Clinical and Radiological Outcomes of Minimally Invasive Reduction and Percutaneous K-wire Fixation for Intra-articular Calcaneal Fractures

被引:15
作者
Mesregah, Mohamed Kamal [1 ]
Shams, Ahmed [1 ]
Gamal, Osama [1 ]
Zaki, Elsayed Morsi [1 ]
机构
[1] Menoufia Univ, Fac Med, Dept Orthopaed Surg, Yassin Abdel Ghaffar St, Menoufia, Egypt
关键词
SINUS TARSI APPROACH; INTERNAL-FIXATION; NONOPERATIVE TREATMENT; OPERATIVE TREATMENT; LATERAL APPROACH; COMPLICATIONS; MANAGEMENT;
D O I
10.3928/01477447-20191223-04
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
There has been much controversy over the optimal operative treatment of intra-articular calcaneal fractures. Open reduction and internal fixation is associated with a high incidence of postoperative soft tissue complications. This study sought to evaluate the outcomes of indirect reduction and percutaneous K-wire fixation for displaced intra-articular calcaneal fractures. ibis was a prospective study of 40 consecutive patients with 44 Sanders type II or III intra-articular calcaneal fractures who had undergone closed or mini-open reduction and percutaneous K-wire fixation from 2013 to 2016. The Maryland Foot Score and visual analog scale score for pain were used to assess functional outcomes and postoperative patient satisfaction. Twenty-two patients were men and 18 patients were women, with a mean age of 34.5 years. According to the Sanders classification, 26 fractures were type II and 18 were type III. Mean follow-up was 31.9 months. The clinical outcome was satisfactory for 36 fractures (81.8%) and unsatisfactory for 8 fractures (18.2%). Mean time of radiological union was 8.7 weeks. Mean full weight-bearing time was 13 weeks. Mean visual analog scale score was 1.4 when radiographic fracture healing was detected. Repeated follow-up radiographs showed no loss of reduction or collapse of the posterior facet. Closed or mini-open reduction and percutaneous K-wire fixation of Sanders type II or III calcaneal fractures has excellent functional outcomes with minimal soft tissue complications.
引用
收藏
页码:97 / 101
页数:5
相关论文
共 30 条
[1]  
Abdelgaid Sherif Mohamed, 2012, Foot Ankle Surg, V18, P164, DOI 10.1016/j.fas.2011.07.005
[2]   Outcome of Percutaneous Fixation of Calcaneal Fractures: A Prospective Analysis in an Indian Population [J].
Arora, Chirag ;
Jain, Anil K. ;
Dhammi, Ish K. .
JOURNAL OF FOOT & ANKLE SURGERY, 2019, 58 (03) :502-507
[3]   Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach [J].
Backes, Manouk ;
Schepers, Tim ;
Beerekamp, M. Suzan H. ;
Luitse, Jan S. K. ;
Goslings, J. Carel ;
Schep, Niels W. L. .
INTERNATIONAL ORTHOPAEDICS, 2014, 38 (04) :767-773
[4]   Operative compared with nonoperative treatment of displacedintra-articular calcaneal fractures - A prospective, randomized, controlled multicenter trial [J].
Buckley, R ;
Tough, S ;
McCormack, R ;
Pate, G ;
Leighton, R ;
Petrie, D ;
Galpin, R .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (10) :1733-1744
[5]   Managing Complications of Calcaneus Fractures [J].
Clare, Michael P. ;
Crawford, William S. .
FOOT AND ANKLE CLINICS, 2017, 22 (01) :105-+
[6]   Complications following the extended lateral approach for calcaneal fractures do not influence mid- to long-term outcome [J].
De Groot, R. ;
Frima, A. J. ;
Schepers, T. ;
Roerdink, W. H. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2013, 44 (11) :1596-1600
[7]   STUDIES WITH PAIN RATING-SCALES [J].
DOWNIE, WW ;
LEATHAM, PA ;
RHIND, VM ;
WRIGHT, V ;
BRANCO, JA ;
ANDERSON, JA .
ANNALS OF THE RHEUMATIC DISEASES, 1978, 37 (04) :378-381
[8]  
Kavin Khatri, 2016, J Clin Orthop Trauma, V7, P296
[9]   Calcaneal Fracture Management Extensile Lateral Approach Versus Small Incision Technique [J].
Kiewiet, Nathan J. ;
Sangeorzan, Bruce J. .
FOOT AND ANKLE CLINICS, 2017, 22 (01) :77-+
[10]   Is there a reliable outcome measurement for displaced intra-articular calcaneal fractures? [J].
Kinner, BJ ;
Best, R ;
Falk, K ;
Thon, KP .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2002, 53 (06) :1094-1101