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족관절 골절의 분류 : 분류체계간의 비교 Comparison Among the Sysytems
황득수,진영안 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2
The main purpose of a classification system is to provide a mental picture of the injury and also information as to treatment a prognosis. At present, Lauge-Hansen classfication has improved the results of conservative treatment, and Danis-Weber classification which was taken by the AO(ASIF) group was designed for application to operative treatment. But, both system have dificiencies, Recently, the proposed classification system by M. Tile which was based on the ankle stability was interesting. So, compared among the system for identification that these systems are synonymous or if not, one system has a distinct advantage over the other. Total 135 patients, 135 cases have been reviewed at CNUH from January, 1983 to December, 1988. The results were as follows: 1. We considered that it was very difficult to classify the ankle fractures by Lauge-Hansen system because of complexity and variable fracture patterns. But, we have been classified the fractures abut 98.5% by simplification of medial malleolar frecture patterns. 2. Danis-Weber classification was simple and easily applicated, but it was not helpful for decision of the amount of injury, treatment and prognosis. 3. The proposed M. Tile classification added to a aspect of the stability, so it was helpful for descision of the treatment methods. Also, this system classified the isolate medial malleolar freature that was not by Danis-Weber classification. 4. From the above results, we consider that by Lauge-Hansen classification, can be identify the occult ligament injuries, and by M. Tile classification, deside the treatment methods.