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280985

OPEN REDUCTION WITH CALCANEAL LOCKING PLATE FIXATION VS PERCUTANEOUS CANNULATED SCREWS FOR THE TREATMENT OF DISPLACED INTRA-ARTICULAR CALCANEAL FRACTURES

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Last updated: 05 Jan 2025

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Abstract

Background:-Minimally invasive surgery in treatment of DIACFs has become popular among the
international orthopaedics community to overcome the soft tissue complications associated with the
standard ORIF through extensile lateral approach. Objective:-The current study's objective was
evaluation of the functional and radiographic outcomes of closed reduction and percutaneous cannulated
screws fixation of DIACFs compared with the standard ORIF by calcaneal locked plate using an extensile
lateral approach. Patients and methods:-35 patients with unilateral DIACFs from June 2019 to May
2022 were retrospectively reviewed. The Percutaneous cannulated screws group included 17 patients,
and the ORIF group included 18 patients. Radiographic assessment included calcaneal height, length,
and width, Böhler's angle, angle of Gissane, and posterior facet inclination angle. Clinical assessment by
the AOFAS ankle-hindfoot score and the visual analog pain score was done. Results:-No appreciable
differences were noticed in the pre-operative and post-operative radiographic parameters measurements,
and the final AOFAS ankle-hindfoot scores between the two groups. The pain scores were lowered
significantly in the percutaneous cannulated screws group, (P = 0.0364). Conclusion:-Percutaneous
cannulated screws had achieved radiographic and functional outcomes comparable to ORIF in
management of DIACFs with lower complication rates.

DOI

10.21608/ejor.2022.280985

Keywords

Percutaneous cannulated screws, calcaneal locked plate, calcaneal fractures

Authors

First Name

Khalaf Fathy

Last Name

Elsayed Ahmed

MiddleName

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Affiliation

Orthopaedics and trauma surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

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City

-

Orcid

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First Name

Hossam

Last Name

El-Azab

MiddleName

-

Affiliation

Orthopaedics and trauma surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Abdelrahman

Last Name

Hafez Khalefa

MiddleName

-

Affiliation

Orthopaedics and trauma surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Ashraf

Last Name

Rashad Marzouk

MiddleName

-

Affiliation

Orthopaedics and trauma surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

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City

-

Orcid

-

First Name

Ahmed

Last Name

Abdelaal

MiddleName

-

Affiliation

Orthopaedics and trauma surgery dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Email

ahmedallam201@gmail.com

City

-

Orcid

-

Volume

3

Article Issue

2

Related Issue

39048

Issue Date

2022-11-01

Receive Date

2022-08-02

Publish Date

2022-11-01

Page Start

63

Page End

69

Print ISSN

2682-4744

Online ISSN

2314-6710

Article File

EJOR_Volume 3_Issue 2_Pages 63-69.pdf

PDF . 1.0MB

Link

https://ejor.journals.ekb.eg/article_280985.html

Detail API

https://ejor.journals.ekb.eg/service?article_code=280985

Order

4

Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,828

Publication Type

Journal

Publication Title

Egyptian Journal of Orthopedic Research

Publication Link

https://ejor.journals.ekb.eg/

MainTitle

OPEN REDUCTION WITH CALCANEAL LOCKING PLATE FIXATION VS PERCUTANEOUS CANNULATED SCREWS FOR THE TREATMENT OF DISPLACED INTRA-ARTICULAR CALCANEAL FRACTURES

Details

Type

Article

Created At

23 Jan 2023