Limited open reduction and internal fixation of displaced intra-articular fractures of the calcaneum
Publisher DOI
PubMed ID
19043133
Abstract
The extended lateral L-shaped approach for the treatment of displaced intra-articular fractures of the calcaneum may be complicated by wound infection, haematoma, dehiscence and injury to the sural nerve. In an effort to reduce the risk of problems with wound healing a technique was developed that combined open reduction and fixation of the joint fragments and of the anterior process with percutaneous reduction and screw fixation of the tuberosity. A group of 24 patients with unilateral isolated closed Sanders type II and III fractures was treated using this technique and compared to a similar group of 26 patients managed by the extended approach and lateral plating. The operation was significantly shorter (p < 0.001) in the first group, but more minor secondary procedures and removal of heel screws were necessary. There were no wound complications in this group, whereas four minor complications occurred in the second group. The accuracy and maintenance of reduction, and ultimate function were equivalent.
Date Issued
2008
Publication Type
Article
Language(s)
en
Additional Credits
Journal
Journal of bone and joint surgery - British volume
Publisher
British Editorial Society of Bone and Joint Surgery
ISSN
0301-620X
ISBN
19043133
Access(Rights)
metadata.only