당뇨병을 동반한 관절내 종골 골절 환자에서 최소 절개 족근동 접근법을 이용한 치료

Abstract

Purpose : Wound problem occurs in 5-30% of intra-articular calcaneal fracture following operation. When patient has underlying diabetes mellitus, large incision and abundant dissection can cause wound problems that may require skin graft or other intensive care. We used new method of minimal invasive technique to treat intra-articular calcaneal fracture and achieved satisfying result, thereby reporting it. Materials and Methods : Between January 2002 and July 2005, 12 patient with intra-articular calcaneal fracture who have underlying diabetes mellitus were treated using minimal invasive technique. The patients were followed for 19 months (range, 13 to 32 months), and had average age of 47 (range, 39 to 67 years). The mean period between accident and operation was 8 days (range, 5 to 14 days) and mean pin removal period was 7.3 weeks (range, 6 to 9 weeks). Clutch assisted partial weight bearing was indicated for average of 7.3 weeks (range, 6 to 9weeks) and full weight bearing was allowed after average of 9.3weeks (range 7 to 11weeks). Result : 10 patient (83%) had excellent and 2 patients (17%) showed good result according to AOFAS for ankle and hindfoot. Conclusion : Minimal invasive technique for treating intra-articular calcaneal fracture is an excellent operative method to group of patients with underlying DM as this method can minimize soft tissue incision and preserve subtalar joint function.