원위요골 골절의 수술적 치료와 흔한 동반 병변의 치료 = Surgical Treatment of Distal Radius Fractures and Treatment of Common Accompanying Lesions

다국어 초록 (Multilingual Abstract)

There have been major advances in the treatment of distal radius fractures over the past 20 years. Specifically, the development of the volar locking plate in 2001 and the subsequent improvements in its design and performance have enabled the treatment of distal radius fractures that were previously considered difficult to treat. The volar plate is used for fractures and shows good results with anatomical reduction and firm fixation. However, when trying to apply it to more complex fractures, there are still difficulties related to the unique anatomical structure of the distal radius, and there are also several factors that can impair joint function and cause pain after surgery. In this review, the factors to be considered to ensure better outcomes during ORIF (open reduction and internal fixation), and external fixation in the treatment of distal radial fractures are described. The review also details the common accompanying injuries and management methods.

국문 초록 (Abstract)

원위요골 골절의 치료는 지난 20여 년간 많은 발전을 거듭해 왔다. 특히, 2001년도에 원위요골 골절을 위한 수장판 잠김 금속판이 개발된 이후 디자인과 성능의 개선을 통해 2000 년 이전에는 적용하기 어려웠던 많은 원위요골 골절에 사용되어, 해부학적 정복 및 견고한 고정으로 좋은 결과를 보여주고 있다. 그러나 더 복잡한 골절에 적용하려 함에 있어 원위요골의 독특한 해부학적 구조와 관련된 어려움이 아직 존재하며, 또한 수술 후 관절기능을 저해하고, 통증을 불러 일으킬 수 있는 여러 요소들도 존재한다. 여기에서는 이러한 원위요골 골절 치료에 관혈적 정복술 및 내고정술 시에 고려해야 할 점을 먼저 서술하고, 외고정술에 있어 수술 시 고려할점과 유용성, 마지막으로 흔한 동반 손상과 이에 따른 관리방법에 대해 기술해 보고자 한다.

참고문헌 (Reference)

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