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        거골의 골절 및 탈구에 대한 치료

        황성관,유광종 대한골절학회 1996 대한골절학회지 Vol.9 No.4

        Fractures of the talus are uncommon injuries. Because of the unique blood supply and biomechanical features, the complication of the displaced fractures are frequent and long term disabilities are so severe that the importance of proper treatment is emphasized. A clinical evaluaton of 25 patients with fracture of the talus has been made from lanuary, 1985 to December, l994 and followed them more than l 2 months for each. The result were as follows; 1. There are 20 men and 5 women and the average age was 3 l.2 years. 2. The common causes of fracture were traffic accidents in 13 cases(52%) and fall from height in 9 cases(32%). 3. According to the classification by Hawkins. four of the fractures were included in type l .eight in type I, six in type I, one in type F and six in body and process. 4. All 4 cases in type I. 1 case in type I and 4 cases in body and process fracture were treated conservatively. 7 cases in type I, 6 cases in type I, I case in type N and 2 cases in body and process fractures were treated operatively. 5. According (o the Hawkins criteria. final result were as follows; excellent in l0 cases, good in 7 cases, fair in 5 cases, poor in 3 cases. 6. Among the operatively treated type I, I, IV. delayed operations were performed in type l (2 cases), type III(3 cases). The final results of the delayed operations were good in one case, fair in one cases, poor in three cases. In conclusion, the results of the delayed operation was worse than those of the early operation. so we think that the early operation of talar fracture and dislocation will give good results.

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