Korean J Sports Med.  2012 Jun;30(1):34-40. 10.5763/kjsm.2012.30.1.34.

Surgical Excision of Symptomatic Non United Fragment of Anterior Process Fractures of the Calcaneus

Affiliations
  • 1Korea National Sport University, Seoul, Korea.
  • 2Surgery of Foot and Ankle, Eulji General Hospital, Eulji University, College of Medicine, Seoul, Korea. jins33@hanmail.net
  • 3KT Lee's Foot and Ankle Clinic, Seoul, Korea.

Abstract

A fracture of the anterior process of the calcaneus has been considered unusual injury. A clinically missed diagnosis is often, that had gone on to non united fragment. Particularly if the patient has calcaneocuboid pain and disability, and that early excision of the fragment is usually advisable. There were 12 cases with performing the simple excision. The fracture characteristics were analyzed by Degan's classification; type 1 was 1case (8.3%), type 2 was 6 cases (50.0%) and type 3 was 5 cases (41.7%); and their morphology; elongation was 3 cases (50.0%) and fragmentation 3 cases (50.0%). And, the pre and post operative American Orthopedic Foot and Ankle Society midfoot score and visual analog scale was evaluated; 66.0 and 5.8 was significantly improved to 90.1 (p=0.007) and 2.2 (p=0.003), respectively. Postoperative Excellent and good satisfaction with possible return to previous sports activity was 10 cases (83.3%). Conclusively, simple excision of non united fragment of anterior process of the calcaneus is a successful clinical option.

Keyword

Anterior process of calcaneus; Non united fragment; Excision
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