Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Predicting Factors on Surgical Management of Unilateral Calcaneal Fracture

편측 종골 골절의 수술적 치료의 예후 관련 인자

  • Lee, Sang-Wook (Department of Orthopaedic surgery, Daegu Catholic University Hospital) ;
  • Ko, Sang-Bong (Department of Orthopaedic surgery, Daegu Catholic University Hospital) ;
  • Lee, Hyun-Sub (Department of Orthopaedic surgery, Daegu Catholic University Hospital)
  • 이상욱 (대구가톨릭대학병원 정형외과) ;
  • 고상봉 (대구가톨릭대학병원 정형외과) ;
  • 이현섭 (대구가톨릭대학병원 정형외과)
  • Published : 2006.12.01
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Abstract

Purpose: To study prognostic factors of unilateral calcaneus fracture underwent surgery. Materials and Methods: We selected appropriate 60 cases of 236 calcaneus fracture cases between March 1985 and March 2004, and analyzed the correlation between sex, age, smoking, injury mechanism, Essex-Lopresti classification of calcaneus fracture, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle and Visual Analogue Scale (VAS), P.S. Kerr's Calcaneal Fracture Score (CFSS). The average age was 41.4 and average follow up period was 74 (12 to 240) months. Results: For follow up period, average VAS is 3.43 and CFSS is 81.23. The sex, age, smoking, injury mechanism, and preoperative, postoperative, postoperative 1 year Bohler angle had no correlation with the prognosis. But the Essex-Lopresti classification of calcaneus fracture, tongue type had better prognosis than joint depression type (VAS : p=0.041, CFSS : p=0.021). Conclusion: In unilateral calcaneus fracture, the sex, age, smoking, injury mechanism, preoperative Bohler angle, postoperative Bohler angle, postoperative 1 year Bohler angle had no correlation with the prognosis of fracture, but in Essex-Lopresti classification, the tongue type fracture had better prognosis than the joint depression type.

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