Primary Subtalar Arthrodesis for the Treatment of Intra-articular Calcaneal Comminuted Fractures.
10.12671/jkfs.2006.19.4.418
- Author:
Hong Geun JUNG
1
;
Yu Jin KIM
;
Suk Ha JEON
Author Information
1. Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea.
- Publication Type:Original Article
- Keywords:
Calcaneus;
Intra-articular comminuted fractures;
Primary subtalar arthrodesis
- MeSH:
Arthrodesis*;
Calcaneus;
Follow-Up Studies;
Foot;
Fractures, Comminuted*;
Humans;
Occupations;
Patient Satisfaction;
Sural Nerve
- From:Journal of the Korean Fracture Society
2006;19(4):418-423
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the functional outcomes of the severely comminuted intra-articular calcaneal fractures that were selectively treated with primary subtalar arthrodesis. MATERIALS AND METHODS: This study is based on the 9 patients, 10 feet of intra-articular severely comminuted calcaneal fractures that were treated with open reduction and internal fixation with primary subtalar arthrodesis due to inability to reconstruct the subtalar articular surface with follow-up of more than 1 year. Postoperative clinical evaluation was performed with AOFAS Hindfoot functional scores. The patient satisfaction, returning to previous occupation and complications were also investigated. RESULTS: Follow-up period was average 20.3 months. Overall AOFAS functional score at final follow-up was average 71.8 points and VAS pain score was 3.9. Fifty percent of the patients were satisfied with the surgery and 80% of the patients were able to return to their previous occupations at average 8.4 months after trauma. Post-operative complications were 2 cases of sural nerve injuries and 1 hindfoot valgus malunion. CONCLUSION: We concluded that the primary subtalar arthrodesis is a viable surgical option for severely comminuted calcaneal fractures with favorable functional result and early returning of most patients to their previous occupations.
