Acutrak 나사를 이용한 대퇴골두 골절의 고정 - 증례 보고 -
Fixation of Pipkin Fractures with Acutrak Screws - A Report of Three Cases -
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초록
고관절 후방탈구와 동반된 대퇴골두 골절은 드문 손상으로 개방성 정복 후 내고정술을 시행하기도 하며, 골절편이 작고 분쇄상 이 심할 경우 골절편 제거술을 시행하기도 한다. Pipkin Ⅰ, Ⅱ형 골절의 골절편은 상당 부분 대퇴골두 전방에 위치하게 된다. 따라서 골절편 고정이 가능하다면 비록 중심와(fovea centralis) 하방 골절이라도 이를 제거하는 것이 선호되지는 않는다. 대퇴 골두 골절 치료에 유용한 도구인 자가압박 기전이 있는 Acutrak 나사를 사용하여 대퇴골두 골절 3예를 치료하였다. 치료 결과 를 보고하면서 Acutrak 나사의 적절한 사용법에 대해 고려해 보고자 한다.
Abstract
Femoral head fracture with posterior dislocation of the hip occurs relatively infrequently. Many treatment options exist for this condition. The fracture fragments of the femoral head can be internally fixed or removed depending on the severity of fracture comminution, fragment size, and location on the weight-bearing surface of the femoral head. In Pipkin type Ⅰ and Ⅱ fractures, the fragments are typically located anteriorly. Hence, it is important to strongly fix the fracture fragments to the femoral head rather than to excise them, in the interest of securing a better outcome. Even if the fragments are caudal to the fovea centralis, the discarding of large portions of the femoral head that are amenable to rigid fixation is not preferred. Three femoral head fractures were treated using Acutrak screws incorporated with a self-compression mechanism. We report the results and consider ways to use Acutrak screws.
참고문헌 (10)
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