Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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The Usefulness of Arthroscopy in the Operative Treatment of Intra-Articular Calcaneal Fracture

관절 내 종골 골절의 수술적 치료에 있어 관절 내시경 사용의 유용성

  • Chung, Kyung-Chil (Department of Orthopedic Surgery, College of Medicine, University of Inje, Busan Paik Hospital) ;
  • Gwak, Heui-Chul (Department of Orthopedic Surgery, College of Medicine, University of Inje, Busan Paik Hospital) ;
  • Kim, Chang-Wan (Department of Orthopedic Surgery, College of Medicine, University of Inje, Busan Paik Hospital) ;
  • Kim, Jung-Han (Department of Orthopedic Surgery, College of Medicine, University of Inje, Busan Paik Hospital) ;
  • Park, Dae-Hyun (Department of Orthopedic Surgery, College of Medicine, University of Inje, Busan Paik Hospital)
  • 정경칠 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 곽희철 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 김창완 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 김정한 (인제대학교 의과대학 부산백병원 정형외과학교실) ;
  • 박대현 (인제대학교 의과대학 부산백병원 정형외과학교실)
  • Published : 2009.06.15
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Abstract

Purpose: We tried to evaluate the usefulness of the arthroscopy in the operative treatment of intra-articular calcaneal fracture. Materials and Methods: Between March 2005 and May 2008, 9 patients with intra-articular calcaneal fractures（Tongue type or Sanders type IIC) were treated with arthroscopically assisted percutaneous reduction and screw fixation. American orthopedic foot and ankle society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS), preoperative and postoperative Bohler's angle and the rate of complication were evaluated. Results: AOFAS score at postoperative 1 year was 88.2 (range, 71-92), and mean VAS score was 2.8 (range, 1-4). Bohler angle was improved from preoperative mean $16.2^{\circ}$ to postoperative mean $29.7^{\circ}$. There were no complications such as wound problem, infection or nerve injury. Conclusion: Subtalar arthroscopy provides precise view of posterior facet during the operation. Therefore, it can be a useful tool in treating intra-articular calcaneus fractures, especially tongue type and Sanders type IIC fractures.

Keywords

References

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