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전위성 관절내 종골 골절에서 Bohler 각의 회복에 있어서 외부 견인 장치 ( External distractor ) 의 이용
The Effect of External Distractor on Recovery of Bohler angle in Displaced Intraarticular Calcaneal Fractures
황득수(Deuk Soo Hwang),이광진(Kwang Jin Rhee),이준규(June Kyu Lee),최정희(Jung Hee Choi)
UCI I410-ECN-0102-2009-510-005265775

Purpose: We had studied the results retrospectively in displaced intraarticular calcaneal fractures treated with internal fixation by screw for thalamic portion and percutaneous pinning by K-wire using minimal Ollier's lateral approach, so we had reported good results, but recovery of Bohler angle loss was difficult technically. So, we used intraoperative external distractor combined with previous our method. Materials and Methods: We analysed retrospectively Bohler angle and clinical results on 12 cases with calcaneal fracture, who underwent an operation for displaced intraarticular calcaneal fracture by using external distractor from January 1997 to August 1998. Bohler angles were measured at preoperative, postoperative and last follow-up X-ray. Surgical technique is through minimal Ollier's lateral approach, reduced and fixed with screw of displaced posterior facet and used intraoperative external distractor for restoring of depressed calcaneal tuberosity and then did percutaneous pinning with K-wire. Results: In the previous our reports, the mean preoperative and postoperative Bohler angle were-0.9。, 19.1。 each other and the mean recovery of Bohler angle was 20.1。. After we use the intraoperative external distractor, the mean preoperative and postoperative Bohler angle were 0.92。, 26.0。 each other and the mean recovery of Bohler angle is 26.9。. It is nearly normal range of Koreans Bohler angle(31.1±0.4). Also there is no complication such as intraoperative calcaneal tuberosity fracture and soft tissue injury(skin necrosis, neurovascular injury). Conclusion: We obtained enough restoration of Bohler angle to normal range by using our previous method combined with intraoperative external distractor.

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