|
KMID : 1130920080120020168
|
|
Journal of Korean Foot and Ankle Society
2008 Volume.12 No. 2 p.168 ~ p.173
|
|
|
The Result of Closed Reduction and Percutaneous Screw Fixation for Intra-articular Calcaneal Fracture of Joint Depression Type
|
|
Kim Kwang-Yeol
Park Young-Il
Yim Moon-Sup
Yoon Sung-Hwan
|
|
|
Abstract
|
|
|
Purpose: To evaluate the results of treatments by percutaneous Acutrak screw fixation for intra-articular joint depression type fracture of calcaneus.
Materials and Methods: Thirteen cases with intra-articular joint depression type fracture of calcaneus, from September 2004 to March 2006, were reviewed. There were 9 males and 4 females with 52.5 years old mean age (range: years old). The average follow-up period was 18 months (range: months). Steinmann pins and Freers were used for closed reduction. After closed reduction, Acutrak screws and K-wires were inserted. The patients were evaluated with Creighton-Nebraska health foundation assessment sheet for calcaneal fracture, the extent of recovery of Bohler angle, fragment size, and state of subtalar joint.
Results: Clinical results according to Creighton-Nebraska health foundation assessment sheet for calcaneal fracture were excellent in 6 cases (46%), good in 4 cases (30%), fair in 2 cases (15%), and poor in 1 case (7%). Average preoperative Bohler angle was (range: ). Average postoperative Bohler angle was (range: ). There were no soft tissue complications. There were one mild subtalar arthritis and one moderate subtalar arthritis.
Conclusion: We think that closed reduction and percutaneous Acutrak screw fixation with or without K-wire is a good option for joint depression type fracture of calcaneus.
|
|
|
KEYWORD
|
|
|
Calcaneus fracture, Joint depression type, Closed reduction, Percutaneous fixation with Acutrak screw
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|