Open AccessSurgical treatment of displaced intra-articular calcaneal fracture using a single small lateral approach
Author(s) -
Mohamed F. Mostafa,
Gamal El-Adl,
Ehab Y. Hassanin,
M. Serry Abdellatif
Publication year - 2010
Publication title -
strategies in trauma and limb reconstruction/strategies in trauma and limb reconstruction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.5
H-Index - 24
eISSN - 1828-8936
pISSN - 1828-8928
DOI - 10.1007/s11751-010-0082-z
Subject(s) - medicine , surgery , internal fixation , subtalar joint , calcaneal fracture , orthopedic surgery , reduction (mathematics) , intra articular , radiological weapon , sural nerve , ankle , osteoarthritis , geometry , mathematics , alternative medicine , pathology
The objective of this study was to evaluate the outcome of semi-open reduction and minimal internal fixation through a single small lateral approach as a minimally invasive technique for treatment of displaced intra-articular calcaneal fractures. This prospective study was conducted on eighteen patients (16 men and 2 women). The average age was 37.7 (22-55). The most common cause of injury was a fall from height in fourteen patients. Patients were operated on within a mean time of 4.8 days of admission (1-11 days) and were followed up for an average period of 24.1 months (6-39 months). Patients were evaluated clinically using the Creighton-Nebraska Heath Foundation Assessment score of Crosby and Fitzgibbons (J Bone Joint Surg (Am) 72-A:852-859, 1990). The scoring system proposed by Knirk and Jupiter was used for radiological assessment of the posterior subtalar joint (Knirk and Jupiter in J Bone Joint Surg (Am) 68-A: 647-659, 1986). The skin incision healed in all cases without necrosis, infection, or sural nerve injury. All fractures healed after an average of 8 weeks (7-10 weeks), and patients returned to the routine daily activities after an average time of 4.3 months (3-7 months). In conclusion, semi-open reduction and minimal internal fixation through a small lateral approach is an effective treatment for carefully selected cases of displaced intra-articular calcaneal fractures.