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Limited Posterior Approach for the Surgical Treatment of Intraarticular Fracture of Calcaneus
J Korean Foot Ankle Soc. 2007;11:79-85
Published online June 1, 2007
© 2007 J Korean Foot Ankle Soc.

Hyun, Yun-Seok;Song, Kyung-Won;Shin, Sung-Il;Lee, Jin-Young;Lee, Seung-Young;Kim, Gab-Lae;Shin, Kun-Ho;Seo, Eun-Ho;Ban, Tae-Seo

Department of Orthopedic surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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 $B{ddot{o}}hler$ 수식 이미지 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. $B{ddot{o}}hler$ 수식 이미지 angle and Gissane angle were $7.6^{circ}$ 수식 이미지, $102.4^{circ}$ 수식 이미지, and it increased to $23.5^{circ}$ 수식 이미지, $128.6^{circ}$ 수식 이미지 after postoperative 1 year. Conclusion: Limited posterior approach for the surgical treatment of intraarticular fracture of calcaneus was considered to an effective treatment modality.
Keywords : Calcaneal fracture; Intraarticular fracture; Open reduction; Limited posterior approach


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