Axial Fixation on Calcaneal Fractures
10.4055/jkoa.1990.25.1.54
- Author:
Chang Uk CHOI
;
Byung Joon SHIN
;
Jong Seok PARK
- Publication Type:Original Article
- Keywords:
Axial fixation;
Calcaneal fracture
- MeSH:
Calcaneus;
Depression;
Follow-Up Studies;
Joints;
Retrospective Studies;
Subtalar Joint;
Tarsal Bones;
Tongue;
Weight-Bearing
- From:The Journal of the Korean Orthopaedic Association
1990;25(1):54-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Calcaneus is the largest tarsal bone and serves weight bearing of the body. The calcaneus has a pattern of cancellous bone enclosed with a very thin cortical shell. It is difficult to reduce the bony fragments accurately when there are comminution and displacement on the calcaneal fractures. Retrospective study was carried out of 18 patients(21 feet) of calcaneus fractures after axial fixation in Soonchunhyang University Hospital from July, 1982 to July, 1988. Minimum follow up period was 8 months(average 2 years 6 months). The clinical analysis of them are reported with a review of the literature and the results are follows:l. According to the Rowe's unit system, the results of treatment were excellent or good in 9 cases of 13 tongue types and 5 cases of 8 joint depression types. 2. The results were satisfactory in the calcaneal fractures of well reestablished Bohler angle to 21-30 degrees. 3. The results were excellent or good in 5 cases operated within post-trauma 1 week and in 9 cases operated from 1 week to 2 weeks. 4. The results were poor in the 2 joint depression type with severe comminution. And subtalar joint fusion was performed on the previous 2 cases. Then pain on the lateral malleolar area was subsided.
