|
KMID : 0896720030070010068
|
|
Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 1 p.68 ~ p.77
|
|
|
Treatment of the Intraarticular Calcaneal Fractures and its Complications
|
|
Chung Hyung-Jin
Lee Chang-Soo
Han Yong-Taek
Song Seung-Taek
|
|
|
Abstract
|
|
|
Purpose:The treatment of calcaneal fractures remains a controversy in orthopaedic field because of its complications. The purpose of this study is to evaluate the efficacy of the treatment of calcaneal fractures and its complications.
Material and Methods :Clinical and radiological results were retrospectively analyzed in 28 patients, 34 cases with fractures of calcaneus which were treated in our department from September 1998 to march 2003.
Results:According to the Creighton-Nebraska Foundation Assessment score, there were 3 excellent, 11 good, and 12 fair 6 poor results. Bohler angle was corrected from 8.3° to 18.3°, Gissane angle was corrected from 121° to 135°, and calcaneal width was corrected from 46.8mm to 37mm.
Conclusions: Open reduction and internal fixation for joint depression type calcaneal fractures thought to be a good method of treatment. Closed reduction and percutaneous axial pinning should be chosed in selected cases of tongue type fractures. In treatment of complicated calcaneal fractures as malunion, subtalar distraction arthrodesis and lateral wall exostectomy will reduce disability of the disease.
|
|
|
KEYWORD
|
|
|
Calcaneus, Intraarticular fractures, Complications
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|