Clinical and Radiological Results of Treatment in Bilateral Calcaneal Fracture.
- Author:
Jeong Gil LEE
1
;
Gab Lae KIM
;
Yoon Suk HYUN
;
Bon Jae KOO
;
Hyo Beom LEE
;
Jae Hee LEE
Author Information
1. Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea. ys7933@naver.com
- Publication Type:Original Article
- Keywords:
Calcaneus;
Bilateral calcaneal fracture;
Circle draw test
- MeSH:
Calcaneus;
Depression;
Female;
Humans;
Joints;
Male;
Tongue
- From:Journal of Korean Foot and Ankle Society
2012;16(4):229-234
- CountryRepublic of Korea
- Language:Korean
-
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 19.1degrees, 96.7degrees in group A, 21.8degrees, 119.1degrees in group B, 26.3degrees, 121.2degrees in group C, 19.7degrees, 119.7degrees 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.
