Management of Intra-Articular Fractures of the Calcaneus: Introducing a New Locking Plate

Valiollahi, Bijan; Salariyeh, Mostafa

doi:10.5812/soj.7991

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…In the following, the depressed joint was reduced using 3 or 4 pins, and the angles were checked radiographically ( Figure 3D). If the correction of angles was acceptable, the fracture would be fixed with a calcaneus plate in two sizes depending on the dimensions of the calcaneus (Bijan plate, Tehran, Iran) [16] and locking screws ( Figure 3E). The plate was placed at least 5 mm away from the articular surface.…”

Section: Surgical Proceduresmentioning

confidence: 99%

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Outcomes of Minimally-Invasive Sinus Tarsi Approach for the Treatment of Intra-articular Calcaneal Fracture

Shariatzadeh

Valiollahi

Mohammadpour

et al. 2020

J. Res. Orthop. Sci.

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Background: Open reduction and internal fixation is the standard surgical treatment of calcaneal fractures. However, it is associated with a high rate of wound problems. Objectives: In this study, we evaluated the clinical and radiologic outcomes, as well as the wound complication rates of sinus tarsi minimally-invasive approach in the treatment of intra-articular calcaneus fracture. Methods: In a retrospective study, 62 patients who were referred with an intra-articular calcaneus fracture and treated with a minimally-invasive sinus tarsi approach were included. The radiographic evaluations included the assessment of Bohler and Gissane angles before and after the surgery, as well as the height and length of the calcaneus. The clinical outcome was assessed with the American Orthopedic Foot and Ankle Society (AOFAS) questionnaire. Results: The Mean±SD age of the patients was 41.8±12.7 years. The Mean±SD follow-up of the patients was 21.3±10 ‎months. After 6 months, in 43 patients (69.3%) both Bohler’s and Gissane’s angles were significantly improved after the surgery (P=0.003 and P<0.001, respectively). The calcaneus height was significantly improved after the surgery (P=0.009), as well. The Mean±SD AOFAS score of the patients was found 79.6±7. Wound infection was seen in only 1 case (1.6%). Delayed wound healing occurred in 4 cases (6.4%). No other wound complication such as dehiscence and skin necrosis was recorded. Conclusion: Minimally-invasive sinus tarsi approach is an efficacious procedure for the treatment of intra-articular calcaneus fracture with a minimized rate of wound complications.

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Section: Surgical Proceduresmentioning

confidence: 99%

“…The AOFAS was evaluated at the last visit. 16 for Windows version was used for the statistical evaluation of data. Descriptive data were presented as Mean±SD or number and percentage.…”

Section: Postoperative Procedures and Follow-upmentioning

confidence: 99%

Outcomes of Minimally-Invasive Sinus Tarsi Approach for the Treatment of Intra-articular Calcaneal Fracture

Shariatzadeh

Valiollahi

Mohammadpour

et al. 2020

J. Res. Orthop. Sci.

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A simple modified technique for screw fixation of displaced intra-articular calcaneus fracture through a sinus tarsi approach: a comparison with plate fixation

Bahaeddini,

Konjkav,

Aminian

et al. 2024

BMC Musculoskelet Disord

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Background Plates and screws are frequently used for the fixation of displaced intra-articular calcaneus fracture (DIACF). In this study, we compared the outcomes of a modified screw fixation technique with plate fixation via a sinus tarsi approach (STA). Methods A series of 187 DIACF patients who were treated via an STA using a plate fixation (n = 81) or a screw fixation (n = 106) were included. Screw fixation was done with two 2.7 mm screws and two 6.5 mm cannulated screws. Outcomes were evaluated radiographically and clinically. Clinical evaluations included pain assessment by Visual Analogue Scale (VAS) and functional assessment by the American Orthopaedic Foot and Ankle Society (AOFAS) questionnaire and Foot Function Index (FFI). Results The mean final VAS was smaller in the screw group (P = 0.01). The mean AOFAS and FFI scores were not significantly different between the two groups (P = 0.17 and P = 0. 19, respectively). The mean improvement of Bohler’s angle, but not the Gissane’s angle, was significantly greater in the screw group (P = 0.014 and P = 0.09, respectively). The mean improvement of calcaneal length and height were not significantly different between the two groups (P = 0.78 and P = 0.22, respectively). The hardware removal rate was 14.8% in the plate group and 3.8% in the screw group (P = 0.007). Conclusion The modified screw fixation method provides lower pain, better radiographic outcome, and lower rate of hardware removal compared to plate fixation in the treatment of DIACF.

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Management of Intra-Articular Fractures of the Calcaneus: Introducing a New Locking Plate

Cited by 2 publications

References 3 publications

Outcomes of Minimally-Invasive Sinus Tarsi Approach for the Treatment of Intra-articular Calcaneal Fracture

Outcomes of Minimally-Invasive Sinus Tarsi Approach for the Treatment of Intra-articular Calcaneal Fracture

A simple modified technique for screw fixation of displaced intra-articular calcaneus fracture through a sinus tarsi approach: a comparison with plate fixation

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