Results of open reduction and cortico-cancellous autograft of intra-articular calcaneal fractures according to Palmer

Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
M Di SchinoC Nich

Abstract

To assess the mid-term patient outcome after operative treatment of a displaced intra-articular calcaneal fracture according to Palmer. Eighteen operatively treated intra-articular fractures of the calcaneus in 16 patients (nine males, seven females) were retrospectively reviewed. Mean age at surgery was 35 years (range, 17-61 years). Two patients had a bilateral fracture. According to Rev Chir Orthop 79 (1993) 49-57, five fractures (28 percent) were classified as vertical, three as horizontal (17 percent), and 10 (55 percent) as combined. Mean preoperative Böhler angle was -4 degrees (range, -42-26 degrees ). An extended lateral approach to the calcaneus was used in each case. A cortical bone autograft was firmly impacted in the sub thalamic void after reduction. Stabilization was achieved by two or three axial Kirschner wires and one or two screw(s) inserted in a transverse position. Patients were evaluated at the last follow-up by physical examination and by the functional score described by Foot Ankle Int 15 (1994) 349-353. Böhler's angle was measured on the immediate postoperative radiographs and at the last follow-up, and compared when possible with the noninjured side. Follow-up ranged from 12 to 38 months (average, 23 m...Continue Reading

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Citations

Apr 27, 2005·Joint, Bone, Spine : Revue Du Rhumatisme·Aurélie DurufléPhilippe Gallien
Aug 1, 2019·Revista Brasileira De Ortopedia·Pedro José LabroniciJorge Luiz Tamontini

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