Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Comparison of F Calcaneal Plate and Locking Calcaneal Plate Fixation Using an Lateral Extensile Approach to Intra-articular Calcaneal Fractures

종골의 관절 내 골절에서 외측 광범위 도달법을 이용한 F형 금속판 고정술과 잠김 금속판 고정술의 비교

  • Lee, Yun-Tae (Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital) ;
  • Oh, Hyun-Cheol (Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital) ;
  • Yoon, Han-Kook (Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital) ;
  • Jang, Jae-Won (Department of Orthopaedic Surgery, College of Medicine, Yonsei University) ;
  • Jang, Ki-Jun (Department of Orthopaedic Surgery, College of Medicine, Yonsei University)
  • 이윤태 (국민건강보험관리공단 일산병원 정형외과) ;
  • 오현철 (국민건강보험관리공단 일산병원 정형외과) ;
  • 윤한국 (국민건강보험관리공단 일산병원 정형외과) ;
  • 장재원 (연세대학교 의과대학 정형외과학교실) ;
  • 장기준 (연세대학교 의과대학 정형외과학교실)
  • Received : 2012.06.14
  • Accepted : 2012.08.21
  • Published : 2012.09.15
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Abstract

Purpose: To evaluate the radiological and clinical results after open reduction and internal fixation with calcaneal F plate and locking calcaneal plate using lateral extensile approach in the treatment of intra-articular calcaneal fracture Materials and Methods: This study included 34 cases of 33 patients followed up for at least 6 months postoperatively. F plate was applied in 18 cases (Group 1), locking plate was used in 16 cases (Group 2) and compared radiological and clinical results between two groups. Results: Radiollogically, the mean Bohler angle was improved from $5.5^{\circ}$ preoperatively to $20.1^{\circ}$ postoperatively and $18.8^{\circ}$ at the last follow up in group 1 and $8.6^{\circ}$ preoperatively, $21.4^{\circ}$ postoperatively and $20.3^{\circ}$ at last follow up in group 2. Bone union was observed in all cases and 4 cases of screw loosening were noted in Group 1 with extended fracture to anterior process. At the last follow up, both groups showed clinical results in American orthopedic foot and ankle society ankle hindfoot score, 76(77 in Sanders type II and 75 in type III) in group 1 and 72(73 in type II and 70 in type III) in group 2. Conclusion: F plate and locking plate showed firm fixation and satisfactory clinical results in the treatment of intra-articular calcaneal fracture. We suggest applying locking plate in cases with extended fracture to anterior process, considering screw loosenings in those who were treated with F plate fixation.

Keywords

References

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