Pipkin 분류 I형 대퇴골두 전위 골절에 대한 관절 경하 골절편 절제술: 증례 보고
Arthroscopic Fragment Excision of Pipkin Type I Displaced Femoral Head Fracture: A Case Report
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고관절 탈구와 동반되는 대퇴골두의 골절은 Pipkin의 분류에 따라 다양한 치료방법이 시행되고 있다. 이 중 I형 골절은 전위가 적은 경우에는 보존적 치료를 시행하지만 전위가 있거나 동심원적 정복에 방해를 주는 경우에는 수술적 치료로 관혈적으로 골절편을 제거하거나 정복 후 고정하는 방법이 일반적인 치료 방법이다. 이 증례에서는 Pipkin 분류 I형의 전위된 골절이 발생한 62세 남자 환자에게 관절경적 절제술을 시행하였고, 수술 전 영상학적 검사에서 확인이 어려웠던 작은 골편을 추가로 제거하여 만족할 만한 결과를 얻어 이를 문헌 고찰과 함께 보고하고자 한다.
Abstract
There has been a variety of options for treatment of femoral head fracture with hip dislocation according to the Pipkin classification. Pipkin type I fractures with minimal displacement have been treated conservatively. However, in cases where the fracture was displaced or reduced incongruently, it has been treated by open fragment excision or fixation after reduction. In our case, the patient was a 62-year-old man who sustained a displaced fracture of Pipkin type I. We achieved a satisfactory outcome by arthroscopic excision of a displaced bony fragment and small bony fragments that could not be confirmed by pre-operative imaging study. Therefore, we report on the case with a review of the literature.
참고문헌 (10)
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