CAJ | 학술논문

目的：探讨外侧低位L形切口防治跟骨骨折手术并发症的方法。方法：2009年5月-2014年2月收治跟骨骨折患者44例(48足)，其中12例(12足)采用标准跟骨外侧L形切口，32例(36足)采用外侧跟骨L切口L形底边下移0.8～1 cm，使切口底边位于足底外侧皮肤内。结果：采用外侧标准跟骨L切口组5例切口交角处皮瓣缘皮肤坏死，1例切口深部感染。采用低位跟骨外侧L形切口组切口均一期愈合，皮肤边缘愈合良好，无任何坏死出现，切口无感染。参照AOFAS踝足功能评分标准优33足，良8足，可3足，差3足，优良率88.3%。结论：将跟骨切口下移至足底外侧皮肤内，术中使骨折关节面尽量达到满意复位，恢复Bohler's角、Gissane's角，及跟骨宽度和高度。
목적：탐토외측저위L형절구방치근골골절수술병발증적방법。방법：2009년5월-2014년2월수치근골골절환자44례(48족)，기중12례(12족)채용표준근골외측L형절구，32례(36족)채용외측근골L절구L형저변하이0.8～1 cm，사절구저변위우족저외측피부내。결과：채용외측표준근골L절구조5례절구교각처피판연피부배사，1례절구심부감염。채용저위근골외측L형절구조절구균일기유합，피부변연유합량호，무임하배사출현，절구무감염。삼조AOFAS과족공능평분표준우33족，량8족，가3족，차3족，우량솔88.3%。결론：장근골절구하이지족저외측피부내，술중사골절관절면진량체도만의복위，회복Bohler's각、Gissane's각，급근골관도화고도。
Objective:To investigate the methods on prevention operation complication of calcaneal fracture by low L incision lateral.Methods:44 cases(48 feet) with calcaneal fractures were selected from May 2009 to February 2014,including 12 cases (12 feet) were treated with standard calcaneal lateral L incision,however,32 cases(36 feet)were given lateral calcaneal L incision that L shaped bottom moves to 0.8~1 cm,therefore,made the bottom of incision located in the lateral plantar skin incision.Results:Among those 12 cases with standard calcaneal lateral L incision,there were 5 cases occurred skin necrosis in the incision angle at the edge of the flap,in addation,there was 1 case with deep infection of incision.All of the 36 feet that under the treatment of low lateral calcaneal L incision were healed at one stage,with good healing skin edge,and no infection.According to the standard of AOFAS score on ankle foot function,33 feet were excellent;8 feet were good;3 feet were moderate;3 feet were poor,so the excellent and good rate was 88.3%.Conclusion:Low down the calcaneal incision to the lateral plantar skin can make a satisfactory reduction in the surgery as much as possible,and recovery of Bohler's angle and gissane's angle,moreover.It also can recover the width and height of calcaneal.