Open Reduction and Internal Fixation  of Displaced Calcaneum, Intra-Articular  Fractures by Locking Calcaneal Plate

Santosha,; Gulrez, Shams; Singh, A Mahendra; Waikhom, Sanjib; Pakhrin, Vishal; Mukherjee, Sagnik; Debbarma, Rajkumar; Prashant, Prabhu Shrinivas

doi:10.7860/jcdr/2016/22332.9051

Cited by 5 publications

(1 citation statement)

References 11 publications

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“…One study reported that one-third of patients in the hollow-screw xation group had poor long-term functional outcomes [24],Some literatures reported that the nal functional outcome of most patients in the plate group was good [25,26].Our results showed no signi cant difference in nal AOFAS and VAS scores between the plate combined with screws and the plate group, suggesting that the two surgical methods for calcaneal fracture are similar in ankle function.…”

Section: Discussionmentioning

confidence: 42%

Comparing small locking plate fixation versus small locking plate with screws fixation of displaced intra-articular calcaneus fracture via sinus tarsi approach

Zhao

Yang

Gao

et al. 2023

Preprint

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Background The purpose of this study was to compare the clinical and radiological outcomes of displaced intra-articular calcaneus fractures (DIACFs) treated with small locking plates alone versus small locking plates combined with screws. Methods Retrospective analysis of 120 patients with intra-articular fractures seen from May 2018 to June 2020, all of whom were surgically repositioned using sinus tarsal approach.60 cases received a small locking plate combined with screws fixation (observation group) and 60 cases received a small locking plate fixation alone (control group).Demographic variables were recorded and compared Gissane angle, Bohler's angle, calcaneal varus, and joint line parallel angle at 3 days and 2 years postoperative follow-up.The American Orthopaedic Foot and Ankle Society (AOFAS) Ankle and Hindfoot Score and VAS were applied to assess postoperative foot function, and complications were also compared. Results Compared with the control group, the joint line parallel angle and calcaneal varus in the observation group had lower displacement changes from the postoperative period to the 2-year follow-up,they are 0.07 (0.15) degrees vs 0.47 (0.59) degrees(P < 0.001), 0.19 (0.35) degrees vs 1.18 (0.67) degrees(P < 0.001).There was no significant difference in Gissane angle and Bohler's angle between the observation group and the control group at the preoperative, 3-year and 2-year follow-up (P > 0.05).The final AOFAS score, VAS score and complications were not significantly different between the two groups (P > 0.05). Conclusion When STA is used to treat DIACFs, fixation with a small locking plate combined with screws appears to provide better posterior articular surface stability and better maintenance of calcaneal axial stability than fixation with a small locking plate alone,the two techniques had similar functional outcomes and complications after surgery.

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Section: Discussionmentioning

confidence: 42%

Comparing small locking plate fixation versus small locking plate with screws fixation of displaced intra-articular calcaneus fracture via sinus tarsi approach

Zhao

Yang

Gao

et al. 2023

Preprint

View full text Add to dashboard Cite

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Comparison between open reduction and internal fixation and minimally invasive surgery in management of Sanders type II calcaneal fracture

Xue¹,

Lou

Tan³

et al. 2020

Medicine

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Background: The minimally invasive surgery possesses an essential and growing function in treating the calcaneal fractures, but the related literature on this topic is limited. For our study, the main purpose was to compare the early prognosis of a group of the patients with Sanders type II fracture of calcaneus treated via minimally invasive surgery and open reduction and internal fixation (ORIF). Methods: This is a prospective randomized controlled trial in the patients who suffer from displaced intra-articular calcaneal fractures. This current study was carried out in accordance with the guidelines of “CONSORT statement” for the randomized controlled studies. All patients were randomly assigned into 2 groups on the basis of a random number table, namely the minimally invasive treatment group and the ORIF group using conventional methods. Inclusion criteria included the followings: aged between 18 to 59 years old; closed and unilateral fracture; patients with displaced intra-articular calcaneal fracture (>2 mm) involving Sanders Type IIC and Type IIB; and patients have enough mental capacity to understand and answer questions in the evaluation scale. In the process of outpatient follow-up, the radiographs were taken at 1, 3, 6, and 12 months. The functional results involved the American Orthopaedic Foot and Ankle Score, Foot Function Index, and the pain score. Conclusions: This protocol will give us research directions in future work. Trial registration: This study protocol was registered in Research Registry (researchregistry6261).

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Early Results of Surgical Treatment of Intra-Articular Calcaneal Fractures Using T-Shaped Plates

Layyas

MareI

El-Kady

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Displaced intra-articular calcaneus fractures are still now a controversial topic among orthopedic surgeons. There is no single treatment option to manage all different fractures. Objective: The aim of this study was the assessment and evaluation of providing and maintaining stable fixation by the use of a T-shaped plate for displaced intra-articular calcaneal fractures. Patients and Methods: A randomized controlled study was conducted on18 patients were conducted between the ages of 18 to 50 years in the Orthopedic and Traumatology Department of Zagazig University Hospital from August 2020 to April 2021 including 6 months follow-up periods, all patients with closed D.I.A.C.F with no morbidity. T plates were the method of fixation for all patients. Results: Mean A.O.F.A.S. hindfoot scale result was 86.61, 88.8% of patients their results were satisfying (excellent and good), and 11.1% of patients their results were unsatisfying (fair). Complications were seen in 27.7% (wound complication, subtalar arthritis, symptomatic hardware, and delayed union). Conclusion:T-shaped plates can provide stable support and rigid fixation as they maintain proper reduction and alignment to displaced intra-articular calcaneus fractures.

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Open Reduction and Internal Fixation of Displaced Calcaneum, Intra-Articular Fractures by Locking Calcaneal Plate

Abstract: Open reduction and internal fixation of intra-articular fractures of the calcaneum with locking calcaneal plate gives good results. Maintenance of calcaneal height and Bohler's angle helps to decrease the incidence of subtalar arthritis.

Cited by 5 publications

References 11 publications

Comparing small locking plate fixation versus small locking plate with screws fixation of displaced intra-articular calcaneus fracture via sinus tarsi approach

Comparing small locking plate fixation versus small locking plate with screws fixation of displaced intra-articular calcaneus fracture via sinus tarsi approach

Comparison between open reduction and internal fixation and minimally invasive surgery in management of Sanders type II calcaneal fracture

Early Results of Surgical Treatment of Intra-Articular Calcaneal Fractures Using T-Shaped Plates

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