Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Limited Posterior Approach for the Surgical Treatment of Intraarticular Fracture of Calcaneus

제한적 후방 도달법을 이용한 관절내 종골 골절의 치료

  • Hyun, Yun-Seok (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university) ;
  • Song, Kyung-Won (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university) ;
  • Shin, Sung-Il (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university) ;
  • Lee, Jin-Young (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university) ;
  • Lee, Seung-Young (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university) ;
  • Kim, Gab-Lae (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university) ;
  • Shin, Kun-Ho (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university) ;
  • Seo, Eun-Ho (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university) ;
  • Ban, Tae-Seo (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university)
  • 현윤석 (한림대학교 강동성심병원 정형외과학교실) ;
  • 송경원 (한림대학교 강동성심병원 정형외과학교실) ;
  • 신성일 (한림대학교 강동성심병원 정형외과학교실) ;
  • 이진영 (한림대학교 강동성심병원 정형외과학교실) ;
  • 이승용 (한림대학교 강동성심병원 정형외과학교실) ;
  • 김갑래 (한림대학교 강동성심병원 정형외과학교실) ;
  • 신건호 (한림대학교 강동성심병원 정형외과학교실) ;
  • 서은호 (한림대학교 강동성심병원 정형외과학교실) ;
  • 반태서 (한림대학교 강동성심병원 정형외과학교실)
  • Published : 2007.06.01
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Abstract

Purpose: To evaluate the clinical efficacy of the limited posterior approach for the surgical treatment of intraarticular fracture of calcaneus. Materials and Methods: From March 2000 to February 2006, we studied retrospectively 186 patients, 203 cases who were treated with open reduction and internal fixation through limited posterior approach and were followed up for more than 1 year. The clinical results were evaluated with Creighton-Nebraska score and circle draw test after 1 year. We checked simple AP, lateral, axial and Broden's view preoperatively and 1 year after surgery, and compared $B{\ddot{o}}hler$ angle and Gissane angle. Results: By Creighton-Nebraska score, Sanders type 2 was 86.4, type 3 was 74.3, type 4 was 62.4. And by circle draw test, type 2 was 8.9 cm, type 3 was 7.2 cm, type 4 was 5.9 cm. $B{\ddot{o}}hler$ angle and Gissane angle were $7.6^{\circ}$, $102.4^{\circ}$, and it increased to $23.5^{\circ}$, $128.6^{\circ}$ after postoperative 1 year. Conclusion: Limited posterior approach for the surgical treatment of intraarticular fracture of calcaneus was considered to an effective treatment modality.

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