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관절내 종골 골절의 전산화 단층촬영에 따른 분류 및 수술적 치료
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  • 관절내 종골 골절의 전산화 단층촬영에 따른 분류 및 수술적 치료
  • Computed Tomographic Classification and Operative Treatment of Intraarticular Calcaneal Fractures
저자명
노재영,배서영,김성덕,Roh. Jae-Young,Bae. Su-Young,Kim. Sung-Dug
간행물명
대한족부외과학회지= The journal of the Korean society of foot surgery
권/호정보
2002년|6권 2호|pp.149-155 (7 pages)
발행정보
대한족부족관절학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose: To propose a new comprehensive classification system of intraarticular calcaneal fracture based on CT images. Materials and methods: Fourty intraarticular calcaneal fractures which were treated operatively were evaluated retrospectively. We classified fracture types according to severity of comminution on the posterior facet and calcaneocuboid joint by CT images. And we evaluated postoperative results of each fracture types in terms of the quality of fixation and reduction by the postoperative plain radiograghs. Results: By the classification of the posterior facet, 18 cases were P-I, 15 were P-II, and 7 were P-III. Among the P-I cases, 7 were P-IA, 9 were P-IL, 1 was P-IM and 2 were P-IT. According to the classification of calcaneocuboid joint, II cases were C-I, 18 were C-II and 11 were C-III. Qualities of fixation were excellent in 27 cases (67.5%), fair in 9(22.5%) and poor in 4(10%). Qualities of reduction were excellent 23 cases(57.5%), fair in 11(27.5%) and poor in 6(15%). Conclusion: Our new classification system based on the CT images could provide informations about the fracture configuration and severity of comminution around calcaneocuboid joint as well as the posterior facet. And the high grade fractures such as type P-III are need to be taken care of fixation of articular surfaces.