• 대한족부족관절학회지
• /
• 제10권1호
• /
• pp.11-17
• /
• 2006

Purpose: To evaluate the clinical results of resection of os subfibulare and lateral ligament reattachment or modified Brostrom procedure in patients with symptomatic os subfibulare. Materials and Methods: This is a retrospective study on fourteen patients (14 ankles) who have symptoms associated with os subfibulare. Between August 1999 and July 2004, they underwent 4 resection of os subfibulare and lateral ligament reattachment for ankle pain due to os subfibulare or 10 resection of os subfibulare and modified Brostrom procedure available for ankle instability due to os subfibulare. Follow-up period is averaged for 17.6 months (12-24 months). Clinical results were graded according to the AOFAS clinical rating system. Results: Clinical results were rated as good in 4 ankles after resection of os subfibulare and lateral ligament reattachment, excellent in 5, good in 4, and fair in 1 ankle after the resection of os subfibulare and modified Brostrom procedure. In the last follow up period, 1 case of anterolateral ankle instability, 1 case of ankle pain and 1 case of inversion limitation were present postoperatively, but all symptoms were improved progressively. Conclusion: Resection of os subfibulare and modified Brostrom procedure is a good surgical technique for chronic ankle instability due to os subfibulare. But if just the ankle pain is present, resection of os subfibulare and lateral ligament reattachment is a sufficient procedure.

• 대한족부족관절학회지
• /
• 제5권2호
• /
• pp.136-141
• /
• 2001

Purpose: To investigate clinical features and treatment of os subfibulare Materials and Methods: This is a retrospective study on twenty-eight patients who have symtoms associated with os subfibulare. We reviewed charts and radiographs. Thirteen patients were treated surgically and fifteen patients were treated conservatively. We analysed clinical results in 25 patients who were followed for more than one year. Results: Duration from the onset of symtoms to treatment was more than six months in twelve of thirteen surgically treated cases, and in only two of fifteen conservative treated cases. Surgical procedures were internal fixation of the os subfibulare in two patients, and resection of os subfibulare and ligament reconstructions in eleven patients. Clinical results were excellent in six, good in three and poor in two of operatively treated patients. In conservatively treated patients, five excellent, five good, one fair and one poor clinical results were obtained. Conclusion: Os subfibulare is not necessarily a cause of instability and pain, but in cases with chronic pain and/or instability, surgical treatment would result in satisfactory result.

• 대한관절경학회지
• /
• 제9권2호
• /
• pp.201-205
• /
• 2005

목적: 통증을 동반한 비골하 부골과 경골하 부골의 관절경을 이용한 절제술 후 그 결과를 알아보았다. 대상 및 방법: 비골하 부골과 경골 부골에 대하여 관절경적 절제술을 시행한 환자 중 16명의 환자를 대상으로 하였으며, 경골 부골이 4예, 비골하 부골이 12예 였다. 평균 추시 기간은 9개월(범위:$6\{sim}42$개월)이었다. 모든 환자는 임상적으로 미학적 검사와 방사선학적으로 단순 방사선 촬영을 시행하였고, 8예에서 골 주사 검사, 3예에서 단층촬영 및 12예에서 MRI 검사를 시행하였다. 절제술의 결과는 Ogilvie-Harris의 방법으로 평가하였다. 결과: 술 후 통증, 관절 강직 등의 주관적 평가와 파행, 활동성의 기능적 평가에서 모두 술 전보다 통계적으로 유의하게 호전되었다(p<0.05) 술 후, 8예에서 경미한 통증과 간헐적인 부종이 남아있었으며, 이중 3예에서 활액막염이, 3예에서 MRI상 전염이 동반된 경우였고, 2예에서 불충분한 절제를 했던 경우였다. 결론: 통증을 동반한 경골하 부골 및 비골하 부골의 관절경을 이용한 절제술은 최소 침습적 이고 동반 병변도 함께 치료할 수 있는 효과적인 수술방법이다. 또한 완전 절제를 위해 술 전에 방사선학적 평가가 필수적이며, 동반 병변을 알아내는데는 MRI등의 특수검사가 유용하다.