| Autor: |
Jennifer M. So, DPM, Thomas S. Roukis, DPM, PhD, FACFAS, Jason A. Piraino, DPM, MS, FACFAS |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Foot & Ankle Surgery: Techniques, Reports & Cases, Vol 4, Iss 1, Pp 100359- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2667-3967 |
| DOI: |
10.1016/j.fastrc.2023.100359 |
| Popis: |
Background: The sinus tarsi incision open approach for plate and/or screw fixation of displaced intra-articular calcaneal fractures is a well-accepted method. A more recently introduced method employing a minimal incision approach and a locking intra-medullary nail construct exists. This matched pairs analysis compares the fracture reduction capacity of the minimally-invasively placed calcaneal locking nail with the sinus tarsi incision open method. Methods: Twenty-two displaced intra-articular calcaneal fractures were matched for age, gender, laterality, Essex-Lopresti classification, and soft-tissue injury and managed with either sinus tarsi incision open method (group 1, N=11) or minimally-invasively placed calcaneal locking nail (group 2, N=11). Intra-operative tourniquet time and total operative duration were collected. Follow-up included Gissane and Böhler radiological assessments. Results: Significant differences between groups were identified for tourniquet time (p=0.000002) where group 1 had greater use of and duration of tourniquet control, lower pre-operative Böhler angle (p=0.02973), lower post-operative final follow-up Böhler angle (p=0.000992), lower change between pre- and post-operative final follow-up Böhler angle (p=0.02823), and lower change between pre- and post-operative final follow-up Gissane angle (p=0.01432) than group 2. Conclusion: We identified superior Gissane and Böhler angle restoration with the use of the minimally-invasively placed calcaneal locking nail compared to the sinus tarsi incision open method. Ultimately, a larger patient population is necessary to determine whether the minimally-invasively placed calcaneal locking nail warrants replacing the sinus tarsi incision open approach for operative management of displaced intra-articular calcaneal fractures. Level of evidence: III-Therapeutic study: Retrospective comparative analysis at a single institution Category: Trauma, Surgical Management |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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