Operative Treatment of Intraarticular Calcaneal Fracture According to the Fracture Type

관절 내 종골 골절의 골절양상에 따른 수술적 치료

  • Rha, Jong-Deuk (Department of Orthopaedic Surgery, Hanil General Hospital) ;
  • Park, Hyun-Su (Department of Orthopaedic Surgery, Hanil General Hospital) ;
  • Lim, Chang-Suk (Department of Orthopaedic Surgery, Hanil General Hospital) ;
  • Jang, Young-Soo (Department of Orthopaedic Surgery, Hanil General Hospital) ;
  • Park, Sang-Won (Department of Orthopaedic Surgery, Hanil General Hospital) ;
  • Chung, Tae-Won (Department of Orthopaedic Surgery, Hanil General Hospital) ;
  • Jeon, Yong-Soo (Department of Orthopaedic Surgery, Hanil General Hospital)
  • Published : 2004.12.01

Abstract

Purpose: We evaluated the clinical results of operative treatment of the intraarticular calcaneal fracture according to fracture classification. Materials and Methods: There were 25 cases (24 patients) which had at least one year follow up, 17 men and 7 women who were treated from June 1997 to March 2003. We have analysed the Bohler's angle, cruciate angle, width and posttraumatic osteoarthritis in radiological evaluation, and evaluated clinical results according to the Creighton-Nebraska health foundation score. Results: Excellent results were noted in 7 cases, good results in 6 cases, fair results in 4 cases and poor results in 8 cases. Radiological changes showed as follows: Bohler angle $17^{\circ}$, Crucial angle $0.1^{\circ}$, Width 6mm. Conclusion: Type II showed satisfactory results and type IV showed unsatisfactory results in Sanders classification. Proper evaluation of the intraarticular calcaneal fracture by X-ray and CT scan is necessory to predict prognosis and decise method of operative treatment.

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