J Korean Foot Ankle Soc.  2007 Jun;11(1):79-85.

Limited Posterior Approach for the Surgical Treatment of Intraarticular Fracture of Calcaneus

Affiliations
  • 1Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym university, Seoul, Korea. kiga9@msn.com

Abstract

PURPOSE: To evaluate the clinical efficacy of the limited posterior approach for the surgical treatment of intraarticular fracture of calcaneus.
MATERIALS AND METHODS
From March 2000 to February 2006, we studied retrospectively 186 patients, 203 cases who were treated with open reduction and internal fixation through limited posterior approach and were followed up for more than 1 year. The clinical results were evaluated with Creighton-Nebraska score and circle draw test after 1 year. We checked simple AP, lateral, axial and Broden's view preoperatively and 1 year after surgery, and compared Bohler angle and Gissane angle.
RESULTS
By Creighton-Nebraska score, Sanders type 2 was 86.4, type 3 was 74.3, type 4 was 62.4. And by circle draw test, type 2 was 8.9 cm, type 3 was 7.2 cm, type 4 was 5.9 cm. Bohler angle and Gissane angle were 7.6 degrees, 102.4 degrees, and it increased to 23.5 degrees, 128.6 degrees after postoperative 1 year.
CONCLUSION
Limited posterior approach for the surgical treatment of intraarticular fracture of calcaneus was considered to an effective treatment modality.

Keyword

Calcaneal fracture; Intraarticular fracture; Open reduction; Limited posterior approach
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