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KMID : 0896720030070010109
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Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 1 p.109 ~ p.114
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Modified Essex-Lopresti Reduction for the Displaced Intra-articular Calcaneal Fractures
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Kwak Kyoung-Duck
Ahn Sang-Min
Cho Hyoun-Oh
Lim Dai-Hwan
Jang Jae-Ho
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Abstract
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Purpose:The purpose of this study is to evaluate the effectiveness and indications of the modified Essex-Lopresti reduction in calcaneal fractures.
Material and Methods : We reviewed retrospectively 41 cases of displaced intraarticular calcaneal fractures. The fracture was reduced with Essex-Lopresti technique with modification in compression of the lateral wall with the specially designed compression device instead of the operator’s hands. We evaluated the results of treatment by AOFAS scale and the radiographic parameters including the Bohler’s angle, calcaneal width, calcaneofibular distance and the congruency of the posterior facet.
Results:Bohler’s angle was restored from 11 to 29.6 degrees on average, heel width was reduced to 112% of contralateral value, the calcaneofibular gap was restored up to 87.9% of contralateral side, and the articular surface of the posterior facet was restored less than 2 mm of step off and less than 2 mm of gap. AOFAS scale averaged 87 points. The quality of reduction was best in Sander’s type Ⅱ C fractures. Small sized fragments in type Ⅲ fractures could not be reduced. The results were better when the reductions were performed within 24 hours of injury.
Conclusions: The modified Essex-Lopresti reduction was less invasive, easy to perform, and the results of treatment were similar to those of open reduction; it seemed to be a reasonable alternative for the selected intraarticular calcaneal fractures.
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KEYWORD
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Calcaneal fracture, Intra-articular, Modified Essex-Lopresti reduction
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