Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Surgical Treatment of Ganglions in Foot and Ankle

족부 및 족관절부 결절종의 수술적 치료

  • Choi, Ik-Su (Department of Orthopaedic Surgery, St. Benedict Hosp.) ;
  • Roh, Su-In (Department of Orthopaedic Surgery, St. Benedict Hosp.) ;
  • Kwak, Cheol-Ho (Department of Orthopaedic Surgery, St. Benedict Hosp.) ;
  • Kim, Sang-Eun (Department of Orthopaedic Surgery, St. Benedict Hosp.) ;
  • Lee, Chan-Woo (Department of Orthopaedic Surgery, St. Benedict Hosp.)
  • 최익수 (부산성분도병원 정형외과) ;
  • 노수인 (부산성분도병원 정형외과) ;
  • 곽철호 (부산성분도병원 정형외과) ;
  • 김상은 (부산성분도병원 정형외과) ;
  • 이찬우 (부산성분도병원 정형외과)
  • Published : 2004.06.01
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Abstract

Purpose: To evaluate the results of surgical treatment and relationship between the recurrence and characteristics of ganglions in foot and ankle. Materials and Methods: Seventeen cases of ganglions located in foot and ankle, excised at St. Benedict Hospital from Mar. 1993 to Apr. 2003, were included in the study. All of cases were analyzed retrospectively in terms of age, sex of the patients, location and size of the ganglion, symptom, operative method as well as recurrence rate were evaluated. The mean follow up was 1.8 years (11 months${\sim}$6.5 years). Results: The size of ganglion ranged from 0.5 cm to 5.0 cm with mean size of 2.5 cm. The most common area of ganglion was the dorsum of foot and pain was the primary chief complain. The recurrence was found in 4 cases (23.5%): 1 of them occurred among 8 cases the diameter of which was less than 2.5 cm and other 3 occurred among 9 cases larger than 2.5 cm. 12 cases were completely excised mass with no recurrence. But 5 cases were incompletely excised & ligated stalk of mass and 4 cases of them were recurred. A correlation was only observed between complete excision and low recurrence rate. Conclusion: Recurrence rate of ganglions in foot and ankle was high and the correlation was obtained between complete excision and low recurrence rate.

1993년 3월부터 2003년 4월까지 성분도 병원 정형외과에서 족부 및 족관절 결절종의 진단으로 수술적 치료를 받은 17예의 경우에서 추적 관찰한 결과 다음의 결론을 얻을 수 있었다. 1. 위치는 족배측(Zone III)이 가장 많았고 수술 적응증은 동통 12예(70.6%)로 가장 많으며 외관상의 문제 4예 (23.5%), 신경학적 증상과 동통이 동반된 경우 1예 (5.9%)였다. 2. 족부 및 족관절의 결절종은 재발률이 비교적 높다. 따라서 술전에 환자에게 이에 대한 충분한 설명이 필요하다. 3. 족부 결절종의 수술은 관절낭의 연결 부위와 종괴의 완전한 적출이 재발을 낮추는데 도움이 될 수 있으나 해부학적인 특성상 어려움이 있어 시술전 정확한 종괴에 대한 평가와 수술시 결절종의 완전한 제거에 노력해야 할 것이다.

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