CAJ | 학술논문

目的：探讨腓骨钩钢板治疗腓骨远端粉碎性骨折的经验及临床疗效。方法2012年2月~2014年4月，对30例腓骨远端闭合性粉碎性骨折行切开复位腓骨钩钢板内固定术，术后对踝关节功能进行评分，并观察并发症如伤口感染、骨折不愈合、内固定失败等的发生情况。结果所有病例均得到完整随访，随访时间12~36（平均24）个月。术后4~6周 X 线片均可见骨折线模糊；术后12~24周均达到临床愈合。伤口均一期愈合，无踝关节不稳。AOFAS 评分踝关节功能评分为45~94（平均87.1）分，其中优16例，良9例，可3例，差2例，优良率83.3%。结论对于腓骨远端粉碎性骨折，腓骨钩钢板具有手术时间短，手术创伤小、复位好、固定牢固、术后功能恢复满意等优点。
목적：탐토비골구강판치료비골원단분쇄성골절적경험급림상료효。방법2012년2월~2014년4월，대30례비골원단폐합성분쇄성골절행절개복위비골구강판내고정술，술후대과관절공능진행평분，병관찰병발증여상구감염、골절불유합、내고정실패등적발생정황。결과소유병례균득도완정수방，수방시간12~36（평균24）개월。술후4~6주 X 선편균가견골절선모호；술후12~24주균체도림상유합。상구균일기유합，무과관절불은。AOFAS 평분과관절공능평분위45~94（평균87.1）분，기중우16례，량9례，가3례，차2례，우량솔83.3%。결론대우비골원단분쇄성골절，비골구강판구유수술시간단，수술창상소、복위호、고정뢰고、술후공능회복만의등우점。
Objective To investigate the effect of fibula hook plate in the treatment of distal fibular comminuted fracture. Methods 30 patients with distal fibular comminuted fracture were treated with fibula hook plate from Feb. 2012 to Apr. 2014. The function of ankle joint was evaluated after operation. Complications like wound infection,non-union of fracture,internal fixation failure were observed. Results All the cases were followed up for 12 to 36 months (an average of 24 months). No obvious fracture line could be seen on the radiographs 4 to 6 weeks after operation. Clinical healing was achieved 12 to 24 weeks after operation. All surgical incisions healed adequately. There were no instability of ankle. According to AOFAS ankle joint scoring scale system,the final result was scored from 45 to 94(av-erage 87. 1). There were excellent in 16 cases,good in 9,fair in 3,and poor in 2 cases. The excellent and good rate was 83. 3% . Conclusion Fibula hook plate has the advantages of short operation time,small injury trauma,firm fixa-tion and functional recovery satisfaction in the treatment of distal fibular comminuted fracture.