OPEN REDUCTION WITH CALCANEAL LOCKING PLATE FIXATION VS PERCUTANEOUS CANNULATED SCREWS FOR THE TREATMENT OF DISPLACED INTRA-ARTICULAR CALCANEAL FRACTURES

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

Orthopaedics and trauma surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Abstract

Background:-Minimally invasive surgery in treatment of DIACFs has become popular among the
international orthopaedics community to overcome the soft tissue complications associated with the
standard ORIF through extensile lateral approach. Objective:-The current study's objective was
evaluation of the functional and radiographic outcomes of closed reduction and percutaneous cannulated
screws fixation of DIACFs compared with the standard ORIF by calcaneal locked plate using an extensile
lateral approach. Patients and methods:-35 patients with unilateral DIACFs from June 2019 to May
2022 were retrospectively reviewed. The Percutaneous cannulated screws group included 17 patients,
and the ORIF group included 18 patients. Radiographic assessment included calcaneal height, length,
and width, Böhler’s angle, angle of Gissane, and posterior facet inclination angle. Clinical assessment by
the AOFAS ankle-hindfoot score and the visual analog pain score was done. Results:-No appreciable
differences were noticed in the pre-operative and post-operative radiographic parameters measurements,
and the final AOFAS ankle-hindfoot scores between the two groups. The pain scores were lowered
significantly in the percutaneous cannulated screws group, (P = 0.0364). Conclusion:-Percutaneous
cannulated screws had achieved radiographic and functional outcomes comparable to ORIF in
management of DIACFs with lower complication rates.

Keywords

Egyptian Journal of Orthopedic Research
Volume 3, Issue 2
December 2022
Pages 63-69

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