종골 골절의 역학

Abstract

Purpose: Calcaneal fracture is a rare fracture, which accounts for about 2% of all fractures, but is one of the most common fractures in the ankle bone. There is no recent epidemiological study of fractures. So our study aims to provide the latest information on these. Material and Methods: We retrospectively reviewed the patients with calcaneal fractures who visited our hospital for 10 years from 2008 to 2018. Statistics were obtained on gender, age, bilaterality, trauma mechanism, concomitant injuries, fracture classification, treatment method and complications. All fractures were analyzed by x-ray and computed tomography(CT) review. Results: Total 317 patients were treated with 374 calcaneal fractures over a 10-year period from 2008 to 2018. The mean age of the patients was 47.0±15.3 years and 57 patients had bilateral fractures. Fall down is the most common injury mechanism and other lower limb fractures were the most common concomitant injuries. Sanders type III was the most common and almost all fractures were treated with sinus tarsi approach. The most common complication was posttraumatic arthritis. Conclusion: The calcaneal fracture patients presented here were mainly middle-aged men in their 40’s and 50’s, with bilateral injuries in about 18%. High energy trauma, such as falls and traffic accidents, was main cause of injury. Because of high complication rates, orthopedic surgeons should fully explain the poor prognosis of this fracture to patients before treatment.