Journal of Musculoskeletal Trauma

Original Articles

Usefulness of CT Scan in Treatment of Calcaneal Fracture: Hak Jun Kim, Kwon Ick Ha, Jeong Ro Yoon, Jae Ik Shim, Taik Seon Kim, Young Bae Kim, Woo Seung Lee, Jae Hyuck Choi; J Korean Soc Fract 2003;16(4):526-533. Published online October 31, 2003; DOI: https://doi.org/10.12671/jksf.2003.16.4.526

PURPOSE
Accurate fracture classification is difficult because of its complex bony architecture and there is no definitive treatment modality according to fracture pattern or classification. We evaluated the fracture pattern using simple radiography and CT scan simultaneously and then the result according to treatment modalities and fracture classification.
MATERIALS AND METHODS
We evaluated 24 patients (26 cases) who suffered intraarticular calcaneal fracture were treated with closed reduction and axial pinning or open reduction and plate fixation. There were had taken CT scan. Fractures were classified with two different manner using both plain radiography and CT scan. Essex-Lopresti classification was made with plain radiography and Sanders classification was made with CT scan. Radiographic results were measured of preoperative and postoperative Bohler angle on plain x-ray. 16 patients (17 cases) were analyzed for clinical outcomes by Salama's criteria focused on pain, patients' satisfaction, walking abilities and usage of orthosis.
RESULTS
Mean followed-up period was 6 years (range 1~8.8 years). 8 cases were classified into tongue type intraarticular calcaneal fractures by plain radiography and 9 cases into joint depression type. According to Sanders classification by CT scan, 5 cases were classified into type IIA, 1 case IIC, 4 cases type IIIA, 4 cases IIIB and 3 case type IV. 12 fractures were reduced by closed reduction and axial fixation and 5 cases by open reduction and internal fixation. There was no correlation between clinical outcomes and treatment modality but there was linear correlation between clinical outcomes and postoperative Bohler angle (correlation coefficient = 0.04). In 8 cases of tongue type by plain radiography, sanders type IIC was only 1 case which calcaneal tuberosity connected to articular facet but articular involvements were observed in remaining cases.
CONCLUSION
Accurate eavaluation of articular facet in calcaneal fracture by CT scan is necessary to determining to select the treatment option.

Citations

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Physiological Characteristics and Anti-Obesity Effect of Lactobacillus plantarum K6 isolated from Kimchi
Seulki Kim, Sang-Dong Lim
Journal of Milk Science and Biotechnology.2017; 35(4): 221. CrossRef

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Torsional Deformity Following Intramedullary Nailing for Treatment of the Tibia Fractures: Ju O Kim, Sung Jun Lee, Yeub Kim, Hae Ryong Huh; J Korean Soc Fract 2000;13(4):928-934. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.928

Abstract PDF: PURPOSE
To determine the incidence and extent of torsional mal-alignment in patients with tibial shaft fractures treated with closed antegrade intramedullary(IM) nailing.
MATERIALS AND METHODS
We measured torsion using CT scanning in 35 patients. Affected tibiae were compared with the normal tibiae.
RESULTS
A torsional difference of 8degrees or more found in 22 cases(63%) as compared with the uninjured side. Only 7 of these cases could be clinically detected and only two patients noted the problem.
CONCLUSION
Torsional mal-alignment occurs in a significant number of tibial fractures treated by closed IM nailing in spited of careful attention to detail. We recommend that torsional mal-alignment be considered as a likely cause for less than optimal result after treatment of the tibial fractures by closed IM nailing and to investigate this further by performing CT scans.

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