Abstract
We evaluated 22 foots of 20 patients (10 males and 10 females) undergoing surgical treatment for calcaneal fractures between January 2005 and January 2008. The average age of the patients was 55.0 years. The mean follow-up period was 12.8 months. The types of fractures were evaluated according to the Essex-Lopresti classification. Our surgical approach was via an Ollier lateral transverse skin incision, and all cases were treated by open reduction and fixation with Kirschner wires. Bone defects were treated by implantation of calcium phosphate cement. X-ray assessment was made using the Böhler angle, and clinical assessment was done on the basis of the Maxfield score. The average Böhler angle improved from 4.3 degrees (minimum -8 degrees, maximum 25 degrees) preoperatively to 22.5 degrees (minimum 8 degrees, maximum 40 degrees) postoperatively, and was not confirmed in the final check-up. Excellent results were obtained in 11 patients, and good results in 9. We conclude that this treatment is useful and generally yields good outcomes.
