F형 금속판을 이용한 전위성 관절내 종골 골절의 치료

Abstract

Purpose: To evaluate the clinical efficacy of F-plate in displaced intra-articular fractures of calcaneus. Materials and Methods: Total 43 cases treated with F-plate and followed up at least six months postoperatively were reviewed. Radiographically, B hler angle was measured and all cases were subdivided by Sanders classification. Each case was reviewed for the presence of local infection, traumatic arthritis, nonunion, and any breakage of plate or screw. Maryland foot score was used for clinical assessment and factors influencing on clinical results were determined. Results: The mean B hler angle was improved from 0.5˚ (range: -24.7.35.5˚) preoperatively to 25.8˚ (range: 14.2.38.6˚) postoperatively and the angle at last follow-up was 23.5˚ (range: 10.2.37.5˚), showing about 2.3 degree decline compared to postoperative B hler angle. There were two cases of F-plate breakage and two cases of screw breakage but the metal breakage did not affect any change in B hler angle. Other complications were; five cases of traumatic arthritis, one case of varus malunion and one case of deep wound infection. According to Maryland foot score, there were 10 excellent, 22 good, 10 fair and 1 poor result. Furthermore, Age, pre-operative B hler angle and the patient`s expectation on financial compensation had significant influences upon the clinical result. Conclusion: F-plate fixation seems to yield firm fixation and satisfactory clinical results in the treatment of displaced intra-articular fractures of calcaneus.