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Original Articles
- Intra-articular Fracture of the Calcaneus: Analysis of Result of Operative Treatment and Prognostic Factor
- Sung Soo Chung, Jai Gon Seo, Youn Soo Park, Chong Suh Lee, Tae Kyu Hwang
- J Korean Soc Fract 1998;11(4):865-872. Published online October 31, 1998
- DOI: https://doi.org/10.12671/jksf.1998.11.4.865
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Abstract
PDF - The calcaneus is the most commonly fractured tarsal bone, but the appropriate care of calcaneal fracture continue to be an unsolved dilemma. As technology in imaging has improved, operative treatment is more suggested. The purpose of this study is to evaluate the results of operative treatment in intra-articular calcaneal frcture and to analyse the results in accordance with various prognostic factors. We analysed retrospectively 13 patients, 17 intra-articular calcaneal fractures undergone operative treatment. Mean follow-up period was 27 months (range:13 ~ 44 months). There were 11 males and 2 females with 41 year old mean age (range:18 ~ 63 years old). Clinical assessment used the modified Creighton-Nebraska health foundation assessment sheet for fracture of the calcaneus. We obtained excellent result in 7 cases (41.2%), good in 2 cases (11.8%), fair in 7 cases (41.2%) and poor in 1 case (5.8%). Clinically age and body weight, radiologically Bohler angle, fibulo-calcaneal distance and subtalar joint discrepancy are related to the prognosis of intra-articular calcaneal fracture following operative treatment. Postoperative complications are limping (2 case), heel pain (3 cases), hump bump of calcaneus (1 case) and subtalar arthritis (1case). In conclusion, on the basis of our results, there is a relationship between anatomical abnormalities of the heel and a poor clinical outcome. Therefore, in operative treatment of intra-articular fracture of calcaneus, we recommend anatomical reduction, if possible, not only of the subtalar joint but also of the Bohler angle and fibulo-calcaneal distance.
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- Treatment of Unstable Thoracic and Lumbar Spine Fracture with Harrington SSI(Segmental Spinal Instrumentation)
- Se IL Suk, Choon Ki Lee, Chong Suh Lee
- J Korean Soc Fract 1988;1(1):54-63. Published online November 30, 1988
- DOI: https://doi.org/10.12671/jksf.1988.1.1.54
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Abstract
PDF
- This is a retrospective clinical and roentgenographic study to measure the correction of deformity and rigidity of Harrington SSI in the stabilization of unstable thoracic and lumbar spine fractures. 35 patients with unstable thoracic and lumbar spine fracture were treated with Harrington SSI from Feb. 1985 to Mar. 1987 in SNUH and 29 patients were followed up for more than 1 year, average 15.6 months. At final follow up of these 29 patients, 73.1% of patents gained neurologic improvment. Measurement of correction of anterior, middle and posterior coumn height, local kyphosis and anteroposterior offset were 29.7%, 5.2%, 31.2%, 12.8° and 5.3mm and loss of correction of these were 6.5%, 0.1%, 5.8%, 3.1° and 1.1m.
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