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KMID : 1130920140180030119
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Journal of Korean Foot and Ankle Society
2014 Volume.18 No. 3 p.119 ~ p.123
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The Effect of Temporary K-wire Fixation in the Plate Fixation for Displaced Intra-articular Calcaneal Fracture
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Young Ki-Won
Kim Jin-Su
Moon Jin-Seon
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Abstract
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Purpose: This study was designed to evaluate the clinical efficacy of temporary K-wire fixation in F-plate fixation for displaced intraarticular calcaneal fractures.
Materials and Methods: Two groups (group 1 with F-plate fixation only and group 2 with temporary K-wire fixation and F-plate fixation) of patients were included in this study. The temporary K-wire was removed six weeks after the operation. Each group consisted of 33 cases. Rotational axis angles were measured radiographically and the foot and ankle outcome score (FAOS) was used for clinical assessment.
Results: In group 1, the mean rotational axis angle was reduced from 27o preoperatively to 5.59o postoperatively and the angle at last follow-up was 9.94o. There was an increase in angle of 4.35o between postoperative and the last follow-up measurement. In group 2, the mean rotational axis angle was reduced from 21.2o preoperatively to 4.39o postoperatively and the angle at last follow-up was 5.91o. There was an increase in angle of 1.52o between postoperative and the last follow-up measurement. Significant difference in the changes of rotational axis angle was observed between the two groups. However, no significant difference in FAOS was observed between the two groups.
Conclusion: Temporary K-wire fixation can prevent reduction loss when treating displaced intra-articular calcaneal fractures with an Fplate.
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KEYWORD
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Calcaneus, Intra-articular fracture, Temporary K-wire fixation, F-plate fixation
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