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Comparison of the conservative and operative treatment of the intraarticular calcaneal fractures
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Chang Woo Kim, Min Young Chung, Ki Tae Jung, Eun Hwan Bae, Seong Ho Park, Ho Keun Park, Tae Hoon Jeong
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J Korean Soc Fract 1999;12(2):335-343. Published online April 30, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.2.335
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Abstract
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- The calcaneal fracture, which is considered to be the most common tarsal bone fracture, has rather difficulty in accurate diagnosis, classification and proper treatment. Furthermore, its prognosis is not good, either. The authors analysed 68 intraarticular calcaneal fractures (Sanders type II & III only) out of 147 cases, which were treated operatively or conservatively from June 1990 to May 1997, and found out that the results of conservative and operative treatment were approximately the same. The length of follow-up ranged from one year to four and half years (mean, 2.7years). The results were as follows: Of the 24 conservatively treated group, seven had excellent; eleven good; four fair; and two poor result. Of the 44 operatively treated group, eleven had excellent; twenty seven good; five fair; and one poor result. The sum of excellent and good results in conservative and operative treatment group were 75.0% and 86.4% each other, and these were not meaningful statistically (p=0.400). Therefore, the authors recommend a conservative treatment as an effective alternative method for the intraarticular calcaneal fracture.
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- Correlation Analysis of Reduction for Intra-Articular Calcaneal Fracture and Clinical Outcomes Using Postoperative Computed Tomography
Joon-Sang Eom, Young-Deuk Joo, Seong-Jun Kim, Min-Ho Shin, Dong-Oh Lee, Hong-Geun Jung Journal of Korean Foot and Ankle Society.2014; 18(4): 165. CrossRef - Treatment of Intra-articular Calcaneal Fractures Using Minimally Invasive Sinus Tarsi Approach in Diabetic Patients
Hong-Moon Sohn, Sang-Ho Ha, Sang-Hong Lee, Jun-Young Lee, Jeong-Ho Kim, Sang-Jun Lee Journal of the Korean Fracture Society.2008; 21(3): 195. CrossRef
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Minimal Surgical Treatment of the Tibial Pilon Fracture
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Min Young Chung, Chang Woo Kim, Joon Kwon Jung, Eun Hwan Bae, Ho Keun Park, Seong Ho Park, Jang Won Hur
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J Korean Soc Fract 1999;12(1):113-118. Published online January 31, 1999
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DOI: https://doi.org/10.12671/jksf.1999.12.1.113
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- The goals of the treatment of pilon fracture include to restore a normal anatomy and functional level of uninjured state. We analysed the clinical outcomes of the treatment of pilon fractures with calcaneal traction and percutaneous intramedullary nailing in the fibula (group A, 12 cases), or open reduction and internal fixation (group B, 11 cases) in 23 cases between April 1994 and March 1997. All of the patients were followed for at least one year (average, 18 months; range, 12 to 24 months). Fifteen patients were male (group A, 8; group B, 7), and eight were female (group A, 4; group B, 4). Falling-down injury is the most common cause and automobile accident is the second. According to the R.. uedi and Allg.. ower classification, type II fractures were most common. In the group A, two of the 12 fractures were type I, six were type II, and four were type III, and in the group B, two of the 11 fractures were type I, six were type II, and four were type III. According to the criteria of Mast and Teipner, in the group A, six were good result and six were fair, and in the group B, four were good, five were fair, and two were poor. A nonunion with wound infection and a malunion developed in the group B. The results in the group A were better than those in the group B in clinically, we propose the minimal surgical treatment is useful treatment option of pilon fracture.
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