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KMID : 0386420100230030303
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Journal of the Korean Fracture Society
2010 Volume.23 No. 3 p.303 ~ p.309
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Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture
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Lee Myung-Jin
Lee Kyu-Yeol
Sohn Sung-Keun
Kim Hyeon-Jun
Kim Sung-Soo
Sun Sang-Kyu
Kang Min-Soo
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Abstract
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Purpose: To evaluate the surgical outcomes of open reduction and internal fixation of AO calcaneal plate in displaced intra-art icular fractures of the calcaneus.
Materials and Methods: From January 2004 to July 2007, 25 patients with 27 displaced intra-articular calcaneal fractures were treated by open reduction and internal fixation using the AO calcaneal plate. Preoperative, postoperative evaluations and a follow-up after 1 year were done radiologically by the Bohler angle, Gissane angle, heel height and width among all patients. Their functional status was assessed by means of the Maryland foot score.
Results: The mean Bohler angle, Gissane angle, heel height and width were restored comparing with preoperative data. However, in Sanders type IV, some losses of reduction occurred at 1 year follow-up (p＜0.05). The mean Maryland foot scores were 85 points in type II, 82 points in type III and 63 points in type IV. Sanders types significantly affected the clinical results (p＜0.05).
Conclusion: The AO calcaneal plate fixation using extensile L-shpaed lateral approach shows satisfactory radiologic and clinical results in the treatment of displaced intra-articular calcaneal fractures.
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KEYWORD
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Calcaneus, Intra-articular fracture, Internal fixation, AO calcaneal plate
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