관혈적 정복 및 내고정을 이용한 관절 내 종골 골절의 치료 시 골이식 유무에 대한 비교 연구 = Intra-articular Calcaneal Fractures Treated with Open Reduction and Internal Fixation -A Comparative Study between Groups with and without Bone Graft-

다국어 초록 (Multilingual Abstract)

Purpose: This study compares the clinical results of open reduction and internal fixation with and without bone graft for the treatment of intra-articular calcaneal fractures. Materials and Methods: Twenty-five patients who had open reduction and internal fixation for intra-articular calcaneal fractures and available for at least 1 year of follow-up were included in this study. Fifteen cases were operated with bone graft. Period to bone union and functional evaluation score were compared between both groups with analysis of complications. Results: Bone union was achieved in all cases with average bone union time of 11.6 weeks and 12.8 weeks in group with and without bone graft respectively. Creighton-Nebraska Health Foundation (CNHF) functional score was 86.5 points and 80.3 points respectively. The period to bone union and the CNHF score in the comparison of two groups were statistically insignificant. Complications were observed in four cases of group without bone graft and 5 cases of group with bone graft. Conclusion: This study indicates that bone graft does not play a significant role in bone union and functional outcome when intra-articular calcaneal fractures are treated with open reduction and internal fixation.

참고문헌 (Reference)

1 McLaughlin HL, "Treatment of late complications after os calcis fractures" 30 : 111-115, 1963

2 Ross SD, "The operative treatment of fractures of the os calcis" 199 : 132-143, 1985

3 Palmer I, "The mechanism and treatment of fractures of the calcaneus; open reduction with the use of cancellous grafts" 30 : 2-8, 1948

4 문정석, "Sanders 2형 종골 골절에 대한 두 가지 외측도달법의 비교연구 Sanders 2형 종골 골절에 대한 두 가지 외측도달법의 비교연구" 대한골절학회 22 (22): 13-18, 2009

5 Burdeaux BD, "Reduction of calcaneal fractures by the McReynolds medial approach technique and its experimental basis" 177 : 87-103, 1983

6 Kalamchi A, "Posterior subtalar fusion. A preliminary report on a modified Gallie's procedure" 59 : 287-289, 1977

7 Tornetta P, "Percutaneous treatment of calcaneal fractures" 375 : 91-96, 2000

8 Zwipp H, "Osteosynthesis of displaced intraarticular fractures of the calcaneus. Results in 123 cases" 290 : 76-86, 1993

9 Sidqui M, "Osteoblast adherence and resorption activity of isolated osteoclasts on calcium sulphate hemihydrate" 16 : 1327-1332, 1995

10 Leung KS, "Operative treatment of displaced intra-articular fractures of the calcaneum. Medium-term results" 75 : 196-201, 1993

11 Sanders R, "Operative treatment in 120 displaced intraarticular calcaneal fractures. Results using a prognostic computed tomography scan classification" 290 : 87-95, 1993

12 Letournel E, "Open treatment of acute calcaneal fractures" 290 : 60-67, 1993

13 Huang PJ, "Open reduction and internal fixation of displaced intra-articular fractures of the calcaneus" 52 : 945-950, 2002

14 McReynolds IS, "Open reduction and internal fixation of calcaneal fractures" 54 : 176-177, 1972

15 Dick HM, "Infection of massive bone allografts" 306 : 46-53, 1994

16 Lord CF, "Infection in bone allografts. Incidence, nature, and treatment" 70 : 369-376, 1988

17 양규현, "F형 금속판을 이용한 전위성 관절내 종골 골절의 치료" 대한골절학회 20 (20): 1-5, 2007

18 Crosby LA, "Computerized tomography scanning of acute intra-articular fractures of the calcaneus. A new classification system" 72 : 852-859, 1990

19 Smith RW, "Computerized tomography (CT) scanning technique for the hindfoot" 177 : 34-38, 1983

20 Heger L, "Computed tomography of the calcaneus: normal anatomy" 145 : 123-129, 1985

21 Guyer BH, "Computed tomography of calcaneal fractures: anatomy, pathology, dosimetry, and clinical relevance" 145 : 911-919, 1985

22 Fernandez DL, "Combined percutaneous and "minimal" internal fixation for displaced articular fractures of the calcaneus" 290 : 108-116, 1993

23 Segal D, "Clinical application of computerized axial tomography (CAT) scanning of calcaneus fractures" 199 : 114-123, 1985

24 Paley D, "Calcaneal fracture controversies can we put humpty dumpty together again?" 202 : 665-677, 1989

25 Lane JM, "Bone grafting and new composite biosynthetic graft materials" 47 : 525-534, 1998

26 Longino D, "Bone graft in the operative treatment of displaced intraarticular calcaneal fractures: is it helpful?" 15 : 280-286, 2001

27 Kennedy JG, "An outcomes assessment of intra-articular calcaneal fractures, using patient and physician's assessment profiles" 34 : 932-936, 2003

28 Macey LR, "Acute calcaneal fractures: treatment options and results" 2 : 36-43, 1994