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A simple modified technique for screw fixation of displaced intra-articular calcaneus fracture through a sinus tarsi approach: a comparison with plate fixation.
Bahaeddini, Mohammad Reza; Konjkav, Arian Rahimi; Aminian, Amir; Tabrizian, Pouria; Gravand, Sajad Noori; Amiri, Shayan; Mirjalily, Mohammad Sadegh; Tayyebi, Hamed; Mazhar, Farid Najd.
Afiliación
  • Bahaeddini MR; Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Konjkav AR; Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Aminian A; Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Tabrizian P; Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Gravand SN; Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Amiri S; Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Mirjalily MS; Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Tayyebi H; Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. hamedtayebi65@gmail.com.
  • Mazhar FN; Shafa Yahyaeian Orthopedic Hospital, Baharestan Square, Tehran, 1157637131, Iran. hamedtayebi65@gmail.com.
BMC Musculoskelet Disord ; 25(1): 750, 2024 Sep 18.
Article en En | MEDLINE | ID: mdl-39294635
ABSTRACT

BACKGROUND:

Plates and screws are frequently used for the fixation of displaced intra-articular calcaneus fracture (DIACF). In this study, we compared the outcomes of a modified screw fixation technique with plate fixation via a sinus tarsi approach (STA).

METHODS:

A series of 187 DIACF patients who were treated via an STA using a plate fixation (n = 81) or a screw fixation (n = 106) were included. Screw fixation was done with two 2.7 mm screws and two 6.5 mm cannulated screws. Outcomes were evaluated radiographically and clinically. Clinical evaluations included pain assessment by Visual Analogue Scale (VAS) and functional assessment by the American Orthopaedic Foot and Ankle Society (AOFAS) questionnaire and Foot Function Index (FFI).

RESULTS:

The mean final VAS was smaller in the screw group (P = 0.01). The mean AOFAS and FFI scores were not significantly different between the two groups (P = 0.17 and P = 0. 19, respectively). The mean improvement of Bohler's angle, but not the Gissane's angle, was significantly greater in the screw group (P = 0.014 and P = 0.09, respectively). The mean improvement of calcaneal length and height were not significantly different between the two groups (P = 0.78 and P = 0.22, respectively). The hardware removal rate was 14.8% in the plate group and 3.8% in the screw group (P = 0.007).

CONCLUSION:

The modified screw fixation method provides lower pain, better radiographic outcome, and lower rate of hardware removal compared to plate fixation in the treatment of DIACF.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Placas Óseas / Tornillos Óseos / Calcáneo / Fracturas Intraarticulares / Fijación Interna de Fracturas Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Placas Óseas / Tornillos Óseos / Calcáneo / Fracturas Intraarticulares / Fijación Interna de Fracturas Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Musculoskelet Disord Asunto de la revista: FISIOLOGIA / ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido