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전산화 단층촬영을 이용한 종골 관절내 골절의 분류 및 치료 결과 판정

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Author(s)
송광순강철형민병우손국진
Keimyung Author(s)
Song, Kwang SoonKang, Chul HyungMin, Byung Woo
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
대한정형외과학회지
Issued Date
1996
Volume
31
Issue
3
Keyword
CalcanealFractureClassificationResultsComputed Tomography
Abstract
The calcaneal fractures, the most common tarsal bone fracture are one of the difficult fractures in diagnosis and treatment because of its anatomic complexity and fracture pattern. The authors had taken pre-operative computed tomographies(CTs) and plain X-rays on calcaneal fractures prospectively since March 1992 and the calcaneal fractures were classified according to fracture patterns and locations. Twenty nine fracture were treated with open reduction and internal fixation. Following open reduction and internal fixation of displaced fractures mostly involving posterior facet of subtalar joint or closed reduction with axial pinning by Essex-Lopresti method, we have taken CT on 32 fractures and analyzed anatomic status and observed the relationship between anatomic status and clinical results. The results were as follows: 1. According to Sanders classification, type Ⅱ was the most common(69%), and then type Ⅲ(22%), type Ⅳ(6%), type Ⅰ(3%) in frequently. 2. In the relationship between preoperative CT classification and postoperative reduction state, reduction state was in case of more communication. 3. We can expect excellent or good result when the postoperative displacement is within 2mm. 4. The Sanders classification appears to be helpful in predicting prognosis since preoperative CT significantly influenced the clinical outcome, as noted in the relationship between preoperative CT and clinical results.
Alternative Title
Classification and Evaluation of the Clinical Result of the Calcaneal Fracture Based on The Computed Tomography
Keimyung Author(s)(Kor)
송광순
강철형
민병우
Publisher
School of Medicine
Citation
송광순 et al. (1996). 전산화 단층촬영을 이용한 종골 관절내 골절의 분류 및 치료 결과 판정. 대한정형외과학회지, 31(3), 606–614.
Type
Article
ISSN
1226-2102
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39546
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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