J Korean Fract Soc.  1997 Jan;10(1):91-98.

CT Classification and Surgical Treatment of Intra-Articular Fracture of the Calcaneus

• Hong GS
• Chung ES
• Chee SK

Abstract

Computed tomography was used in the evaluation of intra-articular fractures of the calcaneus to develop and reasonable treatment program and predict prognosis. Seventeen fractures of the calcaneus in the sixteen patients were shown to involve the posterior facet and classified by the images of coronal CT scan; Type I(non-displaced), Type II(displaced) and Type III(comminuted). There were one Type I, ten Type II, and six type III fractures. All of which were treated with open reduction and internal fixation, with or without bone graft. The length of follow-up period ranged from thirteen to fourty-five months(mean : 24 months). The results were graded by a predetermined point system. The one type I had an excellent result. Of the ten type 2 fractures ; three had excellent result, four good result, two fair result, and one poor result. Ofthe six type 3 fracture, one had good result, three fair result, two poor result. On the basis a our study, we believed that open reduction and internal fixation was a good method of treatment for the displaced or mildly comminuted intraarticular fracture of the calcaneus

Keyword

Cancaneus; Intra-articular fractures. Computed tomography; Open reduction; Internal fixation

MeSH Terms

Calcaneus*
Classification*
Follow-Up Studies
Humans
Intra-Articular Fractures*
Prognosis
Tomography, X-Ray Computed
Transplants