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KMID : 0359420120300010034
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Korean Journal of Sports Medicine
2012 Volume.30 No. 1 p.34 ~ p.40
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Surgical Excision of Symptomatic Non United Fragment of Anterior Process Fractures of the Calcaneus
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Kim Sang-Hoon
Kim Jin-Su
Young Ki-Won
Kim Yong-Hoon
Park Young-Uk
Jaegal Hyuk
Lee Hong-Seop
Lee Kyung-Tai
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Abstract
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A fracture of the anterior process of the calcaneus has been considered unusual injury. A clinically missed diagnosis is often, that had gone on to non united fragment. Particularly if the patient has calcaneocuboid pain and disability, and that early excision of the fragment is usually advisable. There were 12 cases with performing the simple excision. The fracture characteristics were analyzed by Degan’s classification; type 1 was 1case (8.3%), type 2 was 6 cases (50.0%) and type 3 was 5 cases (41.7%); and their morphology; elongation was 3 cases (50.0%) and fragmentation 3 cases (50.0%). And, the pre and post operative American Orthopedic Foot and Ankle Society midfoot score and visual analog scale was evaluated; 66.0 and 5.8 was significantly improved to 90.1 (p=0.007) and 2.2 (p=0.003), respectively. Postoperative Excellent and good satisfaction with possible return to previous sports activity was 10 cases (83.3%). Conclusively, simple excision of non united fragment of anterior process of the calcaneus is a successful clinical option.
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KEYWORD
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Anterior process of calcaneus, Non united fragment, Excision
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