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KMID : 0896720010050010043
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Journal of the Korean Society of Foot Surgery
2001 Volume.5 No. 1 p.43 ~ p.54
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Surgical Reconstruction of old Calcaneal Fracture
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Park In-Heon
Lee Jin-Young
Kim Gab-Lae
Song Si-Young
Moon Ho-Dong
Shin Sung-Il
Song Kyung-Won
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Abstract
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Treatment of calcaneal fracture is difficult and full of controversy still and choice of treatment of the displaced intracalcaneal fracture is not available yet. Furthermore, the treatment of old calcaneal fracture with displaced subtalar joint or malunited calcaneal fracture is really difficult and painful to solve the problem other than subtalar arthrodesis, ignoring conservative treatment, excision of bone mass and/or adhesiolysis, which is/are a kind of palliative or salvage treatment in stead of definitive treatment that restores smooth articular surface of the subtalar joint as far as we can. Authors had some experiences treating this difficult old and displaced calcaneal fractures. Some of them were malunited already. Hereby we report our favorable results to treat the fractures with surgical reduction (reconstruction) and internal fixation without bone graft. We recommend reconstruction of the displaced subtalar joint even though it is not congruent and partly gone to get subtalar motion instead of palliative operation such as subtalar fusion, which can be done later long term potential cause of mid tarsal arthrosis of the foot.
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KEYWORD
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Old calcaneal fracture, Open reconstruction
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