Erschienen in:
01.12.2015 | Original Article
A modified minimally invasive technique for treatment of intra-articular fractures of the calcaneus. Mid-term results and review of the literature
verfasst von:
Mohamed A. Gomaa, Ahmed El Naggar, Ashraf Anbar
Erschienen in:
European Orthopaedics and Traumatology
|
Ausgabe 4/2015
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Abstract
Background
The goal of therapy for calcaneal fractures is elimination of pain and restoration of normal foot shape and walking ability. The occurrence of wound complications is a serious concern in treating calcaneal fractures.
Purpose
The purpose of the present study was to describe and evaluate the mid-term results of a modified minimally invasive technique for treatment of intra-articular fractures of the calcaneus.
Materials and methods
Fifty-two patients with 61 closed, intra-articular fractures of the calcaneus were enrolled in a prospective cohort study. They were treated with a minimally invasive technique combining a limited lateral approach and percutaneous screws. Clinical and radiographic data were analyzed. The minimum follow-up period was 2 years.
Results
Combining the anatomical and functional results, an overall rating of good, fair, and poor was assigned to each fracture. The results were good in 51 feet (83.6 %), fair in 6 feet, and poor in 4 feet.
Conclusion
The results of the current study were comparable to the results achieved using other minimally invasive techniques while avoiding the serious soft tissue complications encountered with open surgery. Thus, the described technique seems to be an effective and safe alternative for intra-articular calcaneal fracture fixation.