Treatment of Displaced Intra-articular Calcaneal Fractures With an Interlocking Nail (C-Nail). Issue 11 (November 2020)
- Record Type:
- Journal Article
- Title:
- Treatment of Displaced Intra-articular Calcaneal Fractures With an Interlocking Nail (C-Nail). Issue 11 (November 2020)
- Main Title:
- Treatment of Displaced Intra-articular Calcaneal Fractures With an Interlocking Nail (C-Nail)
- Authors:
- Veliceasa, Bogdan
Filip, Alexandru
Pinzaru, Roxana
Pertea, Mihaela
Ciuntu, Bogdan
Alexa, Ovidiu - Abstract:
- Abstract : Objectives: To assess the outcome of the sinus tarsi approach and C-Nail fixation of displaced intra-articular calcaneal fractures (DIACFs). Design: Prospective study. Setting: University Trauma Department. Patients: Sixty-four patients (mean age 44.3 years, 48 men and 16 women) with 75 DIACFs were treated between October 1, 2016 and December 31, 2018. Intervention: In all cases, the posterior facet was reduced through the sinus tarsi approach and fixed with one or 2 screws. After reducing all fragments to the articular block, the final fixation was performed percutaneously with C-Nail, locked with 6 screws. Main Outcome Measurements: Patients were assessed for restoration of the Böhler angle, complications, and overall fracture reduction. To assess the functional outcome, we used the Mean American Orthopaedic Foot & Ankle Society Ankle-Hindfoot Score and Maryland Foot Score after 12 months. Results: The Böhler angle improved from −0.5 degrees preoperatively to 28.6 degrees postoperatively. The articular step-off was reduced from 5.4 mm preoperatively to 0.6 mm postoperatively. The postoperative radiologic calcaneal score was 2.9, on average. Superficial wound edge necrosis was seen in 3 patients (4%) and superficial infection was observed in one (1.3%). After a 1-year follow-up, we recorded a mean American Orthopaedic Foot & Ankle Society Ankle-Hindfoot Score of 90.2 and a mean Maryland Foot Score of 91.2. Conclusions: After obtaining an anatomic reduction of theAbstract : Objectives: To assess the outcome of the sinus tarsi approach and C-Nail fixation of displaced intra-articular calcaneal fractures (DIACFs). Design: Prospective study. Setting: University Trauma Department. Patients: Sixty-four patients (mean age 44.3 years, 48 men and 16 women) with 75 DIACFs were treated between October 1, 2016 and December 31, 2018. Intervention: In all cases, the posterior facet was reduced through the sinus tarsi approach and fixed with one or 2 screws. After reducing all fragments to the articular block, the final fixation was performed percutaneously with C-Nail, locked with 6 screws. Main Outcome Measurements: Patients were assessed for restoration of the Böhler angle, complications, and overall fracture reduction. To assess the functional outcome, we used the Mean American Orthopaedic Foot & Ankle Society Ankle-Hindfoot Score and Maryland Foot Score after 12 months. Results: The Böhler angle improved from −0.5 degrees preoperatively to 28.6 degrees postoperatively. The articular step-off was reduced from 5.4 mm preoperatively to 0.6 mm postoperatively. The postoperative radiologic calcaneal score was 2.9, on average. Superficial wound edge necrosis was seen in 3 patients (4%) and superficial infection was observed in one (1.3%). After a 1-year follow-up, we recorded a mean American Orthopaedic Foot & Ankle Society Ankle-Hindfoot Score of 90.2 and a mean Maryland Foot Score of 91.2. Conclusions: After obtaining an anatomic reduction of the articular surface of the posterior facet with lag screws, the C-Nail represented a viable alternative to plate stabilization in the treatment of DIACFs, combining primary stability with low soft tissue complications. Level of Evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. Abstract : Supplemental Digital Content is Available in the Text. … (more)
- Is Part Of:
- Journal of orthopaedic trauma. Volume 34:Issue 11(2020)
- Journal:
- Journal of orthopaedic trauma
- Issue:
- Volume 34:Issue 11(2020)
- Issue Display:
- Volume 34, Issue 11 (2020)
- Year:
- 2020
- Volume:
- 34
- Issue:
- 11
- Issue Sort Value:
- 2020-0034-0011-0000
- Page Start:
- Page End:
- Publication Date:
- 2020-11
- Subjects:
- calcaneal fracture -- sinus tarsi -- calcaneal nail -- C-nail
Orthopedics -- Periodicals
Wounds and injuries -- Periodicals
Orthopedics -- Periodicals
Wounds and Injuries -- therapy -- Periodicals
Periodicals
617.47044 - Journal URLs:
- http://journals.lww.com/jorthotrauma/pages/default.aspx ↗
http://www.jorthotrauma.com ↗
http://cufts2.lib.sfu.ca/CJDB/BVAS/journal/149202 ↗
http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=toc&D=ovft&AN=00005131-000000000-00000 ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/BOT.0000000000001807 ↗
- Languages:
- English
- ISSNs:
- 0890-5339
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 5027.675000
British Library DSC - BLDSS-3PM
British Library STI - ELD Digital store - Ingest File:
- 20918.xml