Minimally invasive dual incision with mini plate internal fixation improves outcomes over 30 months in 20 patients with Sanders type III calcaneal fractures

Autor: Changwang Kong, Zhong-Meng Yang, Shijun Wei, Jianming Chen
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
medicine.medical_specialty
Time Factors
lcsh:Diseases of the musculoskeletal system
Visual analogue scale
medicine.medical_treatment
Wound infection
Fracture Fixation
Internal
Fractures
Bone
03 medical and health sciences
0302 clinical medicine
lcsh:Orthopedic surgery
Minimally invasive dual incision
Humans
Minimally Invasive Surgical Procedures
Medicine
Internal fixation
Orthopedics and Sports Medicine
Displacement (orthopedic surgery)
Malunion
Foot Injuries
Reduction (orthopedic surgery)
030222 orthopedics
Calcaneal geometry
business.industry
030229 sport sciences
Middle Aged
medicine.disease
Internal Fixators
Surgery
Sanders type III calcaneal fractures
Calcaneus
lcsh:RD701-811
Treatment Outcome
medicine.anatomical_structure
Mini plate internal fixation
Orthopedic surgery
Female
Ankle
lcsh:RC925-935
business
Bone Plates
Research Article
Zdroj: Journal of Orthopaedic Surgery and Research, Vol 15, Iss 1, Pp 1-7 (2020)
Journal of Orthopaedic Surgery and Research
DOI: 10.1186/s13018-020-01644-3
Popis: Background Calcaneal Sanders type III or higher fractures traditionally have been treated with open reduction and internal fixation (ORIF); however, ORIF has associated complications. We investigated a combination of minimally invasive dual incision and internal fixation using mini plates for treating Sanders type III calcaneal fractures. Methods Twenty patients with Sanders type III intra-articular calcaneal fractures with a posterior subtalar articular displacement > 2 mm were included. Surgical outcomes were assessed by visual analogue scale (VAS) pain score, American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, and calcaneal geometry, including Böhler and Gissane angles. Results The Böhler angle, Gissane angle, and height and length of the calcaneus were increased following treatment. Based on the AOFAS score, 80% of cases had excellent or good outcomes. The mean postoperative VAS pain score was 1.6. Complications such as malunion or a screw positioning deviation occurred in 6 patients, and one patient experienced delayed wound healing. There were no wound infections. Conclusions These results indicate that minimally invasive dual incision with mini plate internal fixation may be an effective alternative to ORIF for treating Sanders type III calcaneal fractures. Advantages include improvement of calcaneal geometry and a lower rate of wound infections.
Databáze: OpenAIRE
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