전위된 관절내 종골 골절에 대한 금속판 내고정술에서 일시적 K-강선 고정의 효과
The Effect of Temporary K-wire Fixation in the Plate Fixation for Displaced Intra-articular Calcaneal Fracture
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Purpose: This study was designed to evaluate the clinical efficacy of temporary K-wire fixation in F-plate fixation for displaced intraarticular calcaneal fractures. Materials and Methods: Two groups (group 1 with F-plate fixation only and group 2 with temporary K-wire fixation and F-plate fixation) of patients were included in this study. The temporary K-wire was removed six weeks after the operation. Each group consisted of 33 cases. Rotational axis angles were measured radiographically and the foot and ankle outcome score (FAOS) was used for clinical assessment. Results: In group 1, the mean rotational axis angle was reduced from 27o preoperatively to 5.59o postoperatively and the angle at last follow-up was 9.94o. There was an increase in angle of 4.35o between postoperative and the last follow-up measurement. In group 2, the mean rotational axis angle was reduced from 21.2o preoperatively to 4.39o postoperatively and the angle at last follow-up was 5.91o. There was an increase in angle of 1.52o between postoperative and the last follow-up measurement. Significant difference in the changes of rotational axis angle was observed between the two groups. However, no significant difference in FAOS was observed between the two groups. Conclusion: Temporary K-wire fixation can prevent reduction loss when treating displaced intra-articular calcaneal fractures with an Fplate.
Abstract
Purpose: This study was designed to evaluate the clinical efficacy of temporary K-wire fixation in F-plate fixation for displaced intraarticular calcaneal fractures. Materials and Methods: Two groups (group 1 with F-plate fixation only and group 2 with temporary K-wire fixation and F-plate fixation) of patients were included in this study. The temporary K-wire was removed six weeks after the operation. Each group consisted of 33 cases. Rotational axis angles were measured radiographically and the foot and ankle outcome score (FAOS) was used for clinical assessment. Results: In group 1, the mean rotational axis angle was reduced from 27o preoperatively to 5.59o postoperatively and the angle at last follow-up was 9.94o. There was an increase in angle of 4.35o between postoperative and the last follow-up measurement. In group 2, the mean rotational axis angle was reduced from 21.2o preoperatively to 4.39o postoperatively and the angle at last follow-up was 5.91o. There was an increase in angle of 1.52o between postoperative and the last follow-up measurement. Significant difference in the changes of rotational axis angle was observed between the two groups. However, no significant difference in FAOS was observed between the two groups. Conclusion: Temporary K-wire fixation can prevent reduction loss when treating displaced intra-articular calcaneal fractures with an Fplate.
참고문헌 (11)
- Tomesen T, "Treatment of displaced intra-articular calcaneal fractures with closed reduction and percutaneous screw fixation", J Bone Joint Surg Am, 93, pp.920~928 (2011)
- Sanders R, "Displaced intra-articular fractures of the calcaneus", J Bone Joint Surg Am, 82, pp.225~250 (2000)
- 배서영, "종골 골절의 전산화 단층촬영에서 후방 관절 골편의 시상면 회전 전위의 평가", 대한골절학회지, 18(2), pp.165~169 (2005), 대한골절학회
- Roos EM, "Validation of the foot and ankle outcome score for ankle ligament reconstruction", Foot Ankle Int, 22, pp.788~794 (2001)
- Crosby LA, "Computerized tomography scanning of acute intra-articular fractures of the calcaneus. A new classification system", J Bone Joint Surg Am, 72, pp.852~859 (1990)
- McLaughlin HL, "Treatment of late complications after os calcis fractures", Clin Orthop Relat Res, 30, pp.111~115 (1963)
- Paley D, "Intra-articular fractures of the calcaneus. A critical analysis of results and prognostic factors", J Bone Joint Surg Am, 75, pp.342~354 (1993)
- Buckley R, "Operative compared with nonoperative treatment of displaced intra-articular calcaneal fractures : a prospective, randomized, controlled multicenter trial", J Bone Joint Surg Am, 84, pp.1733~1744 (2002)
- Mulcahy DM, "Intra-articular calcaneal fractures : effect of open reduction and internal fixation on the contact characteristics of the subtalar joint", Foot Ankle Int, 19, pp.842~848 (1998)
- 양규현, "F형 종골 금속판의 역학적 특성", 대한골절학회지, 17(2), pp.167~172 (2004), 대한골절학회
- Ball ST, "Chondrocyte viability after intra-articular calcaneal fractures in humans", Foot Ankle Int, 28, pp.665~668 (2007)