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KMID : 1130920080120020174
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Journal of Korean Foot and Ankle Society
2008 Volume.12 No. 2 p.174 ~ p.179
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Treatment of Displaced Intra-articular Calcaneal Fracture using Ollier Approach
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Kim Keun-Woo
Cho Sang-Gi
Lee Dong-Yeon
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Abstract
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Purpose: We evaluated the clinical results of the intraarticular calcaneal fractures treated using Ollier approach by inexperienced orthopaedic surgeon.
Materials and Methods: Between August 2003 and May 2007, Of the total 46 cases, 12 cases (9 patients) of displaced intraarticular calcaneal fracture who underwent open reduction and internal fixation using Ollier approach were evaluated. The means of age was 50.5 years. According to the Sanders classification, there was no type I case and 8 cases of type II, 1 case of type III, and 3 cases of type IV. We evaluated the treatment result by assessing radiologic parameters ( angle, Gissane angle, and calcaneal height/width) and clinical outcomes (VAS and AOFAS score).
Results: The means of follow-up period was 25.3 months. The means of B.hler angle was improved from to . Radiologic and clinical union was achieved in all cases without additional procedures. Excellent result were noted in 2 cases, good in 5 cases, fair in 4 cases, and poor in 1 case. We experienced 2 cases of minor complications; 1 case of mild wound infection and 1 case of hypoesthesia on foot dorsum. Radiologic findings of subtalar arthritis were present in 2 cases.
Conclusion: Ollier approach seems to be helpful to inexperienced orthopaedic surgeons for the treatment of intraarticular calcaneal fractures in that it enables them to achieve considerable clinical outcomes without serious complications.
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KEYWORD
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Calcaneus, Intra-articular fracture, Ollier approach
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