CAJ | 학술논문

目的探讨骨外固定支架技术在踝关节融合与矫形中的疗效.方法 2001年1月至2009年6月采用外固定支架技术治疗27例踝关节创伤性患者,男18例,女9例;年龄32～68岁,平均41岁.其中创伤性关节炎13例,地方性大骨节病3例,骨关节炎5例,结核性踝关节炎2例,踝关节置换术后失败3例,骨髓炎1例.为保证骨对骨加压接触行外固定支架固定.结果所有患者术后获6～38个月(平均10个月)随访.随访发现关节无肿胀和疼痛,行走步态和功能明显改善,X线片示关节均获骨性融合.结论外固定支架技术用于踝关节融合率高,对踝关节感染及复合足踝关节畸形有一定优势性.
목적 탐토골외고정지가기술재과관절융합여교형중적료효.방법 2001년1월지2009년6월채용외고정지가기술치료27례과관절창상성환자,남18례,녀9례;년령32～68세,평균41세.기중창상성관절염13례,지방성대골절병3례,골관절염5례,결핵성과관절염2례,과관절치환술후실패3례,골수염1례.위보증골대골가압접촉행외고정지가고정.결과 소유환자술후획6～38개월(평균10개월)수방.수방발현관절무종창화동통,행주보태화공능명현개선,X선편시관절균획골성융합.결론 외고정지가기술용우과관절융합솔고,대과관절감염급복합족과관절기형유일정우세성.
Objective To study the curative effect of external fixation in ankle joint arthrodesis.Methods From January 2001 to June 2009, we used external fixation in arthrodesis for 27 cases of traumatic ankle joint They were 18 males and 9 females, with an average age of 41 years (range, 32 to 68 years) . There were 13 cases of traumatic osteoarthritis of the ankle joint, 3 cases of local kaschin beck disease, 5 cases of ankle osteoarthritis, 2 cases of tuberculous ankle arthritis, 3 cases of ankle replacement failure, one case of osteomyelitis. Fibular flap grafts were used in 8 cases, bone autografts in 11 cases, bone allografts in 2 cases,and combined bone grafts in 11 cases. External fixation was applied for all cases to ensure compressive contact between bone ends. Results The patients were followed up for 6 to 38 months (average, 10 months). No pain or swelling was found at the ankle joint. Significant improvements were made in walking gait and function of the ankle. X-ray films verified bony fusion in all cases. Conclusion External fixation can lead to a high rate of bony fusion of the ankle joint, and is advantageous for treatment of ankle infection and combined deformity of the ankle and foot.