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설상형 Sanders 제 II형 종골 골절에 대한 관절경하의 정복 및 경피적 고정술의 결과

Outcomes of Arthroscopic Assisted Reduction and Percutaneous Fixation for Tongue-Type Sanders Type II Calcaneal Fractures

박철현|박재우
대한족부족관절학회 (korean foot and ankle society)|2017.12|대한족부족관절학회지 (journal of korean foot and ankle society)|제21권 제4호|pp. 144-150|DOI https://doiorg/1014193/jkfas2017214144

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초록

Purpose: To assess the clinical and radiographic results and complications of arthroscopy-assisted reduction and percutaneous fixation for patients with tongue-type Sanders type II calcaneal fractures. Materials and Methods: Between August 2014 and December 2015, 10 patients who underwent surgery using subtalar arthroscopic assisted reduction and percutaneous fixation for tongue-type Sanders type II calcaneal fractures were reviewed. The mean age was 50.8 years (36∼62 years), and the mean follow-up period was 24 months (12∼40 months). The clinical results were evaluated using the visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score at the regular follow-ups, and the foot function index (FFI) at the last follow-up. The subtalar range of motion (ROM) was evaluated and compared with the uninjured limb at the last follow-up. The radiographic results were assessed using the Böhler’s angle from the plain radiographs and the reduction of the posterior calcaneal facet using computed tomography (CT). The postoperative complications were assessed by a chart review. Results: The VAS and AOFAS ankle-hindfoot score improved until 12 months after surgery. The FFI was 15 (1.8∼25.9) and subtalar ROM was 75.5% (60%∼100%) compared to the uninjured limb at the last follow-up. The Böhler’s angle was increased significantly from 2° (–14°∼18°) preoperatively to 21.8° (20°∼28°) at the last follow-up. The reduction of the posterior facet was graded as excellent in five feet (50.0%) and good in five (50.0%) on CT obtained at 12 months after surgery. One foot (10.0%) had subfibular pain due to a promi『nent screw head. One foot (10.0%) had pain due to a longitudinal tear of the peroneal tendon that occurred during screw insertion. Conclusion: Subtalar arthroscopic-assisted reduction of the posterior calcaneal facet of the subtalar joint and percutaneous fixation is a useful surgical method for tongue-type Sanders type II calcaneal fractures.

Abstract

Purpose: To assess the clinical and radiographic results and complications of arthroscopy-assisted reduction and percutaneous fixation for patients with tongue-type Sanders type II calcaneal fractures. Materials and Methods: Between August 2014 and December 2015, 10 patients who underwent surgery using subtalar arthroscopic assisted reduction and percutaneous fixation for tongue-type Sanders type II calcaneal fractures were reviewed. The mean age was 50.8 years (36∼62 years), and the mean follow-up period was 24 months (12∼40 months). The clinical results were evaluated using the visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score at the regular follow-ups, and the foot function index (FFI) at the last follow-up. The subtalar range of motion (ROM) was evaluated and compared with the uninjured limb at the last follow-up. The radiographic results were assessed using the Böhler’s angle from the plain radiographs and the reduction of the posterior calcaneal facet using computed tomography (CT). The postoperative complications were assessed by a chart review. Results: The VAS and AOFAS ankle-hindfoot score improved until 12 months after surgery. The FFI was 15 (1.8∼25.9) and subtalar ROM was 75.5% (60%∼100%) compared to the uninjured limb at the last follow-up. The Böhler’s angle was increased significantly from 2° (–14°∼18°) preoperatively to 21.8° (20°∼28°) at the last follow-up. The reduction of the posterior facet was graded as excellent in five feet (50.0%) and good in five (50.0%) on CT obtained at 12 months after surgery. One foot (10.0%) had subfibular pain due to a promi『nent screw head. One foot (10.0%) had pain due to a longitudinal tear of the peroneal tendon that occurred during screw insertion. Conclusion: Subtalar arthroscopic-assisted reduction of the posterior calcaneal facet of the subtalar joint and percutaneous fixation is a useful surgical method for tongue-type Sanders type II calcaneal fractures.

참고문헌 (30)

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관련 논문AI추천

관절 내 종골 골절의 수술적 치료에 있어관절 내시경 사용의 유용성곽희철, 김정한, 김창완, 박대현, 정경칠대한족부족관절학회 · 대한족부족관절학회지2009 · 제13권 제1호최소침습적 금속판 내고정술을 이용한 전위된 관절 내 종골 골절의 임상적 치료결과박현우, 서재완, 양종헌대한족부족관절학회 · 대한족부족관절학회지2020 · 제24권 제2호최소 침습적 경피적 나사못 고정 방법을 이용한 전위된 관절내 종골 골절 치료양정환, 채수욱대한족부족관절학회 · 대한족부족관절학회지2010 · 제14권 제1호6.5 mm 해면골 전산나사를 이용한 Sanders Type II 또는 III형 종골 골절의 최소 침습적 치료김정호, 오용승, 이경호, 이명진대한족부족관절학회 · 대한족부족관절학회지2019 · 제23권 제3호Sanders 제 III형 종골 골절에서 최소침습 족근동 접근법과 광범위 외측 접근법 간 정복 정도 비교김종은, 이건우대한족부족관절학회 · 대한족부족관절학회지2025 · 제29권 제3호관절면을 침범한 설상형 종골골절의 수술적 치료: 관혈적 및 Essex-Lopresti 술식에 따른 비교신동은, 안창수, 옥현수, 윤형구, 최우진, 한수홍대한족부족관절학회 · 대한족부족관절학회지2010 · 제14권 제2호

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