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수지의 종적 Bracket 골단에 대한 수술적 치료

Surgical Treatment for Longitudinal Epiphyseal Bracket of the Finger

대한정형외과학회지 2020년 55권 2호 p.154 ~ 161
김승수, 김기웅, 김정호, 이찬수,
소속 상세정보
김승수 ( Kim Sung-Soo ) - Dong-A University College of Medicine Department of Orthopedic Surgery
김기웅 ( Kim Ki-Woong ) - Dong-A University College of Medicine Department of Orthopedic Surgery
김정호 ( Kim Jung-Ho ) - Dong-A University College of Medicine Department of Orthopedic Surgery
이찬수 ( Lee Chan-Soo ) - Dong-A University College of Medicine Department of Orthopedic Surgery

Abstract


Purpose: To describe the clinical and radiology results of a surgical treatment for clinodactyly due to a longitudinal epiphyseal bracket.

Materials and Methods: This study analyzed the records of 11 patients (27 case) with clinodactyly due to a longitudinal epiphyseal bracket who underwent an osteotomy or physiolysis between March 1999 and April 2017. The preoperative range of motion of the proximal and distal interphalangeal joints, the subjective satisfaction of the patient, and the degree of angulation to the ulnar side were examined. The patients were classified into two groups: osteotomy and physiolysis. The results were reviewed retrospectively and compared according to the surgical method.

Results: The mean age of the patients who underwent osteotomy was 10.3 years. The average preoperative angle was 25.7° and the average postoperative angle was 13.5° the mean correction rate was 47.4%. The mean age of the patients who underwent physiolysis was 6.0 years the mean preoperative angle was 24.5° and the postoperative angle was 10.7°. The average correction rate was 59.4%. No significant difference in the correction angles was observed between the group who underwent the correction osteotomy and the group who underwent the osteotomy. In each group, the postoperative correction was statistically significant. The range of motion at the last follow-up was not significantly different from the preoperative range of motion.

Conclusion: In patients with clinodactyly due to longitudinal epiphyseal bracket, osteotomy or physiolysis may be performed selectively according to age, bone age, and radiological progression. Both surgical methods showed good clinical results and deformity correction.

키워드

측만지; Bracket 골단; 교정절골술; 골단판 유리술
clinodactyly; bracket epiphysis; osteotomy; physiolysis

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