Journal of Korean Foot and Ankle Society (대한족부족관절학회지)
- Volume 5 Issue 1
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- Pages.35-42
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- 2001
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
CT Classification and Treatment of Intraarticular Calcaneal Fractures - Conservative vs. Surgical Treatment by Prospective Study -
관절내 종골 골절의 전산화 단층 촬영에 따른 분류 및 치료
- Kang, Jae-Do (Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital) ;
- Kim, Hyung-Chun (Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital) ;
- Kim, Jin-Hyung (Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital)
- Published : 2001.06.01
Abstract
Purpose: To analyze the results of conservative or surgical treatment after computed tomograhy(CT) classification in intraarticular calcaneal fractures. Materials and methods: From January 1996 to May 1999, we prospectively analyze 23 cases of intraarticular calcaneal fractures who were treated conservatively or operated by open reduction and internal fixation by extensive L-shaped lateral approach after CT classification. Results: A functional scoring system of 0-100 points which was based upon the responses to AOFAS Ankle-Hindfoot Scale for the operative group was at 82.8, compared with 73.2 for the non-operative group, and these were meaningful statistically(P<0.05). Of type I fracture, in the operative group there were 2 excellent results and in the non-operative group there were 2 excellent results, 1 good result. or type II fractures, in the operative group there were 2 excellent results, 3 good results, 1 fair result and in the non-operative group there were 1 good result, 1 fair result, 2 poor results. Of type III fractures, in the operative group there were 2 fair results, 2 poor results and in the non-operative group there were 1 fair result, 3 poor results. Bohler angles of subtalar joint were changed from initial average
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