J Korean Fract Soc.  1998 Apr;11(2):371-377. 10.12671/jksf.1998.11.2.371.

Essex-Lopresti Axial Fixation for Intra-articular Calcaneal Fractures

• Koh YD
• Kim JO

• KMID: 1944008
• DOI: http://doi.org/10.12671/jksf.1998.11.2.371

Abstract

Fracture of the calcaneus is quite common, and displace intraarticular fractures can be associated with serious and prolonged disability. However, there still a great deal of controversy regarding the treatment of intraarticular fractures of calcaneus. Authors had treated 41 cases of 32 patients with displaced intraarticular calcaneal fractures using Essex-Lopresti axial fixation at Ewha Woman's University Mokdong Hospital from September, 1993 to February, 1996, and analyzed the functional results after the minimum 2 year follow-up. The results as follows; 1. Of 41 intraarticular calcaneal fractures, 27 fractures were tongue type and 14 fractures were joint depression type according to Essex-Lopresti classification. 2. Postoperatively Bohler angle was restored to mean 24.5degree intongue type, and to mean 13.8degree in joint depression type. 3. The reduction loss of Bohler angle was 7% in tongue type and 18.8% in joint depression type at the final follow-up. 4. The satisfactory results were obtained in 77.7% of tongue type and in 49.9% of joint depression type.

Keyword

Calcaneus; Intraarticular fracture; Essex-Lopresti axial fixation

MeSH Terms

Calcaneus
Classification
Depression
Follow-Up Studies
Humans
Intra-Articular Fractures
Joints
Tongue