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KMID : 1130920120160030175
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Journal of Korean Foot and Ankle Society
2012 Volume.16 No. 3 p.175 ~ p.180
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Comparison of F Calcaneal Plate and Locking Calcaneal Plate Fixation Using an Lateral Extensile Approach to Intra-articular Calcaneal Fractures
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Lee Yun-Tae
Oh Hyun-Cheol
Yoon Han-Kook
Jang Jae-Won
Jang Ki-Jun
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Abstract
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Purpose: To evaluate the radiological and clinical results after open reduction and internal fixation with calcaneal F plate and locking calcaneal plate using lateral extensile approach in the treatment of intra-articular calcaneal fracture
Materials and Methods: This study included 34 cases of 33 patients followed up for at least 6 months postoperatively. F plate was applied in 18 cases (Group 1), locking plate was used in 16 cases (Group 2) and compared radiological and clinical results between two groups.
Results: Radiollogically, the mean Bohler angle was improved from 5.5??preoperatively to 20.1??postoperatively and 18.8??at the last follow up in group 1 and 8.6??preoperatively, 21.4??postoperatively and 20.3??at last follow up in group 2. Bone union was observed in all cases and 4 cases of screw loosening were noted in Group 1 with extended fracture to anterior process. At the last follow up, both groups showed clinical results in American orthopedic foot and ankle society ankle hindfoot score, 76(77 in Sanders type II and 75 in type III) in group 1 and 72(73 in type II and 70 in type III) in group 2.
Conclusion: F plate and locking plate showed firm fixation and satisfactory clinical results in the treatment of intra-articular calcaneal fracture. We suggest applying locking plate in cases with extended fracture to anterior process, considering screw loosenings in those who were treated with F plate fixation.
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KEYWORD
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Calcaneus, Intraarticular fracture, Calcaneal F plate, Locking calcaneal plate
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