Clinical and Radiological Results of Treatment in Bilateral Calcaneal Fracture

양측 종골 골절 환자의 치료 후 임상적 및 방사선학적 결과

  • Lee, Jeong-Gil (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Kim, Gab-Lae (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Hyun, Yoon-Suk (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Koo, Bon-Jae (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Lee, Hyo-Beom (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine) ;
  • Lee, Jae-Hee (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine)
  • 이정길 (한림대학교 의과대학 강동성심병원 정형외과) ;
  • 김갑래 (한림대학교 의과대학 강동성심병원 정형외과) ;
  • 현윤석 (한림대학교 의과대학 강동성심병원 정형외과) ;
  • 구본재 (한림대학교 의과대학 강동성심병원 정형외과) ;
  • 이효범 (한림대학교 의과대학 강동성심병원 정형외과) ;
  • 이재희 (한림대학교 의과대학 강동성심병원 정형외과)
  • Received : 2012.10.17
  • Accepted : 2012.11.13
  • Published : 2012.12.15

Abstract

Purpose: The purpose of this study is to find out clinical and radiological outcomes in 70 patients of both calcaneal fracture. Materials and Methods: From March 1993 to March 2011, 70 patients underwent non-operative management or operative management at our hospital. Conservative management was performed in 15 cases of undisplaced fracture (Group A). Operative management was performed in 125 cases including 32 cases of undisplaced fracture (Group B), 60 cases of joint depression type fracture (Group C), 33 cases of tongue type fracture (Group D). Results were evaluated by VAS score, AOFAS score, circle draw test, Bohler angle (BA), Gissane angle, width & height of calcaneus. Results: VAS scores were 2.0 in group A, 2.0 in group B, 2.2 in group C, 2.7 in group D. AOFAS scores were 90.4 in group A, 91.9 in group B, 72.2 in group C, 79.2 in group D. Circle draw tests were 8.4 cm in group A, 10.1 cm in group B, 7.6 cm in group C, 7.9 cm in group D. Bohler angles (BA) and Gissane angles were $19.1^{\circ}$, $96.7^{\circ}$ in group A, $21.8^{\circ}$, $119.1^{\circ}$ in group B, $26.3^{\circ}$, $121.2^{\circ}$ in group C, $19.7^{\circ}$, $119.7^{\circ}$ in group D. Calcaneal widths and heights were 39.5 mm, 31.6 mm in group A, 32.7 mm, 37.0 mm in group B, 34.4 mm, 39.2 mm in group C, 35.2 mm, 38.7 mm in group D. Conclusion: The main cause of bilateral calcaneal fracture is an injury from a fall, and the cases were more frequently occurred in men than women. Also the fracture in the right side tend to occur more severely compared to the left side. The surgical treatment shows better results than conservative treatment in bilateral calcaneal fracture.

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