Minimally Invasive Technique and K-Wire Fixation in Treatment of Fracture Calcaneus

El-Morsy, M.; Farag, H.E.; Gomaa, H.M.

doi:10.21608/bjas.2021.169111

Minimally Invasive Technique and K-Wire Fixation in Treatment of Fracture Calcaneus

Document Type : Original Research Papers

Authors

¹ Orthopaedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

² Orthopaedic Surgery Dept., Faculty of Medicine, El-Fayoum Univ., El-Fayoum, Egypt

10.21608/bjas.2021.169111

Abstract

The treatment of intra-articular fractures of the calcaneus remains controversial. Different approaches and methods of fixation are used aiming at anatomical reduction and achieving good functional outcome. Patient and methods: 10 patients were included in this study with age range from 20 years to 36 years with mean age 28 years. According to Essex-Lopresti classification, all fractures were joint depression fractures. There were 5 fractures classified as Sanders II , 3 fractures were classified as Sanders III and 2 fractures were classified as Sanders IV. All patients were managed operatively using limited lateral approach and trans-articular k-wires fixation.Results:The mean follow-up duration was 6.20 months. The mean Maryland foot score was 85.50. Complications included pin track infection in 2 cases which were treated conservatively, complex regional pain syndrome in 2 cases, both responded well to physiotherapy, restriction of subtalar joint movement in 3 cases which were treated by physiotherapy .The Sanders classification of fractures was found to be correlated significantly to Maryland foot score.Conclusion : open reduction of displaced intra-articular calcaneal fractures through limited lateral approach and percutneous trans-articular k-wires fixation technique was found to be effective method for treatment of Sanders type II and III , joint depression fractures.

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