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Pilon fracture의 수술적 가료에 대한 임상적 고찰

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Author(s)
강창수편영식손승원송광순강철형민병우하영욱
Keimyung Author(s)
Kang, Chang SooPyun, Young SikSohn, Sung WonSong, Kwang SoonKang, Chul HyungMin, Byung Woo
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
대한정형외과학회지
Issued Date
1993
Volume
28
Issue
1
Keyword
Pilon fractureSurgical treatment
Abstract
A pilon fracture, which is defined as a comminuted intraarticualar fracture of distal tibia, violates the articular region and the metaphysis with occasional extension into the diaphysis, and renders the bone difficult to restore to its anatomic shape. Though con¬servative treatment was possible, most of authors reported better result after a surgical treatment than that of conservative treatment.
We analyzed the result of 17 cases of pilon fracture in 16 patients. All of them were treated surgically and followed up more than one year and six monthes at the Depart¬ment of Orthopedic Surgery, Keimyung university Dongsan Medical Center, from April 1984 to December 1990.
The results were as follows.
1. The incidence of pilon fracture is about 10% of all ankle fracture treated during the same period.
2. The most frequent type of pilon fracture is type Ⅲ(Ruedi & Allgower).
3. Fifty six percentage of all cases had associated injuries, the most common associated injury was compression fracture of lumbar spine (4 cases).
4. Fibular fracture was combined in 9 cases (53%)
5. The more accurate reduction, the better clinical result.
Alternative Title
A clinical study of the Surgical Treatment of Pilon Fracture
Keimyung Author(s)(Kor)
강창수
편영식
손승원
송광순
강철형
민병우
Publisher
School of Medicine
Citation
강창수 et al. (1993). Pilon fracture의 수술적 가료에 대한 임상적 고찰. 대한정형외과학회지, 28(1), 276–282.
Type
Article
ISSN
1226-2102
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39497
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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