Percutaneous reduction and fixation of displaced intra-articular calcaneus fractures

Journal of Orthopaedic Trauma
Matthew DeWallJ L Marsh

Abstract

The purpose of this study is to assess the initial results of percutaneously reducing and fixing calcaneus fractures compared with a concurrent control group that was openly reduced and internally fixed through an extensile lateral approach. Retrospective cohort study, consecutive series. Level I trauma center. One hundred twenty patients with 125 intra-articular calcaneus fractures were selected as a consecutive series with treatment method randomized by surgeon and time of presentation. Patients treated with open reduction and internal fixation (OR group) had an extended lateral approach and fractures were fixed with plates and screws. Patients treated with percutaneous reduction (PR group) had small incisions with indirect fragment manipulation, and the reduction achieved was secured with screws alone. Clinical and radiographic assessment. There were 41 patients with 42 fractures in the OR group and 79 patients with 83 fractures in the PR group. There were no significant differences in sex, age, open fractures, fracture classification, or initial Bohler's angle between the two groups. Bohler's angle was improved after surgery by an average of 22.4 degrees in the OR group and 25.3 degrees in the PR group (P = 0.31). The avera...Continue Reading

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Citations

Aug 7, 2012·Operative Orthopädie und Traumatologie·S RammeltH Zwipp
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May 6, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Kelly J WallinDaniel K Lee
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