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136361

Treatment of Joint Depression Intraarticular Calcaneal Fractures with and without Graft

Article

Last updated: 28 Dec 2024

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Abstract

Intra-articular calcaneal fracture is one of the most challenging fractures in orthopedic surgery. The main complications of intra-articular calcaneal fractures are postoperative wound complications, subtalar arthritis, malalignment and subtalar stiffness.Conversion of the operative technique from the classic L shaped incision to the mini-invasive sinus tarsi approach renders the wound complications as less as possible. Subtalar arthritis can be minimized by anatomical reduction of the posterior facet. Malalignment can be simply prevented by calcaneal tuberosity reduction and fixation by percutanouscannulated screws. Early subtalar range of motion without weight bearing can overcome the subtalar stiffness.In this study, we included 20 patients with unilateral intra-articular calcaneal fracture without ipsilateral lesions. The patients were treated by open reduction and internal fixation through sinus tarsi approach. The patients were divided in two groups. The first group A were treated by the mentioned above technique without operative supplementation of iliac bone graft. The second group B were treated by the same technique with supplementation of iliac bone graft.Significant improvement was observed in the two groups regarding pain, AOFAS score. No significant difference between the two groups apart from that the group B treated with supplementation of iliac bone graft had earlier bone consolidation and consequently earlier weight bearing which allow for rapid return to daily activities.

DOI

10.21608/bjas.2020.136361

Keywords

Intararticular fracture calcaneus, sinus tarsi, bone graft

Authors

First Name

S.M.

Last Name

Zahed

MiddleName

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Affiliation

Orthopedic Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

M.Sh.

Last Name

Abouzied

MiddleName

-

Affiliation

Orthopedic Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

-

First Name

M.M.

Last Name

Salah

MiddleName

-

Affiliation

Orthopedic Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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-

City

-

Orcid

-

Volume

5

Article Issue

Issue 4 part (2)

Related Issue

20280

Issue Date

2020-07-01

Receive Date

2020-01-06

Publish Date

2020-07-01

Page Start

287

Page End

292

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_136361.html

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https://bjas.journals.ekb.eg/service?article_code=136361

Order

14

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Treatment of Joint Depression Intraarticular Calcaneal Fractures with and without Graft

Details

Type

Article

Created At

23 Jan 2023