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Journal List > J Korean Fract Soc > v.20(2) > 1037580

Kong, Suh, and Kim: Joint Depression Type of Intraarticular Calcaneal Fractures Treated with Essex-Lopresti Method

Abstract

Purpose

To evaluate the result of joint depression type of intraarticular calcaneal fractures treated with Essex-Lopresti method.

Materials and Methods

From March 2001 to February 2005, Thirty two patients' joint depression type of intraarticular calcaneal fractures which treated with Essex-Lopresti method were clinically and radiographically evaluated retrospectively.

Results

According to Creighton-Nebraska Health Foundation Assessment Score (C-N score), there were 5 excellent, 11 good, 6 fair and 10 poor results. Böhler angle was corrected from 10.3 degrees to 24.5 degrees. There was a positive correlation between size of depressed fragment and C-N score (p<0.01).

Conclusion

Essex-Lopresti method can substitute open reduction methods in joint depression type of intraarticular calcaneal fractures which have relatively large depressed joint fragments.

Figures and Tables

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Fig. 1

These photographs show methods of measurement of the size of depressed fragment (A), Böhler angle (B) and calcaneal width (C).

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Fig. 2

Preoperative lateral radiograph (A) and CT scan (B) of a 43 year-old male patient show joint depression type of intraarticular calcaneal fracture. Preoperative Böhler angle is 11.6 degrees and the size of depressed joint fragment is 13.5 mm. Postopertive radiograph (C) shows increased Böhler angle to 30.5 degrees. Nineteen month follow-up radiogragh (D) shows good alignment of subtalar joint and 30 degrees of Böhler angle. Final C-N score is 85 points.

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Table 1

Creighton-Nebraska health foundation assessment scale for fractures of the calcaneus*

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*90 to 100 points is an excellent result; 80 to 89 a good result; 65 to 79 a fair result; and 64 or less a poor result.

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Table 2

Radiographic and clinical results of the joint depression type of intraarticular calcaneal fractures

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*Creighton-Nebraska health foundation assessment score.

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