Treatment of Displaced Intra-articular Calcaneal Fractures with the Intramedullary Nail: Results of the First Twenty-six Cases with Two Years Follow-up

Foot & Ankle Orthopaedics

JulienLucas¹ 

关键词: Calcaneal fracture;    DIACF;    surgical procedure;    intramedullary nail;    CT scans analysis;   

DOI  :  10.1177/2473011418S00079

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:TraumaIntroduction/Purpose:In 2010, a new closed reduction, internal fixation procedure for displaced intra-articular calcaneus fractures (DIACF) was developed with an intramedullary nail introduces through a channel in the calcaneal tuberosity. The goal was to reduce the rate of skin complications following principles of open reduction procedures.The aim of this prospective mono-centric study was to assess the occurrence of complications and the functional results using the AOFAS-AHS score.The secondary objectives were to assess first the restoration of the Böhler and Gissane angles on X-ray and shape of the calcaneus (Height, length, width) on CT scans, then thalamic reduction on 3D CT scans based on Goldzak’s global articular reduction classification.Methods:26 Patients were included prospectively between 2014 and 2016 with analysis of X-rays and CT scans. Two were lost to follow-up and 2 patients sustained a secondary subtalar arthrodesis. After positioning a distractor and drilling, reductio...

【 授权许可】

CC BY