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이차적인 연부조직 손상을 동반한 종골 골절에 대한 유관 나사 및 단순 환상 강선 고정술을 이용한 치료: 2예 보고

Treatment of Secondary Soft Tissue Compromised Calcaneus Fractures Using a Cannulated Screw and Simple Cerclage Wiring: A Report of Two Cases

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초록

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

Abstract

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

참고문헌 (10)

  1. Gardner MJ, "Secondary soft tissue compromise in tongue-type calcaneus fractures", J Orthop Trauma, 22, pp.439~445 (2008)
  2. Chhabra N, "Tongue-type calcaneus fractures: a threat to skin", Am J Emerg Med, 31, pp.1151.e3~1151.e4 (2013)
  3. Snoap T, "Calcaneus fractures : a possible musculoskeletal emergency", J Emerg Med, 52, pp.28~33 (2017)
  4. Brunner CF, "Special techniques in internal fixation", pp.145~165 (1982), Springer-Verlag Berlin Heidelberg
  5. Rammelt S, "Calcaneus fractures : facts, controversies and recent developments", Injury, 35, pp.443~461 (2004)
  6. Squires B, "Fractures of the tuberosity of the calcaneus", J Bone Joint Surg Br, 83, pp.55~61 (2001)
  7. Khazen GE, "Fixation of calcaneal avulsion fractures using screws with and without suture anchors : a biomechanical investigation", Foot Ankle Int, 28, pp.1183~1186 (2007)
  8. Levi N, "Avulsion fracture of the calcaneus : report of a case using a new tension band technique", J Orthop Trauma, 11, pp.61~62 (1997)
  9. Nagura I, "Modified tension band wiring fixation for avulsion fractures of the calcaneus in osteoporotic bone : a review of three patients", J Foot Ankle Surg, 51, pp.330~333 (2012)
  10. Banerjee R, "Management of calcaneal tuberosity fractures", J Am Acad Orthop Surg, 20, pp.253~258 (2012)

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