Calcaneal Fractures-Extended Lateral Approach.
- Author:
Sung Kwang CHUN
1
;
Hak Jun KIM
Author Information
1. Department of Orthopedic Surgery, Guro Hospital, Korea University, Seoul, Korea. dakjul@hanmail.net
- Publication Type:Review
- Keywords:
Calcaneus;
Fractures;
Extended lateral approach
- MeSH:
Axis, Cervical Vertebra;
Calcaneus;
Depression;
Intra-Articular Fractures;
Joints;
Skin;
Tarsal Bones;
Tongue
- From:Journal of Korean Foot and Ankle Society
2013;17(2):79-83
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Calcaneus is largest tarsal bone and the fracture of calcaneus is most common tarsal fractures. Calcaneal fractures are divided into extra-articular and intra-articular fractures. Intra-articular calcaneal fractures could be classified as tongue type and joint depression type using simple lateral radiograph (Essex-Lopresti classification), but Sanders suggested new classification according to involving the posterior facet of calcaneus using computed tomography. The involvement of posterior facet was revealed as more complicated than Essex-Lopresti classification. The principle purpose of treatment of calcaneal fractures are restoration of calcaneal height (Bohler angle), width, axis, anatomical reduction of joint and restoration of function through the stable fixation. Good visualization of joint and anatomical reduction could be achieved by extended lateral approach. But, skin problem could be occurred after of extended lateral approach.
