Result of Intraarticular Fracture of the Calcaneus by Open Reduction
10.4055/jkoa.1994.29.2.674
- Author:
Chan Soo PARK
;
Kang Hyun LEE
;
Myung Ku KIM
;
Ye Yeon WON
;
Byung Moo CHOI
- Publication Type:Original Article
- Keywords:
Calcaneus;
Intraarticular Fractures;
Lateral approach;
Plate fixation
- MeSH:
Calcaneus;
Classification;
Foot;
Humans;
Incheon;
Intra-Articular Fractures;
Joints;
Subtalar Joint;
Tarsal Bones;
Transplants
- From:The Journal of the Korean Orthopaedic Association
1994;29(2):674-682
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The Fracture of the os calcis is quite common in relation to fracture in other tarsal bone, and fractures involving the subtalar joint may cause serious and persistant disabilities. The treatment of these calcaneal fractures remains controversial So there is no universal agreement in the treatment of these fractures, especially involving the subtalar joint. Twenty displaced intraarticular fractures of calcaneus in 15 patients were treated by open reduction and internal fixation with a plate and screws and bone graft through a lateral approach to elevate the depressed lateral portion of the posterior facet at the Inchon Chritian Hospital from Jan., 1990 to Dec, 1991. Twenty feet in 15 patients of calcaneal fractures involving the subtalal joint were treated and were clinically analysed and following result were obtained. 1. The 20 cases were classified according to the Sanders classification, 9 in type II, 9 in type III and 2 in type IV. 2. The 20 cases were treated by open reduction andinteranl fixation with plate and screws and iliac bone graft through an Sanders lateral approach. The bone graft is packed under the elevated posterior to prevent late collapse of the central fragment and to supply structral stability. 3. The preoperative average Böhler's angle was 0.4°. The post operative average Böhler's angle was 23.4° which was increased significantly. 4. Based on assessment of result of Salama, excellenwas 6, good was 7, fair was 4 and poor was 3. 5. The most common complication after treatment was persistant pain, especially beneath the lateral malleolus.
