日本職業・災害医学会会誌第51巻第5号

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Reprint request: TREATMENT FOR CALCANEAL FRACTURE Yumiko ISHIBASHI, Hiroshi HIEDA, Katsuya KANESAKI, Takashi TAMAKI, Yoshimasa HIRAI, Tojiro YANAGI and Yoshifumi KUNO Department of Orthopedic Surgery, Moji Rousai Hospital (Purpose) We evaluated radiographic and clinical outcomes of seventeen cases of calcaneal fractures which we performed plate fixation with lateral approach. (Methods) During the period from October, 1997 to March, 2002, we performed plate fixation with lateral approach to seventeen patients with calcaneal fracture. We evaluated radiographic outcome (Bohler and Preiss angles) and clinical outcome (rate and time required to return to work). (Results) In all cases, the measurement of Bohler angle of the latest status showed about 5 degrees of decrease, compared to immediate post-operative status. However, Preiss angle did not decrease among all types of fractures. Eight of eleven (73%) patients caused by labor accident returned to their previous works, and the mean time required to return to work were 5.1 months. Two patients who retired were 64 and 66 years old. One patient changed his/her work. (Conclusion) We consider plate fixation with lateral approach is a comparatively favorable method for intra-articular fracture of calcaneus.