J Korean Foot Ankle Soc.  2006 Dec;10(2):196-200.

Predicting Factors on Surgical Management of Unilateral Calcaneal Fracture

Affiliations
  • 1Department of Orthopaedic surgery, Daegu Catholic University Hospital, Daegu, Korea. bong@cu.ac.kr

Abstract

PURPOSE: To study prognostic factors of unilateral calcaneus fracture underwent surgery.
MATERIALS AND METHODS
We selected appropriate 60 cases of 236 calcaneus fracture cases between March 1985 and March 2004, and analyzed the correlation between sex, age, smoking, injury mechanism, Essex-Lopresti classification of calcaneus fracture, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle and Visual Analogue Scale (VAS), P.S. Kerr's Calcaneal Fracture Score (CFSS). The average age was 41.4 and average follow up period was 74 (12 to 240) months.
RESULTS
For follow up period, average VAS is 3.43 and CFSS is 81.23. The sex, age, smoking, injury mechanism, and preoperative, postoperative, postoperative 1 year Bohler angle had no correlation with the prognosis. But the Essex-Lopresti classification of calcaneus fracture, tongue type had better prognosis than joint depression type (VAS : p=0.041, CFSS : p=0.021).
CONCLUSION
In unilateral calcaneus fracture, the sex, age, smoking, injury mechanism, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle had no correlation with the prognosis of fracture, but in Essex-Lopresti classification, the tongue type fracture had better prognosis than the joint depression type.

Keyword

Calcaneus; Unilateral fracture; Prognostic factor; Essex-Lopresti classification

MeSH Terms

Calcaneus
Classification
Depression
Follow-Up Studies
Joints
Prognosis
Smoke
Smoking
Tongue
Smoke
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