양측 종골 골절 환자의 치료 후 임상적 및 방사선학적 결과
Clinical and Radiological Results of Treatment in Bilateral Calcaneal Fracture
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Purpose: The purpose of this study is to find out clinical and radiological outcomes in 70 patients of both calcaneal fracture. Materials and Methods: From March 1993 to March 2011, 70 patients underwent non-operative management or operative management at our hospital. Conservative management was performed in 15 cases of undisplaced fracture (Group A). Operative management was performed in 125 cases including 32 cases of undisplaced fracture (Group B), 60 cases of joint depression type fracture (Group C), 33 cases of tongue type fracture (Group D). Results were evaluated by VAS score,AOFAS score, circle draw test, Bohler angle (BA), Gissane angle, width & height of calcaneus. Results: VAS scores were 2.0 in group A, 2.0 in group B, 2.2 in group C, 2.7 in group D. AOFAS scores were 90.4 in group A, 91.9 in group B, 72.2 in group C, 79.2 in group D. Circle draw tests were 8.4 cm in group A, 10.1 cm in group B, 7.6 cm in group C, 7.9 cm in group D. Bohler angles (BA) and Gissane angles were 19.1˚, 96.7˚in group A, 21.8˚, 119.1˚in group B,26.3˚, 121.2˚in group C, 19.7˚, 119.7˚in group D. Calcaneal widths and heights were 39.5 mm, 31.6 mm in group A, 32.7mm, 37.0 mm in group B, 34.4 mm, 39.2 mm in group C, 35.2 mm, 38.7 mm in group D. Conclusion: The main cause of bilateral calcaneal fracture is an injury from a fall, and the cases were more frequently occurred in men than women. Also the fracture in the right side tend to occur more severely compared to the left side. The surgical treatment shows better results than conservative treatment in bilateral calcaneal fracture.
Abstract
Purpose: The purpose of this study is to find out clinical and radiological outcomes in 70 patients of both calcaneal fracture. Materials and Methods: From March 1993 to March 2011, 70 patients underwent non-operative management or operative management at our hospital. Conservative management was performed in 15 cases of undisplaced fracture (Group A). Operative management was performed in 125 cases including 32 cases of undisplaced fracture (Group B), 60 cases of joint depression type fracture (Group C), 33 cases of tongue type fracture (Group D). Results were evaluated by VAS score,AOFAS score, circle draw test, Bohler angle (BA), Gissane angle, width & height of calcaneus. Results: VAS scores were 2.0 in group A, 2.0 in group B, 2.2 in group C, 2.7 in group D. AOFAS scores were 90.4 in group A, 91.9 in group B, 72.2 in group C, 79.2 in group D. Circle draw tests were 8.4 cm in group A, 10.1 cm in group B, 7.6 cm in group C, 7.9 cm in group D. Bohler angles (BA) and Gissane angles were 19.1˚, 96.7˚in group A, 21.8˚, 119.1˚in group B,26.3˚, 121.2˚in group C, 19.7˚, 119.7˚in group D. Calcaneal widths and heights were 39.5 mm, 31.6 mm in group A, 32.7mm, 37.0 mm in group B, 34.4 mm, 39.2 mm in group C, 35.2 mm, 38.7 mm in group D. Conclusion: The main cause of bilateral calcaneal fracture is an injury from a fall, and the cases were more frequently occurred in men than women. Also the fracture in the right side tend to occur more severely compared to the left side. The surgical treatment shows better results than conservative treatment in bilateral calcaneal fracture.
참고문헌 (15)
- Kim ES, "Result of surgical treatment of intra-articular fractures of the calcaneus-Based on CT classification and open reduction and internal fixation-", J Korean Foot Ankle Soc, 7, pp.238~249 (2003)
- 성창훈, "관절 내 종골 골절의 수술적 치료-관혈적 정복술과 도수정복술의 치료결과의 비교-", 대한골절학회지, 18(2), pp.170~175 (2005), 대한골절학회
- Cave EF, "Fracture of the os calcis; the problem in general", Clin Orthop Relat Res, 30, pp.64~66 (1963)
- Choi JC, "Open reduction and internal fixation of intraarticular calcaneal fractures by the extended lateral approach", J Korean Orthop Assoc, 32, pp.370~375 (1997)
- Kang KS, "Open reduction of calcaneal fracture", J Korean Orthop Assoc, 21, pp.563~569 (1986)
- Moon MS, "Clinical study of treatmen and it’s results", J Korean Orthop Assoc, 15, pp.121~127 (1980)
- 양규현, "F형 금속판을 이용한 전위성 관절내 종골 골절의 치료", 대한골절학회지, 20(1), pp.1~1 (2007), 대한골절학회
- Heckman JD, "Rockwood and Green’s fractures in adults.3rd ed", pp.2103~2131 (1984), JB Lippincott Co
- Park IH, "Correlationship between degree of displacement and range of motion of the subtalar joint after calcaneal fracture", J Korean Foot Ankle Soc, 2, pp.19~29 (1998)
- Buckley RE, "Comparison of open versus closed reduction of intraarticular calcaneal fractures : a matched cohort in workmen", J Orthop Trauma, 6, pp.216~222 (1992)
- Kundel K, "Calcaneal fractures : operative versus nonoperative treatment", J Orthop Trauma, 41, pp.839~845 (1996)
- Parmar HV, "Intraarticular fractures of the calcaneum treated operatively or conservatively: a prospective study", J Bone Joint Surg Br, 75, pp.932~937 (1993)
- Thordarson DB, "Operative versus nonoperative treatment of intraarticular fractures of the calcaneus : a prospective, randomized trial", Foot Ankle Int, 17, pp.2~9 (1996)
- Randle JA, "Should calcaneal fractures be treated surgically : a meta-analysis", Clin Orthop, 377, pp.217~227 (2000)
- Buckley R, "Operative compared with nonoperative treatment of displaced intraarticular calcaneal fractures: a prospective, randomized, controlled multicenter trial", J Bone Joint Surg Am, 84, pp.1733~1744 (2002)