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The Classiflcation and Management of Intraarticular Calcaneal Fracture Based on Computed Tomography
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Jae lk Shim, Taik Seon Kim, Sung Jong Lee, Suck Ha Lee, Chang Moo You, Young Bae Kim
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J Korean Soc Fract 1996;9(3):742-749. Published online July 31, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.3.742
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Abstract
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- Displaced intraarticular fractures of the calaneus require operative intervention to restore the anatomy of the bone, which in turn is the requirement for recovery of subtalar joint mobility.
To evaluate the complex contour of calcaneal anatomy, a classification for intraarticular calcaneal fractures was used, based on standardized coronal and transverse computed tomography scans of os calsis.
From January 1993 to December 1994, intraarticular calcaneal fractures of 47 cases treated in Korea Veterans Hospital were analysed preoperatively with C.T. scan and classified by Sandersclassification system. And clinical evaluation of the patients was done by Maryland Foot Score postoperatively.
The result were as follows:Type I fractures were found in 10 cases. 25 cases of 47 cases were classified as type II and subdivided as II A in 13 cases, II B in 6 cases, II C in 6 cases. Type III fractures were found in 8 cases and subdivied as III AB in 4 cases, III BC in 3 cases, III AC in 1 case. Type IV fractures were found in 4 cases.
This classification aids a surgeon to make perioperative decision, because it has prognostic significance.
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Citations
Citations to this article as recorded by 
- Surgical Outcome of Stable Scaphoid Nonunion without Bone Graft
Eun Sun Moon, Myung Sun Kim, Il Kyu Kong, Min Sun Choi Journal of the Korean Fracture Society.2010; 23(1): 69. CrossRef - The Comparison of Radiographic Parameters and Clinical Results after Operative Treatment of Displaced Intraarticular Calcaneal Fractures
Hong Moon Sohn, Jun Young Lee, Sang Ho Ha, Sueng Hwan Jo Journal of the Korean Fracture Society.2007; 20(3): 227. CrossRef
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Treatment of Intertrochanteric Fractures of Femur in Elderly Patients over 65 Years Old
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Young Sun Koh, Chang Moo Yu, Suk Ha Lee, Sung Jong Lee, Taik Sun Kim, Jae lk Shim
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J Korean Soc Fract 1995;8(1):46-53. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.46
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Abstract
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- The incidence of intertrochanteric fracture of femur is increasing because of increasing number of old-aged people.
The goal in the treatment of an elderly patient with an intertrochanteric fracture is to restore the patient to his prefracture activity as soon as possible.
The purpose of this report is to review of the difficulty of treating the intertrochanteric fracture of femur in elderly patients.
The authors treated 213 cases of intertrochanteric fracture from Jan,1980 to Dec.1993.
We analyzed the clinical result of 73 cases intertrochanteric fracture with minimum 1 year follow up retrospectively.
The results were as follows.
1. The degrees of osteoporosis by Singh index were 27 cases in Grade III, 22 Cases in Grade II,14 cases in grade IV,5 cases in Grade I and 5 cases in Grade V.
2. By Tronzo classification of fracture, the most common type was 38 cases in type III, 17 cases in type II and 8 casesintype V.
3. The operation method were compression hip screw(38 cases), Jewett nail (12 cases), Ender nail(17 cases), multiple pinning (5 cases), and primary kerniarthoplasty(3 cases).
4. Average bony union time was 13.2 weeks in compression hip screw group, 14.5 weeks in Jewett nail group,14.7 weeks in Ender nail group and 15.4 weeks in multiple pinning group.
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