Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Surgical Treatment of Calcaneal Fractures of Sanders Type II and III by A Minimally Invasive Technique with 6.5 mm Cancellous Screw

6.5 mm 해면골 전산나사를 이용한 Sanders Type II 또는 III형 종골 골절의 최소 침습적 치료

  • Oh, Yong Seung (Department of Orthopedic Surgery, Good Samsun Hospital) ;
  • Lee, Kyung Ho (Department of Orthopedic Surgery, Dong-A University College of Medicine) ;
  • Kim, Jung Ho (Department of Orthopedic Surgery, Dong-A University College of Medicine) ;
  • Lee, Myoung Jin (Department of Orthopedic Surgery, Dong-A University College of Medicine)
  • 오용승 (좋은삼선병원 정형외과) ;
  • 이경호 (동아대학교 의과대학 정형외과학교실) ;
  • 김정호 (동아대학교 의과대학 정형외과학교실) ;
  • 이명진 (동아대학교 의과대학 정형외과학교실)
  • Received : 2019.08.26
  • Accepted : 2019.09.03
  • Published : 2019.09.15
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Abstract

Purpose: This study evaluated the clinical and radiological results of 6.5 mm full threaded cancellous bone screw fixation of calcaneal fractures. Materials and Methods: Thirty seven patients diagnosed with Sanders type II or III calcaneal fractures, who underwent open reduction and internal fixation with a 6.5 mm full threaded cancellous bone screw between August 2014 and August 2017, were analyzed. Both the preoperative and postoperative Böhler angle and Gissane angle were measured radiographically. American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale on the final follow-up were also assessed. Results: The mean age of the patients was 52.7 years and the mean follow-up period was 29.5 months. In the Sanders classification, type II and III were 16 and 24 cases, respectively. The Böhler and Gissane angles improved from 21.2° and 122.6° preoperatively to 21.6° and 120.3°, respectively, in the postoperative radiographs. All cases achieved bony union, and the AOFAS ankle-hindfoot scale was 90.7 and 91.3 in Sanders type II and III, respectively, at the final follow-up. Conclusion: The treatment of calcaneal fractures using a 6.5 mm full threaded cancellous bone screw can reduce the complications with minimally invasive surgery and achieve firm fixation.

Keywords

References

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