관절경을 이용한 족관절 외과 골절의 비관혈적 정복술 및 내고정술
Arthroscope-guided Closed Reduction and Internal Fixation of the Lateral Malleolar Fracture
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초록
Purpose: In this study, we introduced an newly developed technique of operation for fracture of lateral malleolus of the ankle. We treated the fracture by close reduction and internal fixation using arthroscopy. Materials and Methods: From July 2006 to June 2007, we had treated 23 cases of lateral malleolar fracture (SER type) by closed reduction and internal fixation with arthroscopy and followed them up more six month. Operation time, union time, clinical and functional result were evaluated. Results: After the final follow-up, all the fractures were healed with satisfactory bony union. The subjective result was excellent in 15 cases (65%), good in 8 cases (35%), the objective result was excellent in 13 cases (57%), good in 10 cases (43%), and the roentgenographic result was excellent in 17 cases (74%), good in 6 cases (26%). Conclusion: Closed reduction and internal fixation with arthroscopy technique is an effective treatment method in treating lateral malleolar fracture of the ankle since it offers advantages including corrective anatomical reduction and minimizing complication associated with injury of soft tissue.
Abstract
Purpose: In this study, we introduced an newly developed technique of operation for fracture of lateral malleolus of the ankle. We treated the fracture by close reduction and internal fixation using arthroscopy. Materials and Methods: From July 2006 to June 2007, we had treated 23 cases of lateral malleolar fracture (SER type) by closed reduction and internal fixation with arthroscopy and followed them up more six month. Operation time, union time, clinical and functional result were evaluated. Results: After the final follow-up, all the fractures were healed with satisfactory bony union. The subjective result was excellent in 15 cases (65%), good in 8 cases (35%), the objective result was excellent in 13 cases (57%), good in 10 cases (43%), and the roentgenographic result was excellent in 17 cases (74%), good in 6 cases (26%). Conclusion: Closed reduction and internal fixation with arthroscopy technique is an effective treatment method in treating lateral malleolar fracture of the ankle since it offers advantages including corrective anatomical reduction and minimizing complication associated with injury of soft tissue.
참고문헌 (25)
- Burwell HN., "The treatment of displaced fracture at the ankle by rigid internal fixation and early joint movement", J Bone Joint Surg, 47(B), pp.634~660 (1965)
- Claes L, "Fixation technique influences osteogenesis of comminuted fracture", Clin Orthop, 365, pp.221~229 (1999)
- Collinage C, "Treatment of complex tibial periarticular fractures using percutaneous technique", Clin Orthop, 375, pp.69~77 (2000)
- Denham RA, "Internal fixation for unstable ankle fractures", J Bone Joint Surg, 46(B), pp.206~211 (1964)
- Farouk O, "Does percutaneous plating disrupt femoral blood supply less than traditional technique?", J Orthop Trauma, 13, pp.401~406 (1999)
- Helfet DL, "Minimally invasive plate osteosynthesis of distal fractures of the tibia", Injury, 28(Suppl 1), pp.A42~A48 (1997)
- Gerber C, "Biological internal fixation of fractures", Arch Orthop, 109, pp.295~303 (1990)
- Kim HJ, "Surgical treatment of internal malleolar fracture of the ankle - rush rod versus plate osteosynthesis", J Korean Fracture Soc, 16, pp.519~525 (2003)
- Kim In, "Complication and its treatment of ankle fractures", J Korean Fracture Soc, 8, pp.736~746 (1995)
- Kim SK, "The treatment and clinical analysis of lateral malleolar fracture of the ankle with one or two cortical lag screws", J Korean Orthop Assoc, 27, pp.1758~1765 (1992)
- Krettek C, "Minimally invasive percutaneous plate osteosynthesis (MIPPO) using the DCS in proximal and distal femoral fractures", Injury, 28(Supple 1), pp.A20~A30 (1997)
- Lambert KL, "The weight-bearing function of the fibula. A strain gauge study", J Bone Joint Surg, 53(A), pp.507~513 (1971)
- Lindsjo U, "Operative treatment of ankle fracture- dislocations. A follow-up study of 306", 321 consecutive cases, 1985, pp.199, 28~38
- Mast JW, "A reproducible approach to the internal fixation of adult ankle fracture: rationale, technique and early results", Orthop Clin North Am, 11, pp.661~679 (1980)
- Meyer TL Jr, "A.S.I.F. technique and ankle fractures", Clin Orthop, 150, pp.211~216 (1980)
- Rahn BA, "Compression interfragmentaire et surcharge locale de Los, In Osteogenese et compression", pp.146~153 (1971), Huber
- Ramsey PL, "Changes in tibiotalar area of contact caused by lateral talar shift", J Bone Joint Surg, 58(A), pp.356~357 (1976)
- Rockwood CA, "Fractures. 5th ed", pp.871~899 (1991), JB Lippincott Co
- Segal D, "Displaced ankle fractures treated surgically and postoperative management", Instr Course Lect, 33, pp.107~117 (1979)
- Segal D, "The role of the lateral malleolus as a stabilizing factor of the ankle joint", Foot Ankle, 2, pp.25~29 (1981)
- Song EK, "A clinical analysis of open reduction of the ankle fracture", J Korean Fracture Soc, 9, pp.212~219 (1996)
- Tornetta P 3rd, "Lag screw only fixation of the lateral malleolus", J Orthop Trauma, 15, pp.593~594 (2001)
- Wilson FC Jr, "Long term results in the treatment of displaced bimalleolar fractures", J Bone Joint Surg, 48(A), pp.1065~1078 (1966)
- Yablon LG, "Reconstruction of malunited fracture of the lateral malleolus", J Bone Joint Surg, 71(A), pp.521~527 (1989)
- Yablon IG, "The key role of the lateral malleolus in displaced fractures of the ankle", J Bone Joint Surg, 59(A), pp.169~173 (1977)
