The Effect of Temporary K-wire Fixation in the Plate Fixation for Displaced Intra-articular Calcaneal Fracture.
10.14193/jkfas.2014.18.3.119
- Author:
Kiwon YOUNG
1
;
Jin Su KIM
;
Jinseon MOON
Author Information
1. Surgery of Foot and Ankle, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea. doctorjs@eulji.ac.kr
- Publication Type:Original Article
- Keywords:
Calcaneus;
Intra-articular fracture;
Temporary K-wire fixation;
F-plate fixation
- MeSH:
Ankle;
Axis, Cervical Vertebra;
Calcaneus;
Follow-Up Studies;
Foot;
Humans;
Intra-Articular Fractures
- From:Journal of Korean Foot and Ankle Society
2014;18(3):119-123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was designed to evaluate the clinical efficacy of temporary K-wire fixation in F-plate fixation for displaced intraarticular calcaneal fractures. MATERIALS AND METHODS: Two groups (group 1 with F-plate fixation only and group 2 with temporary K-wire fixation and F-plate fixation) of patients were included in this study. The temporary K-wire was removed six weeks after the operation. Each group consisted of 33 cases. Rotational axis angles were measured radiographically and the foot and ankle outcome score (FAOS) was used for clinical assessment. RESULTS: In group 1, the mean rotational axis angle was reduced from 27degrees preoperatively to 5.59degrees postoperatively and the angle at last follow-up was 9.94degrees. There was an increase in angle of 4.35degrees between postoperative and the last follow-up measurement. In group 2, the mean rotational axis angle was reduced from 21.2degrees preoperatively to 4.39degrees postoperatively and the angle at last follow-up was 5.91degrees. There was an increase in angle of 1.52degrees between postoperative and the last follow-up measurement. Significant difference in the changes of rotational axis angle was observed between the two groups. However, no significant difference in FAOS was observed between the two groups. CONCLUSION: Temporary K-wire fixation can prevent reduction loss when treating displaced intra-articular calcaneal fractures with an F-plate.
