Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Analysis of the Deformities of the Foot after Tibial Fracture and Outcome of the Surgical Treatment

경골 골절후 발생한 족부 변형들의 분석 및 치료 결과에 대한 분석

  • Kim, Jung-Ryul (Department of Orthopaedic Surgery, Chonbuk National University Medical School, Research Institute of Clinical Medicine) ;
  • Kim, Young-Sin (Department of Orthopaedic Surgery, Chonbuk National University Medical School, Research Institute of Clinical Medicine) ;
  • Shin, Sung-Jin (Department of Orthopaedic Surgery, Jeju National University College of Medicine) ;
  • Kim, Sang-Rim (Department of Orthopaedic Surgery, Jeju National University College of Medicine) ;
  • Seo, Kyu-Bum (Department of Orthopaedic Surgery, Jeju National University College of Medicine)
  • 김정렬 (전북대학교 의학전문대학원 정형외과학교실, 임상의학연구소) ;
  • 김영신 (전북대학교 의학전문대학원 정형외과학교실, 임상의학연구소) ;
  • 신성진 (제주대학교 의과대학 정형외과학교실) ;
  • 김상림 (제주대학교 의과대학 정형외과학교실) ;
  • 서규범 (제주대학교 의과대학 정형외과학교실)
  • Published : 2009.12.15
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Abstract

Purpose: We wanted to evaluate the relating factors for deformities of the foot after tibial fracture and the outcome of respective surgical treatment. Materials and Methods: We studied thirty-two patients (thirty-five feet) who had foot deformities after tibia fracture. The age, gender, shape, location, concurrent soft tissue injury and operative treatment of tibial fracture were analysed and outcome of the surgical treatment was investigated. Results: Deformities of the foot mostly occurred in open fractures of Gustilo type 3 or closed fracture with severe soft tissue injury. Variable surgical treatments such as simple release, lengthening, Z-plasty and osteotomy were performed. The AOFAS ankle-hind foot scale was improved from average of 37.3 points preoperatively to an average of 77.2 points at the last follow up. The Maryland foot score was from 42.9 to 90.2 and AOFAS Lesser Toe Metatarso-phalangeal interphalangeal scale was from 42.9 to 90.5. Radiological correction was also improved from 21.9 degrees to 7.9 degrees (Meary angle), from 112.2 to 138.5 (Hibb's angle) and from 33.8 to 25.9 (Calcaneal pitch). Conclusion: We proposed that great care should be taken of treatment for the tibial fracture and early detection and proper management of the foot deformities are crucial.

Keywords

References

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