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  • 종골 부정 유합에 대한 두개의 골편을 이용한 거골하 관절 신연 유합술
  • Subtalar Distraction Two Bone-Block Arthrodesis for Calcaneal Malunion
저자명
정형진,배서영,이희성,Chung. Hyung-Jin,Bae. Su-Young,Lee. Hee-Sung
간행물명
대한족부족관절학회지
권/호정보
2009년|13권 1호|pp.68-74 (7 pages)
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대한족부족관절학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose: This study was designed to evaluate the results and efficacy of subtalar distraction two bone-block arthrodesis for calcaneal malunion. Materials and Methods: From January 2004 to June 2007, we operated on 8 patients (12 cases). There were 7 male patients and 1 female patient; their mean age was 42 years. 8 cases among them were operated initially. The period between initial injury and arthrodesis was 21 months. At an average follow up was 19 months. In operation, we used extensile lateral approach and arthrodesis was performed through tricortical two bone-block and cannulated screws. The Ankle-Hindfoot scale was used for clinical evaluation. In radiologic analysis, plain X-ray and CT were examined union and various parameters. Results: All cases achieved radiologic union at the final follow-up. The mean Ankle-hindfoot scale (maximum of 94 points) increased from 43.4 points preoperatively to 84 points at the final follow-up. The radiologic analysis of the pre- and postoperative standing lateral radiographs showed and average increase of 5.5 mm in talo-calcaneal height, $5.1^{circ}$ in talocalcaneal angle, $6.1^{circ}$ in talar declination angle and decrease of $5.7^{circ}$ in talo-first metatarsal angle. Conclusion: The short term results of subtalar distraction two bone-block arthrodesis is promising, but longer follow-up was needed.