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戰鬪地域에서 發生한 踵骨骨折에 對한 臨床的 考察

Clinical Analysis of Fractures of the Calcaneus

최신의학 1970년 13권 2호 p.106 ~ 112
徐雄吉, 朴聖德, 趙桂衡,
소속 상세정보
徐雄吉 (  ) - 鎭海 海軍病院 整形外科
朴聖德 (  ) - 鎭海 海軍病院 整形外科
趙桂衡 (  ) - 鎭海 海軍病院 整形外科

Abstract


The clinical analysis 33 cases of the calcaneal fractures, treated at the Dept. of Orthopedic Surgery of Chin-Hae Naval Hospital for three years from September, 1966 to August, 1969, was reported. The results were as follows;
1) All the patient were male and in the 3 rd. decade of life.
2) There were 20 cases caused by booby trap explosion, 9 cases by gunshot, 3 cases by falling from a height and one case by other causes.
The most common cause in this series was the booby trap explosion as 60% in frequency.
3) 21 cases were open fractures and 12 cases were closed fractures. Open fractures were about twice as frequent as closed fractures.
4) The classification in this series was follwed to Essex-Lopresti´s; According to his classification, Group I was fractures of the calcaneus not involving the subtalar joint and Group II was -fractures of the calcaneus involving the subtalar joint.
5) Associated injuries were in 22 cases (66%). Among them, 19 cases were caused by booby trap explosion. Comminuted fractures of the tibia and the fibula in 10 cases, comminuted fractures of the femur in 5 cases, loss of soft tissue of heel in 3 cases, injuries of common peroneal nerve in 2 cases, fractures of the metatarsal bone in one case and fracture of the second lumbar vertebra in one case, could be noticed as associated injuries.
It is said that fractures of the calcaneus caused by falling from a height were frequently associated with fracture of the spine. But in our series, fracture of the spine could not be observed in the cases caused by booby trap explosion.
6) The principle of treatment in our series was as follows; Conservative treatment for Group I and open reduction or athrodesis for Group II.
7) Disabilities after treatment were 14 cases, in which 10 cases were treated by conservative method and 4 cases by open method. In our series, disability was found more frequently in the cases what had been treated by conservative method than in the cases treated by open method.

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