Surgical Outcomes of Intra-articular Fractures of Calcaneus using AO Calcaneal Plate / 대한족부족관절학회지

ABSTRACT

PURPOSE: To evaluate the outcomes of intra-articular calcaneal fractures treated using AO calcaneal plate surgically. MATERAILS AND METHODS:Total 15 cases of intra-articular calcaneal fracture that treated with open reduction and internal fixation using AO calcaneal plate were evaluated. The patients were followed over a mean period of 19.8 months. The mean age was 41.6 years. By Sanders classification, there were 2 cases of type II, 10 cases of type III, and 3 cases of type IV. We evaluated radiological outcomes by Bohler angle, Gissane angle, calcaneal hight, calcaneal width and clinical outcomes by Creighton-Nebraska health foundation score. RESULTS:All fractures united at a mean duration of 13.3 weeks. Radiologically, the mean preoperative Bohler angle was 8.5 degrees and restored to 23.3 degrees . The mean preoperative Gissane angle was 118.7 degrees and restored to 124.2 degrees . The mean preoperative calcaneal hight was 30.8 mm and restored to 38.9 mm. The mean preoperative calcaneal width was 41.3 mm and restored to 35.3 mm. 10 cases had excellent and good clinical outcomes and 5 cases having fair outcome. Conculsion In our study, open reduction and internal fixation using AO calcaneal plate showed good results with anatomical restoration of articular surface and stable fixation without late collapse