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HOME > J Musculoskelet Trauma > Volume 23(3); 2010 > Article
Original Article
Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture
Myung Jin Lee, M.D., Sung Keun Sohn, M.D., Kyu Yeol Lee, M.D., Sung Soo Kim, M.D., Min Soo Kang, M.D., Hyeon Jun Kim, M.D, Sang Kyu Sun, M.D.
Journal of the Korean Fracture Society 2010;23(3):303-309.
DOI: https://doi.org/10.12671/jkfs.2010.23.3.303
Published online: July 31, 2010

Department of Orthopedic Surgery, College of Medicine, Dong-A University, Busan, Korea.

*Department of Orthopedic Surgery, Dong-Eui Medical Center, Busan, Korea.

Address reprint requests to: Hyeon Jun Kim, M.D. Department of Orthopedic Surgery, College of Medicine, Dong-A University, 1, Dongdaesin-dong 3-ga, Seo-gu, Busan 602-715, Korea. Tel: 82-51-240-5167, Fax: 82-51-254-6757, campbellkim@naver.com
• Received: November 19, 2009   • Revised: March 4, 2010   • Accepted: April 7, 2010

Copyright © 2010 The Korean Fracture Society

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  • Purpose
    To evaluate the surgical outcomes of open reduction and internal fixation of AO calcaneal plate in displaced intra-articular fractures of the calcaneus.
  • Materials and Methods
    From January 2004 to July 2007, 25 patients with 27 displaced intra-articular calcaneal fractures were treated by open reduction and internal fixation using the AO calcaneal plate. Preoperative, postoperative evaluations and a follow-up after 1 year were done radiologically by the Böhler angle, Gissane angle, heel height and width among all patients. Their functional status was assessed by means of the Maryland foot score.
  • Results
    The mean Böhler angle, Gissane angle, heel height and width were restored comparing with preoperative data. However, in Sanders type IV, some losses of reduction occurred at 1 year follow-up (p<0.05). The mean Maryland foot scores were 85 points in type II, 82 points in type III and 63 points in type IV. Sanders types significantly affected the clinical results (p<0.05).
  • Conclusion
    The AO calcaneal plate fixation using extensile L-shpaed lateral approach shows satisfactory radiologic and clinical results in the treatment of displaced intra-articular calcaneal fractures.
  • Key words: Calcaneus, Intra-articular fracture, Internal fixation, AO calcaneal plate
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Figure 1
A 21-year-old female patient sustained left intra-articular calcaneal fracture by slip down.
(A) Preoperative X-ray shows tongue type intra-articular calcaneal fracture.
(B) Preoperative axial and sagittal CT scans show Sanders type IIb calcaneal fracture.
(C) Postoperative X-ray shows restoration of Böhler angle and heel width.
(D) At follow-up of 13months, X-ray shows no subtalar joint arthritis.
jkfs-23-303-g001.jpg
Figure 2
A 45-year-old male patient sustained right open comminuted intra-articular calcaneus fracture by fall down from 6 meter height.
(A) Preoperative X-ray shows joint depression type intra-articular calcaneal fracture with negative Böhler angle.
(B) Preoperative semicoronal and 3D CT scan shows Sanders type IV calcaneal fracture.
(C) Postoperative X-ray shows restoration of Böhler angle and stable fixation.
(D) Postoperative X-ray shows varus change of heel and malunion of calcaneus and losses of corrections.
jkfs-23-303-g002.jpg
Table 1
Summary of radiologic parameters
jkfs-23-303-i001.jpg
Table 2
The relationship between Sanders type and Maryland foot score (Linear by linear association)
jkfs-23-303-i002.jpg
Table 3
The relationship between preoperative Böhler angle and Maryland foot score (Fisher's exact test)
jkfs-23-303-i003.jpg
Table 4
The relationship between associated injury and Maryland foot score (Fisher's exact test)
jkfs-23-303-i004.jpg
Table 5
The relationship between financial compensation and Maryland foot score (Fisher's exact test)
jkfs-23-303-i005.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Surgical Treatment of Calcaneal Fractures of Sanders Type II and III by A Minimally Invasive Technique with 6.5 mm Cancellous Screw
      Yong Seung Oh, Kyung Ho Lee, Jung Ho Kim, Myoung Jin Lee
      Journal of Korean Foot and Ankle Society.2019; 23(3): 116.     CrossRef
    • Usefulness of Treatment with 6.5 mm Cancellous Screw and Steinmann Pin Fixation for Calcaneal Joint Depression Fracture
      Gi-Soo Lee, Chan Kang, Deuk-Soo Hwang, Chang-Kyun Noh, Gi-Young Lee
      Journal of Korean Foot and Ankle Society.2015; 19(1): 11.     CrossRef

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      Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture
      J Korean Fract Soc. 2010;23(3):303-309.   Published online July 31, 2010
      DOI: https://doi.org/10.12671/jkfs.2010.23.3.303
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    Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture
    Image Image
    Figure 1 A 21-year-old female patient sustained left intra-articular calcaneal fracture by slip down. (A) Preoperative X-ray shows tongue type intra-articular calcaneal fracture. (B) Preoperative axial and sagittal CT scans show Sanders type IIb calcaneal fracture. (C) Postoperative X-ray shows restoration of Böhler angle and heel width. (D) At follow-up of 13months, X-ray shows no subtalar joint arthritis.
    Figure 2 A 45-year-old male patient sustained right open comminuted intra-articular calcaneus fracture by fall down from 6 meter height. (A) Preoperative X-ray shows joint depression type intra-articular calcaneal fracture with negative Böhler angle. (B) Preoperative semicoronal and 3D CT scan shows Sanders type IV calcaneal fracture. (C) Postoperative X-ray shows restoration of Böhler angle and stable fixation. (D) Postoperative X-ray shows varus change of heel and malunion of calcaneus and losses of corrections.

    Figure 1

    Figure 2

    Open Reduction and Internal Fixation with AO Calcaneal Plate for Displaced Intra-articular Calcaneal Fracture

    Summary of radiologic parameters

    The relationship between Sanders type and Maryland foot score (Linear by linear association)

    The relationship between preoperative Böhler angle and Maryland foot score (Fisher's exact test)

    The relationship between associated injury and Maryland foot score (Fisher's exact test)

    The relationship between financial compensation and Maryland foot score (Fisher's exact test)
    Table 1 Summary of radiologic parameters

    Table 2 The relationship between Sanders type and Maryland foot score (Linear by linear association)

    Table 3 The relationship between preoperative Böhler angle and Maryland foot score (Fisher's exact test)

    Table 4 The relationship between associated injury and Maryland foot score (Fisher's exact test)

    Table 5 The relationship between financial compensation and Maryland foot score (Fisher's exact test)

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

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