Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지

Calcaneal Fractures-Extended Lateral Approach

종골 골절의 치료-광범위 외측 접근법

  • Chun, Sung-Kwang (Department of Orthopedic Surgery, Guro Hospital, Korea University) ;
  • Kim, Hak Jun (Department of Orthopedic Surgery, Guro Hospital, Korea University)
  • 천성광 (고려대학교 의과대학 구로병원 정형외과학교실) ;
  • 김학준 (고려대학교 의과대학 구로병원 정형외과학교실)
  • Received : 2013.04.14
  • Accepted : 2013.05.21
  • Published : 2013.06.15
Download PDF
⟨ Previous Next ⟩

Abstract

Calcaneus is largest tarsal bone and the fracture of calcaneus is most common tarsal fractures. Calcaneal fractures are divided into extra-articular and intra-articular fractures. Intra-articular calcaneal fractures could be classified as tongue type and joint depression type using simple lateral radiograph (Essex-Lopresti classification), but Sanders suggested new classification according to involving the posterior facet of calcaneus using computed tomography. The involvement of posterior facet was revealed as more complicated than Essex-Lopresti classification. The principle purpose of treatment of calcaneal fractures are restoration of calcaneal height (B$\ddot{o}$hler angle), width, axis, anatomical reduction of joint and restoration of function through the stable fixation. Good visualization of joint and anatomical reduction could be achieved by extended lateral approach. But, skin problem could be occurred after of extended lateral approach.

Keywords

References

  1. Cave EF. Fracture of the os calcis--the problem in general. Clin Orthop Relat Res. 1963:64-6.
  2. Essex-Lopresti P. The mechanism, reduction technique, and results in fractures of the os calcis, 1951-52. Clin Orthop Relat Res. 1993:3-16.
  3. Sanders R, Fortin P, DiPasquale T and Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res. 1993:87-95.
  4. Zwipp H, Rammelt S and Barthel S. Calcaneal fractures-- open reduction and internal fixation (ORIF). Injury. 2004;35 Suppl 2:46-54.
  5. Tornetta P, 3rd. Percutaneous treatment of calcaneal fractures. Clin Orthop Relat Res. 2000:91-6.
  6. Buckley R, Tough S, McCormack R, et al. Operative compared with nonoperative treatment of displaced intraarticular calcaneal fractures: a prospective, randomized, controlled multicenter trial. J Bone Joint Surg Am. 2002;84- A:1733-44.
  7. Guerado E, Bertrand ML and Cano JR. Management of calcaneal fractures: what have we learnt over the years? Injury. 2012;43:1640-50. https://doi.org/10.1016/j.injury.2012.05.011
  8. Miller WE. Pain and impairment considerations following treatment of disruptive os calcis fractures. Clin Orthop Relat Res. 1983:82-6.
  9. Richards PJ and Bridgman S. Review of the radiology in randomised controlled trials in open reduction and internal fixation (ORIF) of displaced intraarticular calcaneal fractures. Injury. 2001;32:633-6. https://doi.org/10.1016/S0020-1383(01)00053-5
  10. Stromsoe K, Mork E and Hem ES. Open reduction and internal fixation in 46 displaced intraarticular calcaneal fractures. Injury. 1998;29:313-6. https://doi.org/10.1016/S0020-1383(98)80213-1
  11. Byun YS, Cho YH, Park JW, Lee JS and Kim JH. Early Postoperative Complications of Calcaneal Fractures Following Operative Treatment by a Lateral Extensile Approach. Journal of the korean society of fractures. 2004;17:323-7. https://doi.org/10.12671/jkfs.2004.17.4.323
  12. Chung HJ, Ahn JK, Bae SY and Jung H. Operative Treatment of Intraarticular Calcaneal Fractures using Extensile Lateral Approach. J Korean Foot Ankle Soc. 2009;13:60-7.
  13. Lee MJ, Sohn SK, Lee KY, et al. Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture. Journal of the korean society of fractures. 2010;23:303-9. https://doi.org/10.12671/jkfs.2010.23.3.303
  14. Kim HJ, Ha KI, Yoon JR, et al. Usefulness of CT Scan in Treatment of Calcaneal Fracture. Journal of the korean society of fractures. 2003;16:526-33. https://doi.org/10.12671/jksf.2003.16.4.526
  15. Shin DE, Yoon HK, Han SH, Choi WJ, Ahn CS and Ok HS. Operative Treatment of Tongue Type Intra-articular Calcaneal Fractures: Comparison of the Open Reduction and Essex-Lopresti Technique. J Korean Foot Ankle Soc. 2010;14:151-6.
  16. Mulcahy DM, McCormack DM and Stephens MM. Intra articular calcaneal fractures: effect of open reduction and internal fixation on the contact characteristics of the subtalar joint. Foot Ankle Int. 1998;19:842-8. https://doi.org/10.1177/107110079801901209
  17. Thordarson DB and Latteier M. Open reduction and internal fixation of calcaneal fractures with a low profile titanium calcaneal perimeter plate. Foot Ankle Int. 2003;24: 217-21. https://doi.org/10.1177/107110070302400303
  18. Yang KH, Park YH, Won JH and Kim DY. Mechanical Properties of F plate in intraarticular Calcaneal Fractures. Journal of the korean society of fractures. 2004;17:167-72. https://doi.org/10.12671/jkfs.2004.17.2.167
  19. Richter M, Gosling T, Zech S, et al. A comparison of plates with and without locking screws in a calcaneal fracture model. Foot Ankle Int. 2005;26:309-19. https://doi.org/10.1177/107110070502600407
  20. Abidi NA, Dhawan S, Gruen GS, Vogt MT and Conti SF. Wound-healing risk factors after open reduction and internal fixation of calcaneal fractures. Foot Ankle Int. 1998;19:856-61. https://doi.org/10.1177/107110079801901211
  21. Benirschke SK and Kramer PA. Wound healing complications in closed and open calcaneal fractures. J Orthop Trauma. 2004;18:1-6. https://doi.org/10.1097/00005131-200401000-00001
  22. Schepers T, Den Hartog D, Vogels LM and Van Lieshout EM. Extended lateral approach for intra-articular calcaneal fractures: an inverse relationship between surgeon experience and wound complications. J Foot Ankle Surg. 2013;52:167-71. https://doi.org/10.1053/j.jfas.2012.11.009