Treatment of Displaced Intra-articular Calcaneal Fractures Using a F-plate.
10.12671/jkfs.2007.20.1.1
- Author:
Kyu Hyun YANG
1
;
Jae Bong CHUNG
;
Han Kook YOON
;
Si Young PARK
;
Hang Seob YOON
Author Information
1. Department of Orthopedic Surgery, Youngdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. kyang@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Calcaneus;
Intra-articular fracture;
F-plate
- MeSH:
Arthritis;
Calcaneus;
Classification;
Compensation and Redress;
Follow-Up Studies;
Foot;
Intra-Articular Fractures;
Maryland;
Treatment Outcome;
Wound Infection
- From:Journal of the Korean Fracture Society
2007;20(1):1-5
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical efficacy of F-plate in displaced intra-articular fractures of calcaneus. MATERIALS AND METHODS: Total 43 cases treated with F-plate and followed up at least six months postoperatively were reviewed. Radiographically, Böhler angle was measured and all cases were subdivided by Sanders classification. Each case was reviewed for the presence of local infection, traumatic arthritis, nonunion, and any breakage of plate or screw. Maryland foot score was used for clinical assessment and factors influencing on clinical results were determined. RESULTS: The mean Böhler angle was improved from 0.5° (range: -24.7~35.5°) preoperatively to 25.8° (range: 14.2~38.6°) postoperatively and the angle at last follow-up was 23.5° (range: 10.2~37.5°), showing about 2.3 degree decline compared to postoperative Böhler angle. There were two cases of F-plate breakage and two cases of screw breakage but the metal breakage did not affect any change in Böhler angle. Other complications were; five cases of traumatic arthritis, one case of varus malunion and one case of deep wound infection. According to Maryland foot score, there were 10 excellent, 22 good, 10 fair and 1 poor result. Furthermore, Age, pre-operative Böhler angle and the patient's expectation on financial compensation had significant influences upon the clinical result. CONCLUSION: F-plate fixation seems to yield firm fixation and satisfactory clinical results in the treatment of displaced intra-articular fractures of calcaneus.
