Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Surgical Outcomes of Intra-articular Fractures of Calcaneus using AO Calcaneal Plate

관절내 종골 골절에 대해 AO 종골 금속판을 이용한 수술적 치료 결과

  • Kim, Seong-Tek (Department of Orthopaedic Surgery, Seonam University Namgwang Hospital) ;
  • Youn, Te-Hyun (Department of Orthopaedic Surgery, Seonam University Namgwang Hospital) ;
  • Park, Jin-Bum (Department of Orthopaedic Surgery, Seonam University Namgwang Hospital) ;
  • Lee, Jun-Young (Department of Orthopaedic Surgery, College of Medicine, Chosun University)
  • 김성택 (서남대학교 의과대학 정형외과학교실) ;
  • 윤태현 (서남대학교 의과대학 정형외과학교실) ;
  • 박진범 (서남대학교 의과대학 정형외과학교실) ;
  • 이준영 (조선대학교 의과대학 정형외과학교실)
  • Published : 2009.06.15
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Abstract

Purpose: To evaluate the outcomes of intra-articular calcaneal fractures treated using AO calcaneal plate surgically. Materails and Methods: Total 15 cases of intra-articular calcaneal fracture that treated with open reduction and internal fixation using AO calcaneal plate were evaluated. The patients were followed over a mean period of 19.8 months. The mean age was 41.6 years. By Sanders classification, there were 2 cases of type II, 10 cases of type III, and 3 cases of type IV. We evaluated radiological outcomes by Bohler angle, Gissane angle, calcaneal hight, calcaneal width and clinical outcomes by Creighton-Nebraska health foundation score. Results: All fractures united at a mean duration of 13.3 weeks. Radiologically, the mean preoperative Bohler angle was $8.5^{\circ}$ and restored to $23.3^{\circ}$. The mean preoperative Gissane angle was $118.7^{\circ}$ and restored to $124.2^{\circ}$. The mean preoperative calcaneal hight was 30.8 mm and restored to 38.9 mm. The mean preoperative calcaneal width was 41.3 mm and restored to 35.3 mm. 10 cases had excellent and good clinical outcomes and 5 cases having fair outcome. Conculsion: In our study, open reduction and internal fixation using AO calcaneal plate showed good results with anatomical restoration of articular surface and stable fixation without late collapse.

Keywords

References

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