J Korean Foot Ankle Soc.  2012 Sep;16(3):175-180.

Comparison of F Calcaneal Plate and Locking Calcaneal Plate Fixation Using an Lateral Extensile Approach to Intra-articular Calcaneal Fractures

Affiliations
  • 1Department of Orthopedic Surgery, National Health Insurance Corporation Ilsan Hospital, Ilsan, Korea. hyuncoh@hamail.net
  • 2Department of Orthopaedic Surgery, College of Medicine, Yonsei University, Korea.

Abstract

PURPOSE
To evaluate the radiological and clinical results after open reduction and internal fixation with calcaneal F plate and locking calcaneal plate using lateral extensile approach in the treatment of intra-articular calcaneal fracture.
MATERIALS AND METHODS
This study included 34 cases of 33 patients followed up for at least 6 months postoperatively. F plate was applied in 18 cases (Group 1), locking plate was used in 16 cases (Group 2) and compared radiological and clinical results between two groups.
RESULTS
Radiollogically, the mean Bohler angle was improved from 5.5degrees preoperatively to 20.1degrees postoperatively and 18.8degrees at the last follow up in group 1 and 8.6degrees preoperatively, 21.4degrees postoperatively and 20.3degrees at last follow up in group 2. Bone union was observed in all cases and 4 cases of screw loosening were noted in Group 1 with extended fracture to anterior process. At the last follow up, both groups showed clinical results in American orthopedic foot and ankle society ankle hindfoot score, 76(77 in Sanders type II and 75 in type III) in group 1 and 72(73 in type II and 70 in type III) in group 2.
CONCLUSION
F plate and locking plate showed firm fixation and satisfactory clinical results in the treatment of intra-articular calcaneal fracture. We suggest applying locking plate in cases with extended fracture to anterior process, considering screw loosenings in those who were treated with F plate fixation.

Keyword

Calcaneus; Intraarticular fracture; Calcaneal F plate; Locking calcaneal plate

MeSH Terms

Animals
Ankle
Calcaneus
Follow-Up Studies
Foot
Humans
Intra-Articular Fractures
Orthopedics
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