๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #9

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Male
์ง€์‹œ์‚ฌํ•ญ: ์™ธ์ƒ

์ฆ๋ก€ #9

๊ฒฐ๊ณผ

  • ๊ฒฝ๊ณจ ์ฒœ์ •์˜ ๊ด‘๋ฒ”์œ„ํ•œ ๋ถ„์‡„ ๋ฐ ํ•จ๋ชฐ์„ ๋™๋ฐ˜ํ•œ ๊ธ‰์„ฑ ์›์œ„ ๊ฒฝ๊ณจ ๊ณจ์ ˆ๋กœ, ๊ฒฝ๊ณจ-๊ฑฐ๊ณจ ๊ด€์ ˆ์—์„œ ๊ฒฝ๋ฏธํ•œ ๋‚ด์ธก ์•„ํƒˆ๊ตฌ, ๋‚ด๋ฐ˜ ๋ณ€ํ˜• ๋ฐ ๋ฐฐ๊ตด
  • ๊ฒฝ๊ณจ ์ฒœ์ • ์ „ํ›„ ํญ์˜ ์•ฝ 30%๋ฅผ ํฌํ•จํ•˜๋Š” ํ›„๋ฐฉ ๊ณผ ๊ณจ์ ˆํŽธ์˜ ํ›„๋ฐฉ ํšŒ์ „
  • ์ˆ˜์ง ๋ฐฉํ–ฅ์˜ ๋‚ด์ธก ๊ณผ ๊ณจ์ ˆํŽธ์€ ๊ฑฐ๊ณจ๊ณผ์˜ ๊ด€๊ณ„๋ฅผ ์œ ์ง€ํ•จ
  • ๊ฒฝ๊ณจ-๊ฑฐ๊ณจ ๊ด€์ ˆ์—์„œ ์•ฝ 1 cm ๊ทผ์œ„๋ถ€์— ์œ„์น˜ํ•œ ๊ธ‰์„ฑ ํšก๋ฐฉํ–ฅ ์›์œ„ ๋น„๊ณจ ๊ณจ์ ˆ๋กœ ์™ธ์ธก ์ฒจ๋ถ€ ๋ณ€ํ˜•
  • ๊ฑฐ๊ณจ ์›๊ฐœ์˜ ๋ถˆ๊ทœ์น™ ๋ฐ ๊ฒฝ๋ฏธํ•œ ํŽธํ‰ํ™”
  • ์กฑ๊ด€์ ˆ ์ฃผ์œ„ ์—ฐ๋ถ€์กฐ์ง ์ข…์ฐฝ

์ง„๋‹จ

Pilon ๊ณจ์ ˆ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

๊ฒฝ๊ณจ ์ฒœ์ •์˜ ๊ด‘๋ฒ”์œ„ํ•œ ๋ถ„์‡„ ๋ฐ ํ•จ๋ชฐ์„ ๋™๋ฐ˜ํ•œ ๊ธ‰์„ฑ pilon ๊ณจ์ ˆ๋กœ, ๊ฒฝ๊ณจ-๊ฑฐ๊ณจ ๊ด€์ ˆ์—์„œ ๊ฒฝ๋ฏธํ•œ ๋‚ด์ธก ์•„ํƒˆ๊ตฌ, ๋‚ด๋ฐ˜ ๋ณ€ํ˜• ๋ฐ ๋ฐฐ๊ตด. ๊ฒฝ๊ณจ ์ฒœ์ • ์ „ํ›„ ํญ์˜ ์•ฝ 30%๋ฅผ ํฌํ•จํ•˜๋Š” ํ›„๋ฐฉ ๊ณผ ๊ณจ์ ˆํŽธ์˜ ํ›„๋ฐฉ ํšŒ์ „. ์ˆ˜์ง ๋ฐฉํ–ฅ์˜ ๋‚ด์ธก ๊ณผ ๊ณจ์ ˆํŽธ์€ ๊ฑฐ๊ณจ๊ณผ์˜ ๊ด€๊ณ„๋ฅผ ์œ ์ง€ํ•จ. ์ถ”๊ฐ€ ๊ณจ์ ˆ ํŠน์„ฑํ™” ๋ฐ ๋™๋ฐ˜ ์—ฐ๋ถ€์กฐ์ง ์†์ƒ ํ‰๊ฐ€๋ฅผ ์œ„ํ•ด CT๋ฅผ ๊ถŒ์žฅํ•จ.

๊ฒฝ๊ณจ-๊ฑฐ๊ณจ ๊ด€์ ˆ์—์„œ ์•ฝ 1 cm ๊ทผ์œ„๋ถ€์— ์œ„์น˜ํ•œ ๊ธ‰์„ฑ ํšก๋ฐฉํ–ฅ ์›์œ„ ๋น„๊ณจ ๊ณจ์ ˆ๋กœ ์™ธ์ธก ์ฒจ๋ถ€ ๋ณ€ํ˜•.

ํ•จ๋ชฐ ๊ณจ์ ˆ์ด ์˜์‹ฌ๋˜๋Š” ๊ฑฐ๊ณจ ์›๊ฐœ์˜ ๋ถˆ๊ทœ์น™ ๋ฐ ๊ฒฝ๋ฏธํ•œ ํŽธํ‰ํ™”.

์กฑ๊ด€์ ˆ ์ฃผ์œ„ ์—ฐ๋ถ€์กฐ์ง ์ข…์ฐฝ.

ํ† ๋ก 

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

์ฐธ๊ณ ๋ฌธํ—Œ

- Wei SJ, Han F, Lan SH, Cai XH. Surgical treatment of pilon fracture based on ankle position at the time of injury/initial direction of fracture displacement: a prospective cohort study. Int J Surg 2014; 12: 418-425.

์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

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ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.