was non-weight bearing on the right hind leg and had moderate swelling in the proximal to middle tibia region. There was palpable crepitus. Radiographs revealed a slightly displaced, spiral, oblique fracture involving the proximal diaphyseal region of the right tibia. Fibular fracture was also noted. Internal fixation was performed to repair the fracture. Due to bowed shape of fractured tibia, it was not possible to apply K-wire, containing appropriate diameter ($60{\sim}80%$ of bone marrow diameter) for intramedullary fixation. We fixed the bowed tibia fracture using a smaller diameter (30% of bone marrow diameter) K-wire with cross pins and cerclage wires. Four weeks after the operation, radiographs demonstrated healing of the tibia fracture as well as the fibular fracture.

경골 골간 골절에서의 최소 침습적 금속판 고정술의 이용 3례 (Use of Minimally Invasive Plate Osteosynthesis for Tibial Diaphyseal Fracture in Three Dogs)

  • 허수영;이기창;이해범
    • 한국임상수의학회지
    • /
    • 제29권4호
    • /
    • pp.339-343
    • /
    • 2012
  • 교통사고를 원인으로 3마리의 개가 경골 골간 골절로 내원하였다. 신체검사와 정형외과 검사상 이들 골절은 경골주위에 연조직 손상을 동반한 폐쇄성 골절을 보여 주었다. 방사선검사상 단순 경사골절 (증례1), 복잡 나선형골절 (증례 2), 단순 나선형골절 (증례 3)로 진단되었다. 이들 골절은 수의 절단성 금속판이나 잠김 금속판을 이용하여 최소 침습적 금속판 고정술을 적용하였다. 수술은 성공적으로 이루어지고 7주 (증례 1), 10주 (증례 2) 그리고 8주 (증례3) 후 부작용 없이 골절 치유를 확인할 수 있었다. 수술 후 모든 환자들은 빠른 골치유와 체중 지지를 관찰할 수 있었다. 최소 침습적 금속판 고정술은 수의정형외과영역에서 경골 골간 골절의 유용한 수술법으로 생각된다.

미성숙견에서 경골 근위성장판 골절 및 경골결절 결출성 골절의 외과적 치료 (Surgical Treatment of Proximal Tibial Physeal Fracture and Avulsion Fracture of Tibial Tuberosity in a Immature Dog)

  • 정순욱;이경리;최치봉;최혜정;임용규;김휘율;정병현
    • 한국임상수의학회지
    • /
    • 제18권2호
    • /
    • pp.160-163
    • /
    • 2001
  • A 8 months old female dog with the combination of a fracture of the proximal tibia (Salter-Harris type I) with an avulsion of the tibial tuberosity was repaired with cross intramedullary pin for proximal tibial physeal fracture, and intramedullary pin combined with tension band wire for avulsion fracture of tibial tuberosity, resulted in complete healing. At 45 days after operation, on the radiological views, there was premature closure of growth plate of proximal tibia and tibial tuberosity, but at 7 months no developing growing deformities.

  • PDF

경골 원위부 골절에서 최소 침습적 잠김 압박 금속판 고정술과 함께 최소 절개를 통한 골절편간 지연 나사 고정술을 시행한 경우의 치료 결과 (Clinical Outcomes of Combinations of Locking Compression Plate Fixation through Minimally Invasive Precutaneous Plate Osteosynthesis and Interfragmentary Screw Fixation in Distal Tibia Fracture)

  • 정형진;추지웅
    • 대한족부족관절학회지
    • /
    • 제17권2호
    • /
    • pp.136-142
    • /
    • 2013
  • Purpose: To analyze the outcome of distal tibia fracture treated with the Distal Tibia LCP with combination of interfragmentary screw. Materials and Methods: Between January 2008 and March 2012, data of 34 patients with fracture of distal tibia treated with the Distal Tibia LCP with or without combination of interfragmentary screws were reviewed. There were 17 males and 17 females with an average age of 51.8 years (range, 18~77 years). Radiographic union time and time from surgery until ability to full weight bearing were measured and compared. Callus index was measured as quotient of callus thickness and diameter of corticalis both in AP and sagittal direction. Results: 12 fractures were treated with interfragmentary screws and 22 fractures were treated with bridging plate alone. In interfragmentary fixation group, time to full weight bearing was 14 weeks versus 15.75 weeks without screw. Callus index at bearing was not significantly lesser in patients with screw compated with those without, but callus index difference at posterative 4weeks was sigficant. Radiologic union time was 11.3 weeks in interfragmentary fixation group and 12.58 weeks without screw. Conclusion: The osteosynthesis with the Distal tibia LCP with combination of interfragmentary screw seems to be more stable in postoperative 4weeks than Distal tibia LCP alone, expecting to earlier ROM exercise and rehabilitation.

Reconstruction of a Severe Open Tibiofibular Fracture using an Ipsilateral Vascularized Fractured Fibula with a Thoracodorsal Artery Perforator Free Flap

  • Lan Sook Chang;Dae Kwan Kim;Ji Ah Park;Kyu Tae Hwang;Youn Hwan Kim
    • Archives of Plastic Surgery
    • /
    • 제50권5호
    • /
    • pp.523-528
    • /
    • 2023
  • The Gustilo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes long bone grafts, because the donor site is limited. We describe our experience using a set of chimeric ipsilateral vascularized fibula grafts with a thoracodorsal artery perforator free flap to reconstruct the traumatic tibia defects. A 66-year-old male suffered a severe comminuted tibia fracture and segmented fibula fracture with large soft tissue defects as a result of a traffic accident. He also had an open calcaneal fracture with soft tissue defects on the ipsilateral side. All the main vessels of the lower extremity were intact, and the cortical bone defect of the tibia was almost as large as the fractured fibula segment. We used an ipsilateral vascularized fibula graft to reconstruct the tibia and a thoracodorsal artery perforator flap to resurface the soft tissue, using the distal ends of peroneal vessels as named into sequential chimeric flaps. After 3 weeks, the calcaneal defect was reconstructed with second thoracodorsal artery perforator free flap. Reconstruction was successful and allowed rapid rehabilitation because of reduced donor site morbidity.

대량의 골 및 연부조직 결손을 동반한 분쇄 경골 골절에서의 급성 단축술과 점진적 연장술 - 증례 보고 - (Acute Shortening and Gradual Lengthening for a Comminuted Tibia Fracture with Massive Bone and Soft Tissue Defect - Case Report -)

  • 한호성;허정규;송철호;백구현;이영호;공현식
    • Archives of Reconstructive Microsurgery
    • /
    • 제20권1호
    • /
    • pp.68-73
    • /
    • 2011
  • Traditional management of comminuted tibia fractures with massive bone and soft tissue defect includes soft tissue coverage and bone grafting. However, this method requires a large flap and a substantial amount of bone graft. Acute shortening can reduce the amount of required soft tissue and bone graft. We report a case of open tibia and fibula fracture with severe bone and soft tissue defect that was successfully treated by acute shortening of the tibia with immediate fibular strut bone graft and then by gradual lengthening of the tibia at its proximal metaphysis.

  • PDF

화어전(化瘀煎)이 조골세포 및 경골골절 유발 생쥐의 골유합에 미치는 영향 (Affirmative Effect of Hwaweo-jeon (Huayu-jian) in Osteoblast Cells and Tibia Fracture-induced Mice)

  • 이수환;;차윤엽
    • 한방재활의학과학회지
    • /
    • 제30권1호
    • /
    • pp.13-29
    • /
    • 2020
  • Objectives This study was performed to decide the bone union effect of Hwaweo-jeon on tibia fractured mice. Methods In this study, laboratory experiments were implemented by the stage of in vitro and in vivo. In in vitro, MC3T3-E1 cells were treated with various concentration of Hwaweo-jeon extract (HWJ). To investigate effect of HWJ for osteoblast, relative mRNA expression of 5 substances (alkaline phosphatase [ALP], runt-related transcription factor 2 [Runx2], osteocalcin [OCN], osterix [OSX] and collagen type II alpha 1 chain [Col2a1]) was used as a marker of osteogenesis. In order to determine HWJ's effect for fracture healing, relative gene expression level of ALP, Runx2, OCN, OSX and Col2a1 were used to find out the influence to osteoblast. Furthermore, receptor activator of nuclear factor kappa-B ligand and osteoprotegerin relative mRNA expression were used to estimate the impact to osteoclast. Also, X-ray was used for the purpose of identifying bone union in tibia-fracture mouse model. Results In in vitro experiment, most part of relative mRNA expression were increased compared to control group. In in vivo and in vitro experiment, HWJ induced osteoblast activitation by verifying relative mRNA expression of 5 substances. And in vivo experiment, we can also identify that HWJ triggered osteoclast activation during early stage of tibia fracture. Furthermore, X-ray pictures show noticeable recovery of tibia fracture. Conclusions HWJ extract promotes bone union by facilitating the osteoblast. But, HWJ may occur liver & kidney toxicity over specific concentration. Therefore, when HWJ is applied to human body, doctors have to follow up the liver function test & renal function test of patient.

긴팔원숭이에서 발생한 경골 골절의 외과적 정복 1례 (Tibial Fracture Repair in a Black Gibbon (Hylobates concolor))

  • 윤헌영;이보라;정순욱
    • 한국임상수의학회지
    • /
    • 제26권6호
    • /
    • pp.644-646
    • /
    • 2009
  • 5년령의 체중 4.58 kg 수컷 긴 팔 원숭이가 후지 파행 증상으로 건국대학교 동물 병원에 내원하였다. 신체 검사에서 우측 후지 경골 부위의 연부조직 손상을 보였으며 방사선 사진에서 우측 경골과 비골의 단순 골절이 관찰되었다. 개방형 정복을 실시한 후 tubular dynamic compression plate와 나사를 이용한 고정을 실시하였다. 수술 9주 후 방사선 사진 검사에서 잘 발달된 가골 형성이 골절 부위 피질에서 관찰되었다. 수술 3개월 후 후지 파행 증상을 보이 지 않고 정상 보행이 가능하였다.