종골의 관절함몰형 골절의 예후인자 = Prognostic Fators of Joint Depression Type Calcaneal Fracture

다국어 초록 (Multilingual Abstract)

Joint depression type fracture of calcaneus treated at the Department of Orthopedic Surgery, Seoul Paik Hospital since July 1993 to Sept. 1997, who would be followed up and their final results were evaluated and studied. 16 cases in 15 patients were included in the study. Main couse of fracture was fall from height(12 patients) and most common associated injury was spine injury 11 cases had open reduction and plate fixiation, 4 cases had pin fixiation and 1 patient were treatedby initial cast immobilization and later subtalar fusion. The result of these patients were evaluated by Ankle-Hind Foot Scale and 5 cases were above 90 point. The initial merican Orthpedic were analyzed and following results were obtained.
1.Of 15 patients, 9 patients were male and 6 were female.
2.The main cause of fracture of calcaneus was a fall from a height(12 patients) There were 6 associated spine fracture.
3.16 cases of joint depression type calcancal fracture treated at Paik Hospital were analyzed to evaluate prognostic factors.
4.Type 15 cases were treated by open reduction and among them 4 cases were treated by pin fixation 11 cases and fixed by plate and screw. One case was treated by cast immobilization and subtalar fusion later.
5.The results were evaluated by ankle-Hind foot side and 5 cases were above 90 point, 7 cases above 80 point 2 cases above 70 point, 2 cases above 60 point.
6.Four prognostic value were evaluated. The B hler angle, Gissan angle, joint depression, widening of calcaneus. Among them restoration of widening of calcaneus and Gissan angle were more prognostic.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.재료 및 방법
• Ⅲ.증례 분석
• A.설별 및 연령 분포
• B.골절의 원인
• C.동반 손상
• D.골절의 분류 및 측정
• F.치료
• G.치료 결과
• Ⅳ.고찰
• Ⅴ.결론