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HOME > J Musculoskelet Trauma > Volume 23(2); 2010 > Article
Original Article
Intra-articular Calcaneal Fractures Treated with Open Reduction and Internal Fixation: A Comparative Study between Groups with and without Bone Graft
Hong Moon Sohn, M.D., Sang Ho Ha, M.D., Jun Young Lee, M.D., Sung Hwan Jo, M.D., Hoon Yang, M.D.
Journal of the Korean Fracture Society 2010;23(2):180-186.
DOI: https://doi.org/10.12671/jkfs.2010.23.2.180
Published online: April 30, 2010

Department of Orthopedic Surgery, Chosun University College of Medicine, Gwangju, Korea.

Address reprint requests to: Jun Young Lee, M.D. Department of Orthopedic Surgery, Chosun University Hospital, 588, Seosuk-dong, Dong-gu, Gwangju 501-717, Korea. Tel: 82-62-220-3147, Fax: 82-62-226-3379, leejy88@chosun.ac.kr
• Received: October 29, 2009   • Revised: January 26, 2010   • Accepted: January 30, 2010

Copyright © 2010 The Korean Fracture Society

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  • Purpose
    This study compares the clinical results of open reduction and internal fixation with and without bone graft for the treatment of intra-articular calcaneal fractures.
  • Materials and Methods
    Twenty-five patients who had open reduction and internal fixation for intra-articular calcaneal fractures and available for at least 1 year of follow-up were included in this study. Fifteen cases were operated with bone graft. Period to bone union and functional evaluation score were compared between both groups with analysis of complications.
  • Results
    Bone union was achieved in all cases with average bone union time of 11.6 weeks and 12.8 weeks in group with and without bone graft respectively. Creighton-Nebraska Health Foundation (CNHF) functional score was 86.5 points and 80.3 points respectively. The period to bone union and the CNHF score in the comparison of two groups were statistically insignificant. Complications were observed in four cases of group without bone graft and 5 cases of group with bone graft.
  • Conclusion
    This study indicates that bone graft does not play a significant role in bone union and functional outcome when intra-articular calcaneal fractures are treated with open reduction and internal fixation.
  • Key words: Calcaneus, Intra-articular fracture, Open reduction and internal fixation with plate, Bone graft
  • 1. Burdeaux BD. Reduction of calcaneal fractures by the McReynolds medial approach technique and its experimental basis. Clin Orthop Relat Res, 1983;177:87-103.Article
  • 2. Crosby LA, Fitzgibbons T. Computerized tomography scanning of acute intra-articular fractures of the calcaneus. A new classification system. J Bone Joint Surg Am, 1990;72:852-859.Article
  • 3. Dick HM, Strauch RJ. Infection of massive bone allografts. Clin Orthop Relat Res, 1994;306:46-53.
  • 4. Fernandez DL, Koella C. Combined percutaneous and "minimal" internal fixation for displaced articular fractures of the calcaneus. Clin Orthop Relat Res, 1993;290:108-116.Article
  • 5. Guyer BH, Levinsohn EM, Fredrickson BE, Bailey GL, Formikell M. Computed tomography of calcaneal fractures: anatomy, pathology, dosimetry, and clinical relevance. AJR Am J Roentgenol, 1985;145:911-919.Article
  • 6. Heger L, Wulff K. Computed tomography of the calcaneus: normal anatomy. AJR Am J Roentgenol, 1985;145:123-129.Article
  • 7. Huang PJ, Huang HT, Chen TB, et al. Open reduction and internal fixation of displaced intra-articular fractures of the calcaneus. J Trauma, 2002;52:946-950.Article
  • 8. Kalamchi A, Evans JG. Posterior subtalar fusion. A preliminary report on a modified Gallie's procedure. J Bone Joint Surg Br, 1977;59:287-289.ArticlePDF
  • 9. Kennedy JG, Jan WM, McGuinness AJ, et al. An outcomes assessment of intra-articular calcaneal fractures, using patient and physician's assessment profiles. Injury, 2003;34:932-936.Article
  • 10. Lane JM, Bostrom MP. Bone grafting and new composite biosynthetic graft materials. Instr Course Lect, 1998;47:525-534.
  • 11. Letournel E. Open treatment of acute calcaneal fractures. Clin Orthop Relat Res, 1993;290:60-67.
  • 12. Leung KS, Yuen KM, Chan WS. Operative treatment of displaced intra-articular fractures of the calcaneum. Medium-term results. J Bone Joint Surg Br, 1993;75:196-201.ArticlePDF
  • 13. Longino D, Buckley RE. Bone graft in the operative treatment of displaced intraarticular calcaneal fractures: is it helpful? J Orthop Trauma, 2001;15:280-286.Article
  • 14. Lord CF, Gebhardt MC, Tomford WW, Mankin HJ. Infection in bone allografts. Incidence, nature, and treatment. J Bone Joint Surg Am, 1988;70:369-376.Article
  • 15. Macey LR, Benirschke SK, Sangeorzan BJ, Hansen ST. Acute calcaneal fractures: treatment options and results. J Am Acad Orthop Surg, 1994;2:36-43.
  • 16. McLaughlin HL. Treatment of late complications after os calcis fractures. Clin Orthop Relat Res, 1963;30:111-115.
  • 17. McReynolds IS. Open reduction and internal fixation of calcaneal fractures. J Bone Joint Surg Br, 1972;54:176-177.
  • 18. Moon JS, Lee WC. A comparison of extensile lateral approach and sinus tarsi approach for the Sanders type II calcaneal fracture. J Korean Fract Soc, 2009;22:13-18.Article
  • 19. Paley D, Hall H. Calcaneal fracture controversies can we put humpty dumpty together again? Orthop Clin North Am, 1989;20:665-677.
  • 20. Palmer I. The mechanism and treatment of fractures of the calcaneus; open reduction with the use of cancellous grafts. J Bone Joint Surg Am, 1948;30A:2-8.
  • 21. Ross SD, Sowerby MR. The operative treatment of fractures of the os calcis. Clin Orthop Relat Res, 1985;199:132-143.Article
  • 22. Sanders R, Fortin P, DiPasquale T, Walling A. Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification. Clin Orthop Relat Res, 1993;290:87-95.
  • 23. Segal D, Marsh JL, Leiter B. Clinical application of computerized axial tomography (CAT) scanning of calcaneus fractures. Clin Orthop Relat Res, 1985;199:114-123.
  • 24. Sidqui M, Collin P, Vitte C, Forest N. Osteoblast adherence and resorption activity of isolated osteoclasts on calcium sulphate hemihydrate. Biomaterials, 1995;16:1327-1332.Article
  • 25. Smith RW, Staple TW. Computerized tomography (CT) scanning technique for the hindfoot. Clin Orthop Relat Res, 1983;177:34-38.Article
  • 26. Tornetta P 3rd. Percutaneous treatment of calcaneal fractures. Clin Orthop Relat Res, 2000;375:91-96.Article
  • 27. Yang KH, Chung JB, Yoon HK, Park SY, Yoon HS. Treatment of displaced intra-articular calcaneal fractures using a F-plate. J Korean Fract Soc, 2007;20:1-5.
  • 28. Zwipp H, Tscherne H, Thermann H, Weber T. Osteosynthesis of displaced intraarticular fractures of the calcaneus. Results in 123 cases. Clin Orthop Relat Res, 1993;290:76-86.
Fig. 1
54-year-old male patient.
(A) Preoperative lateral, axial view and CT coronal image showing Sanders type IIIAB calcaneal fracture with severe comminution and joint depression.
(B) Postoperative radiograph using AO plate without bone graft showing restoration of posterior facet.
(C) Follow-up CT at 3 months showing bone union with cancellous bone formation.
jkfs-23-180-g001.jpg
Table 1
Overall data in patients with bone graft
jkfs-23-180-i001.jpg

*Weeks, †Creighton-Nebraska health foundation score (CNHF score), ‡Böhler angle; initial and post-operative and last follow-up angle, §Gissan angle; initial and post-operative and last follow-up angle, ∥The difference between post-operative and last follow-up angle in parentheses.

Table 2
Overall data in patients with bone graft
jkfs-23-180-i002.jpg

*Weeks, †Creighton-Nebraska health foundation score (CNHF score), ‡Böhler angle; initial and post-operative and last follow-up angle, §Gissan angle; initial and post-operative and last follow-up angle, ∥The difference between post-operative and last follow-up angle in parentheses.

Figure & Data

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    • Surgical Treatment for Displaced Intra-Articular Calcaneal Fractures
      Chul Hyun Park, Oog Jin Shon
      Journal of the Korean Fracture Society.2016; 29(3): 221.     CrossRef

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      Intra-articular Calcaneal Fractures Treated with Open Reduction and Internal Fixation: A Comparative Study between Groups with and without Bone Graft
      J Korean Fract Soc. 2010;23(2):180-186.   Published online April 30, 2010
      DOI: https://doi.org/10.12671/jkfs.2010.23.2.180
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    Intra-articular Calcaneal Fractures Treated with Open Reduction and Internal Fixation: A Comparative Study between Groups with and without Bone Graft
    Image
    Fig. 1 54-year-old male patient. (A) Preoperative lateral, axial view and CT coronal image showing Sanders type IIIAB calcaneal fracture with severe comminution and joint depression. (B) Postoperative radiograph using AO plate without bone graft showing restoration of posterior facet. (C) Follow-up CT at 3 months showing bone union with cancellous bone formation.

    Fig. 1

    Intra-articular Calcaneal Fractures Treated with Open Reduction and Internal Fixation: A Comparative Study between Groups with and without Bone Graft

    Overall data in patients with bone graft

    *Weeks, †Creighton-Nebraska health foundation score (CNHF score), ‡Böhler angle; initial and post-operative and last follow-up angle, §Gissan angle; initial and post-operative and last follow-up angle, ∥The difference between post-operative and last follow-up angle in parentheses.

    Overall data in patients with bone graft

    *Weeks, †Creighton-Nebraska health foundation score (CNHF score), ‡Böhler angle; initial and post-operative and last follow-up angle, §Gissan angle; initial and post-operative and last follow-up angle, ∥The difference between post-operative and last follow-up angle in parentheses.
    Table 1 Overall data in patients with bone graft

    *Weeks, †Creighton-Nebraska health foundation score (CNHF score), ‡Böhler angle; initial and post-operative and last follow-up angle, §Gissan angle; initial and post-operative and last follow-up angle, ∥The difference between post-operative and last follow-up angle in parentheses.

    Table 2 Overall data in patients with bone graft

    *Weeks, †Creighton-Nebraska health foundation score (CNHF score), ‡Böhler angle; initial and post-operative and last follow-up angle, §Gissan angle; initial and post-operative and last follow-up angle, ∥The difference between post-operative and last follow-up angle in parentheses.

    Table 1

    Table 2

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