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KMID : 1130920090130010055
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Journal of Korean Foot and Ankle Society
2009 Volume.13 No. 1 p.55 ~ p.59
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The Usefulness of Arthroscopy in the Operative Treatment of Intra-Articular Calcaneal Fracture
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Chung Kyung-Chi
Gwak Heui-Chul
Kim Chang-Wan
Kim Jung-Han
Park Dae-Hyun
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Abstract
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Purpose: We tried to evaluate the usefulness of the arthroscopy in the operative treatment of intra-articular calcaneal fracture.
Materials and Methods: Between March 2005 and May 2008, 9 patients with intra-articular calcaneal fractures（Tongue type or Sanders type IIC) were treated with arthroscopically assisted percutaneous reduction and screw fixation. American orthopedic foot and ankle society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS), preoperative and postoperative Bohler’s angle and the rate of complication were evaluated.
Results: AOFAS score at postoperative 1 year was 88.2 (range, 71-92), and mean VAS score was 2.8 (range, 1-4). Bohler angle was improved from preoperative mean to postoperative mean . There were no complications such as wound problem, infection or nerve injury.
Conclusion: Subtalar arthroscopy provides precise view of posterior facet during the operation. Therefore, it can be a useful tool in treating intra-articular calcaneus fractures, especially tongue type and Sanders type IIC fractures.
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KEYWORD
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Calcaneus fracture, Percutaneous reduction and internal fixation, Subtalar arthroscopy
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