Treatment of Displaced Intra-articular Calcaneal Fracture using Ollier Approach

Kim, Keun Woo; Cho, Sang Gi; Lee, Dong Yeon

Abstract

PURPOSE
We evaluated the clinical results of the intraarticular calcaneal fractures treated using Ollier approach by inexperienced orthopaedic surgeon.
MATERIALS AND METHODS
Between August 2003 and May 2007, Of the total 46 cases, 12 cases (9 patients) of displaced intraarticular calcaneal fracture who underwent open reduction and internal fixation using Ollier approach were evaluated. The means of age was 50.5 years. According to the Sanders classification, there was no type I case and 8 cases of type II, 1 case of type III, and 3 cases of type IV. We evaluated the treatment result by assessing radiologic parameters (Bohler angle, Gissane angle, and calcaneal height/width) and clinical outcomes (VAS and AOFAS score).
RESULTS
The means of follow-up period was 25.3 months. The means of Bohler angle was improved from 2.4degrees to 26.1degrees. Radiologic and clinical union was achieved in all cases without additional procedures. Excellent result were noted in 2 cases, good in 5 cases, fair in 4 cases, and poor in 1 case. We experienced 2 cases of minor complications; 1 case of mild wound infection and 1 case of hypoesthesia on foot dorsum. Radiologic findings of subtalar arthritis were present in 2 cases.
CONCLUSION
Ollier approach seems to be helpful to inexperienced orthopaedic surgeons for the treatment of intraarticular calcaneal fractures in that it enables them to achieve considerable clinical outcomes without serious complications.