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Percutaneous reduction and screw fixation for all types of intra-articular calcaneal fractures

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Abstract

Introduction

This study compares the outcomes of consecutive of patients with Sanders II and III and IV calcaneal fractures that were stabilized by either close reduction and internal fixation (CRIF) or open reduction and internal fixation (ORIF).

Materials and methods

Group I (N = 49) underwent close reduction internal fixation (CRIF). Group II (N = 39) underwent open reduction internal fixation (ORIF). The clinical outcomes included time to operation, operative duration, visual analog score (VAS), length of hospital stay, wound-related complications and AOFAS SF-36 score. Preoperative and postoperative radiographic measures also were compared.

Results

The duration of operation in the CRIF group was considerably shorter than in ORIF group (P = 0.0001). Postoperatively, at seventh day, the VAS in the CRIF group (4.2 ± 1.1) was meaningfully lower than those of the ORIF patients group (4.7 ± 1.2, P = 0.04). Totally, the prevalence of wound complications in CRIF group was significantly lower than in ORIF group. In final follow-up visit after one year, AOFAS scores and SF-36 scores between groups were comparable. Comparable radiographic measures were found in both groups. There was no significant difference between groups regarding preoperative radiographic measures (P > 0.05), while in postoperative imaging acceptable calcaneal fracture reduction was found in both groups.

Conclusion

We believed that for treatment of various types of calcaneal fracture compared with ORIF the percutaneous reduction and screw fixation may lead to shorter hospital stay, decreased subtalar joint stiffness and earlier weight bearing along with much favorable patients’ satisfaction.

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Abbreviations

ORIF:

Open reduction and internal fixation

CRIF:

Close reduction and internal fixation

CT:

Computed tomography

VAS:

Visual analog scale

AOFAS:

American Orthopedic Foot and Ankle Society

SF-36:

Short Form-36

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Authors and Affiliations

  1. Shahid Beheshti University of Medical Sciences, Tehran, Iran

    A. Ebrahimpour, M. H. C. Kord, M. Sadighi, M. Chehrassan & M. M. Sajjadi

  2. Alborz University of Medical Sciences, Karaj, Iran

    A. Najafi

Authors
  1. A. Ebrahimpour
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  2. M. H. C. Kord
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  3. M. Sadighi
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  4. M. Chehrassan
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  5. A. Najafi
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  6. M. M. Sajjadi
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Correspondence to M. M. Sajjadi.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Ebrahimpour, A., Kord, M.H.C., Sadighi, M. et al. Percutaneous reduction and screw fixation for all types of intra-articular calcaneal fractures. Musculoskelet Surg 105, 97–103 (2021). https://doi.org/10.1007/s12306-019-00635-w

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  • DOI: https://doi.org/10.1007/s12306-019-00635-w

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