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284601

Minimally Invasive Technique for Treatment of Calcaneal Fractures

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Medical and Health Science.

Abstract

Background: Aims: To evaluate the use short lateral subtalar approach with screw fixation in treatment of displaced calcaneal fractures using clinical and radiological evaluation. Patients and methods; The study was conducted on 27 patients with 30 fracture calcaneus from January 2019 till June 2022 including patients with intra-articular fractures of the calcaneus presenting to Banha University Hospitals and El-Mataria Teaching Hospital, treated by Limited open reduction and internal fixation via subtalar approach. Mean age for patients was 35.3 years. 28 fractures were classified as joint depression fractures and 2 were classified as tongue type fractures. There were 19 fractures classified as Sanders II and 11 fractures were classified as Sanders III. All patients were managed by limited open approach and direct reduction of the articular surface followed by indirect reduction and percutaneous fixation of the extraarticular part guided by fluoroscopy. Results; The mean AOFAS ankle/ hindfoot score was 91.73 and the mean Maryland foot score was 95.09. Complications included superficial wound infection in two cases and sural nerve dysthesia in one case which was treated conservatively. Complex regional pain syndrome (CRPS) in four cases, all responded well to physiotherapy and pregabalin. Tenderness at screw site in five cases .The time elapsing between the trauma and operation was found to correlate significantly to AOFAS ankle / hindfoot score and Maryland foot score. Conclusion: Minimally Invasive Techniques for Treatment of Calcaneal Fracture, sanders type II,III through limited lateral subtalar approach using screw fixation is an effective, safe, and reproducible method of treatment.

DOI

10.21608/bjas.2023.183808.1018

Keywords

Intraarticular calcaneal fractures, sinus tarsi approach, Sanders classification

Authors

First Name

Mustafa

Last Name

Nawar

MiddleName

Tolba

Affiliation

Department of Orthopaedic Surgery Faculty of Medicine Benha University

Email

mustafanawar24@gmail.com

City

-

Orcid

-

First Name

Sherin

Last Name

Khalil

MiddleName

Ahmed

Affiliation

Professor of Orthopaedic Surgery Faculty of Medicine Benha University

Email

sherin_ahmed@gmail.com

City

-

Orcid

-

First Name

Hossam

Last Name

Eldin Elbijawy

MiddleName

-

Affiliation

Professor of Orthopaedic Surgery Faculty of Medicine Benha University

Email

hossammedim23@gmail.com

City

-

Orcid

-

First Name

Hosam

Last Name

Farag

MiddleName

Elsayd

Affiliation

Assistant Professor of Orthopaedic Surgery Faculty of Medicine Benha University

Email

hosam_farag234@gmail.com

City

-

Orcid

-

Volume

8

Article Issue

1

Related Issue

41548

Issue Date

2023-01-01

Receive Date

2022-12-27

Publish Date

2023-01-01

Page Start

99

Page End

106

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_284601.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=284601

Order

15

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

Minimally Invasive Technique for Treatment of Calcaneal Fractures

Details

Type

Article

Created At

28 Dec 2024