CAJ | 학술논문

目的总结骰骨骨折畸形愈合的临床特点,探讨其手术治疗方法. 方法 2005年10月至2010年9月手术治疗骰骨骨折畸形愈合3例,男2例,女1例；年龄18 ～71岁,平均40.3岁.均采用外侧柱延长、植骨,桥接钢板或骰骨专用钢板固定. 结果 3例患者术后获12～ 18个月(平均14.3个月)随访,切口均I期愈合.骨折愈合时间为9～14周,平均10.7周.患者术后平均12.7周(9～17周)时可完全负重行走,无明显疼痛和不适.采用美国足踝外科协会(AOFAS)中足评分标准,术前评分为49～ 54分,平均51.3分；术后随访评分为73～ 85分,平均81.0分. 结论对于有明显症状而保守治疗无效的骰骨骨折畸形愈合,外侧柱长度的重建和维持是治疗的关键.
목적 총결투골골절기형유합적림상특점,탐토기수술치료방법. 방법 2005년10월지2010년9월수술치료투골골절기형유합3례,남2례,녀1례；년령18 ～71세,평균40.3세.균채용외측주연장、식골,교접강판혹투골전용강판고정. 결과 3례환자술후획12～ 18개월(평균14.3개월)수방,절구균I기유합.골절유합시간위9～14주,평균10.7주.환자술후평균12.7주(9～17주)시가완전부중행주,무명현동통화불괄.채용미국족과외과협회(AOFAS)중족평분표준,술전평분위49～ 54분,평균51.3분；술후수방평분위73～ 85분,평균81.0분. 결론 대우유명현증상이보수치료무효적투골골절기형유합,외측주장도적중건화유지시치료적관건.
Objective To discuss operative treatments for the malunion of cuboid fractures.Methods From October 2005 through September 2010,3 cases of malunion of cuboid fractures were treated in our department.They were 2 males and one female with an average age of 40.3 years (from 18 to 71 years).The surgical treatments included extension of the lateral column,bone grafting,internal fixation with a bridging or special cuboid plate.The American Orthopaedic Foot & Ankle Society (AOFAS) system was used for functional evaluation.Results All the 3 patients were followed up for 14.3 months on average (from 12 to 18 months).All incisions healed primarily,and all fractures united after a mean time of 10.7 weeks (from 9 to 14 weeks).No infection was found in the 3 cases.They achieved full-weight-loading walking after a mean time of 12.7 weeks (from 9 to 17 weeks).According to the AOFAS midfoot scale,their preoperative mean score of 51.3 (from 49 to 54) was improved to 81.0 (from 73 to 85) at the last postoperative follow-ups.Conclusion In the treatment of malunion of cuboid fracture,it is critical for those who have obvious symptoms and do not respond to conservative management to restore and maintain the length of the lateral column.