재거돌기 나사유도금속판을 이용한 관절내 종골 골절의 최소 침습적 치료

Abstract

Purpose: To evaluate the clinical efficacy of the guide plate for sustentacular screw in minimal invasive surgery of intra-articular calcaneal fracture. Materials and Methods: Between August 2008 and May 2010, 26 cases from 23 patients (17 males and 6 females) of intra-articular calcaneal fractures were treated by the sustentacular screw fixation incorporated with a guide plate. All surgeries were performed using a minimally invasive technique with a sinus tarsi approach. Sanders classification was used. The mean age was 48.2 years (20~68), and average follow up period was 12 months (6~31). 17 cases were men and 6 cases were women. Results: The clinical results were evaluated with post-operative CT and AOFAS score. 19 cases were good, 7 cases were fair and the average AOFAS score was 85.4 (56~97). Bone union was achieved in all cases and there were no events of deep infection or skin necrosis. Conclusion: Treating intra-articular calcaneal fractures by mininal invasive surgery using guide plate for sustentacular screw could be an effective method.