Intra-articular Calcaneal Fractures Treated with Open Reduction and Internal Fixation -A Comparative Study between Groups with and without Bone Graft-

Hong Moon Sohn; Sang Ho Ha; Jun Young Lee; Sung Hwan Jo; Hoon Yang

doi:10.12671/jkfs.2010.23.2.180

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Sohn, Ha, Lee, Jo, and Yang: Intra-articular Calcaneal Fractures Treated with Open Reduction and Internal Fixation -A Comparative Study between Groups with and without Bone Graft-

Original Article

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2010; 23(2): 180-186.

Published online: 30 April 2010

DOI: https://doi.org/10.12671/jkfs.2010.23.2.180

Intra-articular Calcaneal Fractures Treated with Open Reduction and Internal Fixation -A Comparative Study between Groups with and without Bone Graft-

Hong Moon Sohn, M.D., Sang Ho Ha, M.D., Jun Young Lee, M.D., Sung Hwan Jo, M.D., Hoon Yang, M.D.

Department of Orthopedic Surgery, Chosun University College of Medicine, Gwangju, Korea.

Address reprint requests to: Jun Young Lee, M.D. Department of Orthopedic Surgery, Chosun University Hospital, 588, Seosuk-dong, Dong-gu, Gwangju 501-717, Korea. Tel: 82-62-220-3147, Fax: 82-62-226-3379, leejy88@chosun.ac.kr

Received 29 October 2009 Revised 26 January 2010 Accepted 30 January 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study compares the clinical results of open reduction and internal fixation with and without bone graft for the treatment of intra-articular calcaneal fractures.

Materials and Methods

Twenty-five patients who had open reduction and internal fixation for intra-articular calcaneal fractures and available for at least 1 year of follow-up were included in this study. Fifteen cases were operated with bone graft. Period to bone union and functional evaluation score were compared between both groups with analysis of complications.

Results

Bone union was achieved in all cases with average bone union time of 11.6 weeks and 12.8 weeks in group with and without bone graft respectively. Creighton-Nebraska Health Foundation (CNHF) functional score was 86.5 points and 80.3 points respectively. The period to bone union and the CNHF score in the comparison of two groups were statistically insignificant. Complications were observed in four cases of group without bone graft and 5 cases of group with bone graft.

Conclusion

This study indicates that bone graft does not play a significant role in bone union and functional outcome when intra-articular calcaneal fractures are treated with open reduction and internal fixation.

Keywords: Calcaneus, Intra-articular fracture, Open reduction and internal fixation with plate, Bone graft

Figures and Tables

Fig. 1

54-year-old male patient.

(A) Preoperative lateral, axial view and CT coronal image showing Sanders type IIIAB calcaneal fracture with severe comminution and joint depression.

(B) Postoperative radiograph using AO plate without bone graft showing restoration of posterior facet.

(C) Follow-up CT at 3 months showing bone union with cancellous bone formation.

Table 1

Overall data in patients with bone graft

^*Weeks, ^†Creighton-Nebraska health foundation score (CNHF score), ^‡Böhler angle; initial and post-operative and last follow-up angle, ^§Gissan angle; initial and post-operative and last follow-up angle, ^∥The difference between post-operative and last follow-up angle in parentheses.

Table 2

Overall data in patients with bone graft

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