Surgical treatment of intraarticular fractures of the calcaneus: comparison between flat plate and calcaneal plate

Silva, Luiz Carlos Almeida da; Heck, João Mendonça de Lima; Guerra, Marcelo Teodoro Ezequiel

doi:10.1016/j.rboe.2016.05.007

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…There is no full consensus in literature on the treatment of displaced intra-articular calcaneus fractures. 11 , 15 – 17 The search for a new treatment, which may be an alternative, is still continuing. 18 , 19 Open reduction and internal fixation (ORIF) is currently accepted by many authors as the primary treatment for displaced intra-articular calcaneus fractures.…”

Section: Discussionmentioning

confidence: 99%

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Bulut

Öztürk

Özcan

et al. 2018

TCRM

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ObjectiveThe aim of this study was to determine whether tri-cortical iliac bone autografting provided extra benefit for the stabilization in Sanders Type 3–4 calcaneal fractures fixed with locking plate.Materials and methodsThe study included 29 calcaneal fractures (Sanders Type 3/4=15/14). All fractures were fixed with locking plate using the extended lateral approach. Bone grafts were used in 16 (Group A; Sanders Type 3/4=7/9) and not used in 13 (Group B; Sanders Type 3/4=8/5) calcaneal fractures. As a grafting material, only tri-cortical iliac crest bone autograft was used. All operations were performed by the same surgeon. The same locking plate was used in all fractures. Calcaneal height and angle of Bohler and Gissane were measured in early postoperative and final control radiographs in both groups. Clinical evaluations were performed using the American Orthopedic Foot and Ankle Society ankle hind foot scale.ResultsThere was no difference between the groups in terms of clinical results. Radiologically, the degree of change in Bohler’s angle, Gissane’s angle, and calcaneal height was not different between the groups.ConclusionBone grafting does not affect the clinical and radiologic outcomes in Sanders Type 3–4 calcaneal fractures fixed with locking plate, and they provide no extra benefit to the stabilization. We think that fixation using locking plate is adequate and there is no need for bone grafting.

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Section: Discussionmentioning

confidence: 99%

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Bulut

Öztürk

Özcan

et al. 2018

TCRM

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Functional and Radiological Evaluation of the Management of Displaced Intraarticular Calcaneal Fractures

AGARWAL,

BAKSHI,

GERA

et al. 2024

Int J Curr Pharm Sci

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Objective: Displaced intra-articular calcaneus fractures (DIACFs) represent a source of potential disability to the patient, an economic burden to society, and a treatment challenge to the average orthopedic surgeon. Despite a lack of evidence of whether operative management is superior to non-operative management, there is a trend favoring the former. Methods: Based on clinical and radiological examination patients were admitted in the hospital from April 2021 to September 2022 and were divided into 2 groups A and B. Group A (33) patients were managed conservatively and Group B (33) patients were managed by operative procedure. Each patient was followed up at 3 mo, 9 mo, and 1 y from injury. Appropriate lateral and axial view x-rays done at 3 mo and 1 y follow-ups and a radiological assessment was done. The ROWES score was assessed and recorded at each of these follow-ups. Results: The duration of stay, Bohlers angle, ROM at 3 mo, and ROWE’s score at 3 mo, 9 mo, and 12 mo show statistically significant differences among the groups with more duration of stay in the ORIF group, greater Bohlers angle in ORIF and more ROM at 3 mo, ROWE’s score at 3, 9 and 12 mo in ORIF as compared to the conservative group. Conclusion: We came to the conclusion that displaced intra-articular calcaneum fractures can be treated better and more effectively with open reduction and internal fixation with a pre-contoured calcaneum locking plate as compared to conservative treatment.

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Surgical treatment of intraarticular fractures of the calcaneus: comparison between flat plate and calcaneal plate

Cited by 2 publications

References 27 publications

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Functional and Radiological Evaluation of the Management of Displaced Intraarticular Calcaneal Fractures

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Surgical treatment of intraarticular fractures of the calcaneus: comparison between flat plate and calcaneal plate

Cited by 2 publications

References 27 publications

Sanders type 3&ndash;4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Sanders type 3&ndash;4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Functional and Radiological Evaluation of the Management of Displaced Intraarticular Calcaneal Fractures

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Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?

Sanders type 3–4 calcaneal fractures fixed with locking plate: does tri-cortical iliac bone autograft provide extra benefit for stabilization?