The Usefulness of Arthroscopy in the Operative Treatment of Intra-Articular Calcaneal Fracture.
- Author:
Kyung Chil CHUNG
1
;
Heui Chul GWAK
;
Chang Wan KIM
;
Jung Han KIM
;
Dae Hyun PARK
Author Information
1. Department of Orthopedic Surgery, College of Medicine, University of Inje, Busan Paik Hospital, Busan, Korea. ortho1@hanmail.net
- Publication Type:Original Article
- Keywords:
Calcaneus fracture;
Percutaneous reduction and internal fixation;
Subtalar arthroscopy
- MeSH:
Animals;
Ankle;
Arthroscopy;
Calcaneus;
Foot;
Humans;
Orthopedics;
Tongue
- From:Journal of Korean Foot and Ankle Society
2009;13(1):55-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We tried to evaluate the usefulness of the arthroscopy in the operative treatment of intra-articular calcaneal fracture. MATERIALS AND METHODS:Between March 2005 and May 2008, 9 patients with intra-articular calcaneal fractures (Tongue type or Sanders type IIC) were treated with arthroscopically assisted percutaneous reduction and screw fixation. American orthopedic foot and ankle society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS), preoperative and postoperative Bohler's angle and the rate of complication were evaluated. RESULTS:AOFAS score at postoperative 1 year was 88.2 (range, 71-92), and mean VAS score was 2.8 (range, 1-4). Bohler angle was improved from preoperative mean 16.2 degrees to postoperative mean 29.7 degrees . There were no complications such as wound problem, infection or nerve injury. CONCLUSION: Subtalar arthroscopy provides precise view of posterior facet during the operation. Therefore, it can be a useful tool in treating intra-articular calcaneus fractures, especially tongue type and Sanders type IIC fractures.
