臨床整形外科57巻1号

2022年01月発行

特集 知っておきたい足関節周囲骨折の新展開

足関節後果骨折に対する後外側アプローチの実際

著者： 吉川淳¹²

所属機関： ¹埼玉医科大学国際医療センター救命救急科 ²埼玉医科大学病院整形外科・脊椎外科

ページ範囲：P.15 - P.21

文献概要

足関節後果骨折は日常診療でしばしば遭遇する外傷であるが，その手術方法や手術適応に関しては未だ議論が尽きない．従来の前方アプローチによるラグスクリュー固定では良好な整復固定を獲得できない症例が存在しており，治療成績にも影響を及ぼしている．近年は後果骨折に対して解剖学的整復を追求した後方アプローチによる整復固定の報告が散見されている．本稿では，筆者が実施している後外側アプローチの実際(体位，皮切と展開，整復と固定)について述べる．また，後外側アプローチの適応や注意点についても詳述する．

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