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NTIS 바로가기대한족부족관절학회지 = Journal of Korean Foot and Ankle Society, v.23 no.3, 2019년, pp.83 - 90
김준범 (대전선병원 정형외과) , 윤자영 (대전선병원 정형외과)
Achilles tendon rupture is a common sports injury encountered in younger populations. Various treatment methods are used for acute and chronic rupture. Several treatments for each condition are available, each having their advantages and disadvantages. In an acute rupture, surgical treatment may be ...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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비수술적 치료의 장단점은? | 1).12) 비수술적 치료의 장점은 수술적 합병증을 피할 수 있다는 점과 재원기간 부재 및 의료비용이 절감된다는 점이며 단점은 재파열률이 높다11,13)는 점과 석고고정을 6∼8주의 장기간 유지해야 한다는 점이다. | |
만성 파열이란? | 만성 파열은 주로 인지하지 못한 손상, 오진, 환자의 늦은 내원 등에 의한다.9) 문헌마다 약간의 차이가 있지만 주로 수상 후 4∼6 주 이상 지연된 경우를 만성 파열이라고 정의한다.22) 진단은 자기 공명영상(magnetic resonance imaging, MRI), 초음파(ultrasonography)를 이용하여 진단할 수 있다. | |
만성 파열 상태에 따른 각각의 수술적 치료법은 무엇인가? | 다양한 방법과 재료를 선택하여 치료할 수 있다. 주로 건 결손의 간격에 따라 수 술적 방법이 결정되는데, 건 결손 간격이 2 cm이내의 경우에는 단단 봉합술, 2∼5 cm 사이의 경우에는 V-Y건 전진술, 5 cm 이상일 경우에는 비복근 내림 피판술이나 장무지 굴곡건 이전술이 선호된다. |
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