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Ilizarov external fixators for maluninon of obsolete calcaneal fracture of Stephen TypeⅢ

2011-08-15XieMingDeptFootAnkleSurgPuaiHospTongjiMedColHuazhongUnivSciTechnolWuhan430033ChinOrthopTrauma201113135139

外科研究与新技术 2011年2期

谢 鸣(Xie Ming,Dept Foot Ankle Surg,Pu’ai Hosp,Tongji Med Col,Huazhong Univ Sci Technol,Wuhan 430033)…∥Chin J Orthop Trauma.-2011,13(2).-135~139

Ilizarov external fixators for maluninon of obsolete calcaneal fracture of Stephen TypeⅢ

谢 鸣(Xie Ming,Dept Foot Ankle Surg,Pu’ai Hosp,Tongji Med Col,Huazhong Univ Sci Technol,Wuhan 430033)…∥Chin J Orthop Trauma.-2011,13(2).-135~139

ObjectiveToevaluate the clinical effects of Ilizarov external fixator for maluninon of obsolete calcaneal fracture of Stephen TypeⅢ.MethodsFrom July 2006 to February 2009,25 patients suffering from maluninon of obsolete calcaneal fracture of Stephen TypeⅢwere treated with subtalar arthrodesis and calcaneal osteotomy followed by fixation with Ilizarov external fixator.They were 19 men and 6 women,aged from 19 to 49 years.Fifteen left feet and 10 right feet were involved.The patients underwent previous operations from one to 5 times,averaging twice.The postoperative functions were evaluated by American Orthopaedic Foot&Ankle Society(AOFAS)scoring system.ResultsThe average followup was 18.3 months(from 6 to 36 months).81%of the patients obtained anatomic or nearly anatomic reduction of the varus and valgus.The average AOFAS score was 79.4,with 2 excellent,18 good,4 fair and one poor cases.ConclusionSubtalar arthrodesis and calcaneal osteotomy followed by fixation with Ilizarov external fixator is effective for treating maluninon of obsolete calcaneal fracture of Stephen Type Ⅲ.10 refs,2 figs.

(Authors)