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종골 골절후 발생한 족부 구획 증후군의 치료
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  • 종골 골절후 발생한 족부 구획 증후군의 치료
  • Treatments of the Compartment Syndrome of the Foot after the Calcaneal Fractures
저자명
박용욱,정영기,유정한,전득수,황필성,Park. Yong-Wook,Chung. Yung-Khee,Yoo. Jung-Han,Jun. Deuk-Soo,Whang. Pil-Sung
간행물명
대한족부외과학회지= The journal of the Korean society of foot surgery
권/호정보
1999년|3권 1호|pp.12-18 (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

Eleven patients with calcaneal fracture had 2 acute compartment syndrome of the feet and 9 late complication of the compartment syndrome of the feet. An interstitial pressure of more than 30 mmHg in either the central or interosseous compartment was considered pathologic and was treated by fasciotomy performed medially. Rigid claw toe deformity was treated by excision of the head and neck of the proximal phalanx, dorsal capsular release of the metatarsophalangeal joint, and lengthening of the extensor tendon. Patients were evaluated at a mean of 35 months(range, 21 - 44 months) after operation, and the examination was directed specifically toward symptoms and signs of myoneural ischemia, and walking pain. At follow -up, 2 patients with acute compartment syndrome of the foot had no evidence of myoneural ischemla, 9 patients with claw toe deformity had no pain with walking. Based on our clinical observations, we concluded that compartment syndrome of the foot may occur after the calcaneal fracture and fasciotomy is effective treatment for the prevention of the long term sequelae of this debilitating condition.