Treatment of the Intraarticular Calcaneal Fractures and its Complications

관절내 종골 골절 및 합병증에 대한 치료

  • Chung, Hyung-Jin (Department of Orthopedic Surgery, Sang-Gye Paik Hospital, Inje University, College of Medicine) ;
  • Han, Yong-Taek (Department of Orthopedic Surgery, Sang-Gye Paik Hospital, Inje University, College of Medicine) ;
  • Song, Seung-Taek (Department of Orthopedic Surgery, Sang-Gye Paik Hospital, Inje University, College of Medicine) ;
  • Lee, Chang-Soo (Department of Orthopedic Surgery, Sang-Gye Paik Hospital, Inje University, College of Medicine)
  • 정형진 (인제대학교 부속 상계백병원 정형외과) ;
  • 한용택 (인제대학교 부속 상계백병원 정형외과) ;
  • 송승택 (인제대학교 부속 상계백병원 정형외과) ;
  • 이창수 (인제대학교 부속 상계백병원 정형외과)
  • Published : 2003.06.01

Abstract

Purpose: The treatment of calcaneal fractures remains a controversy in orthopaedic field because of its complications. The purpose of this study is to evaluate the efficacy of the treatment of calcaneal fractures and its complications. Materials and Methods: Clinical and radiological results were retrospectively analyzed in 28 patients, 34 cases with fractures of calcaneus which were treated in our department from September 1998 to march 2003. Results: According to the Creighton-Nebraska Foundation Assessment score, there were 3 excellent, 11 good, and 12 fair 6 poor results. Bohler angle was corrected from $8.3^{\circ}$ to $18.3^{\circ}$, Gissane angle was corrected from $121^{\circ}$ to $135^{\circ}$, and calcaneal width was corrected from 46.8mm to 37mm. Conclusion: Open reduction and internal fixation for joint depression type calcaneal fractures thought to be a good method of treatment. Closed reduction and percutaneous axial pinning should be chosed in selected cases of tongue type fractures. In treatment of complicated calcaneal fractures as malunion, subtalar distraction arthrodesis and lateral wall exostectomy will reduce disability of the disease.

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