Primary Subtalar Arthrodesis for the Treatment of Intra-articular Calcaneal Comminuted Fractures
Journal of the Korean Fracture Society
; : 418-423, 2006.
Article
en Ko
| WPRIM
| ID: wpr-195918
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: To evaluate the functional outcomes of the severely comminuted intra-articular calcaneal fractures that were selectively treated with primary subtalar arthrodesis. MATERIALS AND METHODS: This study is based on the 9 patients, 10 feet of intra-articular severely comminuted calcaneal fractures that were treated with open reduction and internal fixation with primary subtalar arthrodesis due to inability to reconstruct the subtalar articular surface with follow-up of more than 1 year. Postoperative clinical evaluation was performed with AOFAS Hindfoot functional scores. The patient satisfaction, returning to previous occupation and complications were also investigated. RESULTS: Follow-up period was average 20.3 months. Overall AOFAS functional score at final follow-up was average 71.8 points and VAS pain score was 3.9. Fifty percent of the patients were satisfied with the surgery and 80% of the patients were able to return to their previous occupations at average 8.4 months after trauma. Post-operative complications were 2 cases of sural nerve injuries and 1 hindfoot valgus malunion. CONCLUSION: We concluded that the primary subtalar arthrodesis is a viable surgical option for severely comminuted calcaneal fractures with favorable functional result and early returning of most patients to their previous occupations.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Artrodesis
/
Nervio Sural
/
Calcáneo
/
Estudios de Seguimiento
/
Satisfacción del Paciente
/
Fracturas Conminutas
/
Pie
/
Ocupaciones
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Fracture Society
Año:
2006
Tipo del documento:
Article