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A Comparison of the Results between Intramedullary Nailing and Minimally Invasive Plate Osteosynthesis in Distal Tibia Fractures
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¹ÚöÇö(Park Chul-Hyun) - ¿µ³²´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
ÃÖÄ¡¹ü(Choi Chi-Bum) - ¿µ³²´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
½É¹üÁø(Shim Bum-Jin) - ¿µ³²´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
À̵¿Ã¶(Lee Dong-Chul) - ¿µ³²´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
¼Õ¿íÁø(Sohn Oog-Jin) - ¿µ³²´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
Abstract
¸ñÀû: ¿øÀ§ °æ°ñ °ñÀý¿¡¼ ±Ý¼ÓÁ¤ °íÁ¤¼ú°ú ÃÖ¼Ò Ä§½ÀÀû ±Ý¼ÓÆÇ °íÁ¤¼úÀÇ ÀÓ»óÀû ¹× ¹æ»ç¼±ÇÐÀû °á°ú¸¦ ºñ±³ÇÏ¿´´Ù.
´ë»ó ¹× ¹æ¹ý: 2007³â 1¿ùºÎÅÍ 2012³â 2¿ù±îÁö ¿øÀ§ °æ°ñ °ñÀý·Î ¿µ³²´ëÇб³ÀÇ·á¿ø¿¡¼ ¼ö¼úÀ» ¹ÞÀº 57¿¹¸¦ ´ë»óÀ¸·Î ÇÏ¿´´Ù. 32¿¹¿¡¼ ±Ý¼ÓÁ¤ °íÁ¤¼úÀ»(±Ý¼ÓÁ¤±º), 25¿¹¿¡¼ ÃÖ¼Ò Ä§½ÀÀû ±Ý¼ÓÆÇ °íÁ¤¼úÀ»(±Ý¼ÓÆDZº) ½ÃÇàÇÏ¿´´Ù. ÀÓ»óÀû °á°ú´Â Á·°üÀýÀÇ ¿îµ¿¹üÀ§¿Í American Orthopaedic Foot and Ankle Society (AOFAS) Á¡¼ö¿Í Olerud-Molander Á·°üÀý Á¡¼ö¸¦ ºñ±³ÇÏ¿´´Ù. ¹æ»ç¼±ÇÐÀû °á°ú´Â °ñÀ¯ÇÕ ½Ã±â¿Í °ü»ó¸é ¹× ½Ã»ó¸é¿¡¼ÀÇ ºÎÁ¤ Á¤·Ä ¹× ´ÜÃàÀÇ Á¤µµ¸¦ ºñ±³ÇÏ¿´´Ù.
°á°ú: ±Ý¼ÓÁ¤±º¿¡¼ ¼ú ÈÄ 6°³¿ù±îÁö ´õ ÁÁÀº Á·°üÀý ¿îµ¿ ¹üÀ§¸¦ º¸¿´À¸³ª ÃÖÁ¾ Ã߽ÿ¡¼´Â À¯ÀÇÇÑ Â÷ÀÌ°¡ ¾ø¾ú´Ù. ÃÖÁ¾ Ãß½ÃÀÇ AOFAS Á¡¼ö¿Í Olerud-Molander Á·°üÀý Á¡¼ö´Â ¾ç ±º °£¿¡ À¯ÀÇÇÑ Â÷ÀÌ°¡ ¾ø¾ú´Ù. ±Ý¼ÓÁ¤±º¿¡¼ °ü»ó¸é°ú ½Ã»ó¸é»ó¿¡¼ 5µµ ÀÌ»óÀÇ ºÎÁ¤ À¯ÇÕÀÌ °¢°¢ 1¿¹ ¹ß»ýÇÏ¿´´Ù. ±Ý¼ÓÆDZº¿¡¼ ºÒÀ¯ÇÕÀÌ 1¿¹ ¹ß»ýÇÏ¿´À¸³ª ÀÚ°¡°ñ À̽ļú ½ÃÇà ÈÄ °ñÀ¯ÇÕÀ» ¾òÀ» ¼ö ÀÖ¾ú´Ù.
°á·Ð: ¿øÀ§ °æ°ñ °ñÀý¿¡¼ ±Ý¼ÓÁ¤ °íÁ¤¼úÀÌ ÃÖ¼Ò Ä§½ÀÀû ±Ý¼ÓÆÇ °íÁ¤¼ú¿¡ ºñÇØ ´õ ºü¸¥ ÀçÈ°ÀÌ °¡´ÉÇÏ¿´´Ù.
Purpose: The purpose of this study was to compare the results of treatment of distal tibial fractures between intramedullary (IM) nailing and minimally invasive plate osteosynthesis (MIPO).
Materials and Methods: Between January 2007 and February 2012, 57 patients (57 cases) were treated for distal tibial fractures. Thirty-two patients (32 cases) were treated with IM nailing (nail group) and the 25 patients (25 feet) were treated with MIPO (plate group). Clinical results were compared using range of motion (ROM) of the ankle joint, American Orthopaedic Foot and Ankle Society (AOFAS) score, and Olerud-Molander score between nail group and plate group. Radiographic results were compared using mean bony union time, coronal and sagittal malunions, and shortening between the groups.
Results: Mean ROM of the ankle joint was significantly larger in nail group until 6 months after surgery; however, it was not different between two groups at the last follow-up. AOFAS score and Olerud-Molander score were not different between two groups at the last follow-up. In the nail group, two malunions more than 5 degrees were observed in coronal and sagittal planes, respectively. One case showed non-union in the plate group, however, bone union was obtained after autogeneous bone graft.
Conclusion: Treatment using IM nailing is more advantageous in terms of postoperative rehabilitation than MIPO in distal tibial fractures.
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°æ°ñ, ¿øÀ§ °æ°ñ °ñÀý, ±Ý¼ÓÁ¤ °íÁ¤¼ú, ÃÖ¼Ò Ä§½ÀÀû ±Ý¼ÓÆÇ °íÁ¤¼ú
tibia, distal tibia shaft fracture, interlocking intramedullary nailing, minimally invasive plate osteosynthesis
KMID :
0361620140490040285
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