대한골절학회지제 19 권, 제 4 호, 2006년 10월 Journal of the Korean Fractrure Society Vol. 19, N o. 4, October, 2006 종 설 원위요골골절의수술적치료 (Operative Treatment of Distal Radius Fracture) 박종웅 고려대학교의과대학정형외과학교실 서론 원위요골골절치료의원칙 통신저자 박종웅 Address reprint requests to Jong Woong Park, M.D. Department of Orthopedic Surgery, Korea University College of Medicine, 516, Gojan-dong, Danwon-gu, Ansan 425-707, Korea Tel 031-412-6583 Fax 031-487-9502 Tel 82-31-412-6583 Fax 82-31-487-9502 E-mail ospark@korea.ac.kr E-mail ospark@korea.ac.kr 497
498 Fig. 1. Schematic drawing shows the intrafocal K-wire fixation method (Kapandji s technique). 수술적치료방법 1. 경피적 K- 강선고정술 (Percutaneous K-wire fixation) Fig. 2. Intrafocal fixation reduces the fracture fragment and prevents collapse. The additional interfragmentary fixation provides more rigid fixation.
499 2. 외고정 (External Fixation) 3. 외고정및 K-강선고정술 4. 내고정 (Internal Fixation) Fig. 3. Accurate reduction of intraarticular fragment is difficult with external fixation alone. K-wire augmentation can overcome this problem and provides additional stability.
500 Fig. 4. The locking plate and screw fixation enables rigid fixation and anatomical reduction of fracture fragments. Fig. 5. An example shows a fragment-specific bicolumnar fixation. 5. 내고정및외고정 6. 관절경을이용한관절내골절의정복
501 7. 골다공증이심한원위요골골절에서골이식및골이식대체물의사용 Fig. 6. 3D-CT is a good diagnostic tool for the intraarticular fracture of the distal radius and is very helpful for the preoperative planning of fracture management. 맺음말
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