๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #2
ํ™˜์ž ์ •๋ณด: 11 ์„ธ, ์—ฌ์„ฑ
์ ์‘์ฆ: ๋ฌด๋ฆŽ ์†์ƒ

์ฆ๋ก€ #2

์†Œ๊ฒฌ

  • ๊ธ‰์„ฑ ์ตœ์†Œ ํ•จ๋ชฐ๋œ ์™ธ์ธก ๊ฒฝ๊ณจ ๊ณ ํ‰๋ถ€์˜ Salter IV ๊ณจ์ ˆ
  • ๋Œ€๋Ÿ‰ ๊ด€์ ˆ ์‚ผ์ถœ

์ง„๋‹จ

๊ฒฝ๊ณจ ๊ณ ํ‰๋ถ€ ๊ณจ์ ˆ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

๊ธ‰์„ฑ ์ตœ์†Œ ํ•จ๋ชฐ๋œ ์™ธ์ธก ๊ฒฝ๊ณจ ๊ณ ํ‰๋ถ€์˜ Salter IV ๊ณจ์ ˆ. ์„ฑ์žฅํŒ ํ™•์žฅ ์—†์Œ.

๋Œ€๋Ÿ‰ ๊ด€์ ˆ ์‚ผ์ถœ.

๊ด€์ ˆ ์ •๋ ฌ ์ด์ƒ ์—†์Œ.

๊ณ ์ฐฐ

  • ๊ฒฝ๊ณจ ๊ณ ํ‰๋ถ€ ๊ณจ์ ˆ์€ ๊ฐ€์žฅ ์ผ๋ฐ˜์ ์œผ๋กœ Schatzker ๋ถ„๋ฅ˜๋ฅผ ์‚ฌ์šฉํ•˜์—ฌ ๋ถ„๋ฅ˜ํ•˜๋ฉฐ, ์ด๋Š” ์†์ƒ์˜ ์ค‘์ฆ๋„ ๋ฐ ์˜ˆํ›„ ๋ถˆ๋Ÿ‰ ๊ฐ€๋Šฅ์„ฑ์ด ์ฆ๊ฐ€ํ•˜๋Š” ์ˆœ์„œ๋กœ ๊ณจ์ ˆ์„ ๋ถ„๋ฅ˜ํ•ฉ๋‹ˆ๋‹ค
  • ๋ณด๊ณ ์„œ์— Schatzker ๋ถ„๋ฅ˜๋ฅผ ์ œ๊ณตํ•  ํ•„์š”๋Š” ์—†์ง€๋งŒ, ๋ถ„๋ฅ˜ ์ฒด๊ณ„๋ฅผ ์ดํ•ดํ•˜๋ฉด ์˜๋ขฐ ์™ธ๊ณผ์˜์‚ฌ๊ฐ€ ๋” ์‰ฝ๊ฒŒ ์ฝ์„ ์ˆ˜ ์žˆ๋Š” ๋ณด๊ณ ์„œ๋ฅผ ์ž‘์„ฑํ•˜๋Š” ๋ฐ ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์™ธ์ธก ๊ณ ํ‰๋ถ€๋Š” ๋‚ด์ธก ๊ณ ํ‰๋ถ€๋ณด๋‹ค ๋œ ์‹ฌํ•œ ์™ธ์ƒ์œผ๋กœ ์†์ƒ๋ฉ๋‹ˆ๋‹ค
  • Schatzker ๋ถ„๋ฅ˜์˜ ๊ฐœ์š”:
    • I - 4 mm ๋ฏธ๋งŒ์˜ ํ•จ๋ชฐ ๋˜๋Š” ์ „์œ„๋ฅผ ๋™๋ฐ˜ํ•œ ์™ธ์ธก ๊ณ ํ‰๋ถ€ ๊ณจ์ ˆ
    • II - 4 mm ์ด์ƒ์˜ ํ•จ๋ชฐ ๋˜๋Š” ์ „์œ„๋ฅผ ๋™๋ฐ˜ํ•œ ์™ธ์ธก ๊ณ ํ‰๋ถ€ ๊ณจ์ ˆ
    • III - ์™ธ์ธก ๊ณ ํ‰๋ถ€์˜ ์ˆœ์ˆ˜ ์••๋ฐ• ๊ณจ์ ˆ
    • IV - ํ•จ๋ชฐ ๋˜๋Š” ๋ถ„๋ฆฌ ์š”์†Œ๋ฅผ ๋™๋ฐ˜ํ•œ ๋‚ด์ธก ๊ณ ํ‰๋ถ€ ๊ณจ์ ˆ
    • V - ๋‚ด์ธก ๋ฐ ์™ธ์ธก ๊ณ ํ‰๋ถ€ ๊ณจ์ ˆ
    • VI - ์œ„์˜ ๊ณจ์ ˆ์— ๋”ํ•˜์—ฌ ๊ณจ๊ฐ„๋‹จ์„ ๊ณจ๊ฐ„์œผ๋กœ๋ถ€ํ„ฐ ๋ถ„๋ฆฌ์‹œํ‚ค๋Š” ํšก๊ณจ๊ณผํ•˜ ๊ณจ์ ˆ

์ฃผ์„์ด ์žˆ๋Š” ์ด๋ฏธ์ง€ ๋ฐ ์ผ๋Ÿฌ์ŠคํŠธ

Red arrows: minimally depressed Saltar IV fracture of the lateral tibial plateau (Schatzker I).

Red arrows: minimally depressed Saltar IV fracture of the lateral tibial plateau (Schatzker I).

Postoperative radiograph in this patient.

Postoperative radiograph in this patient.

์‚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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