جااندازي بازشكستگي هاي داخلي مفصلي استخوان پاشنه

Open Reduction of Intra-Articular Calcaneal Fractures (A Different Technique).

Background: Open reduction and internal fixation of intra-articular calcaneal fractures is technically difficult. Anatomical reduction is needed in order to obtain good subtalar motion and satisfactory clinical outcome. Reliable and accurate open reduction technique is needed for good results. We would like to report on a modification of open reduction technique for such a fracture. Methods: A cross-sectional study on 6 male and 1 female patients, with mean age of 39±7.72 with intra-articular calcaneal fracture was performed from 2001 to 2002. The cases had articular surfacer with Bohler angles of zero degree or less. The Sanderʹs classification of CT images included 4 cases into type IV and 3 into type III fracture types. Open reduction using the modified technique was performed through a lateral approach. The cases were evaluated by AOFAS functional scoring system with a mean follow-up of 3 years (18-60) months. Results: All the cases were satisfied to full pre-fracture jobs and activities. The AOFAS score was 82 (good) in type IV and 89 (excellent) for type III Sanderʹs fractures. Conclusions: Accurate open reduction of complex intra-articular calcaneal fracture with the modified reduction technique gives good functional results.