Closed reduction of displaced intra-articular calcaneal fractures using ilizarov frame

A prospective comparative study between percutaneous cannulated screws and Kirschner wires in treatment of displaced intra-articular calcaneal fractures

“…Comparing these current results with other types of MIS techniques in DIACFs, the satisfactory results in our study were comparable to those achieved by Cao et al [ 24 ], who treated 33 patients with DIACFs with minimally invasive calcaneal locked plate, and their mean AOFAS score was 82. El-Mowafi et al [ 6 ] reviewed 40 patients with 48 DIACFs who were treated with the Ilizarov technique and reported that the mean AOFAS score was 84.6. Also, the results in this current study were comparable to those achieved by Peng et al [ 25 ], who treated 21 feet with DIACFs by augmentation of cannulated screws with injectable calcium phosphate, and their mean AOFAS was 84.…”

“…Schepers et al [ 32 ] showed subtalar arthritis in 49.3% of patients. El-Mowafi et al [ 6 ] reported 43.8% of patients had subtalar arthritis. All patients with subtalar arthritis in our study were of mild to moderate degrees with no severe cases and were managed conservatively, and none of them needed subtalar fusion until the last follow-up.…”

“…MIS techniques have a decreased rate of wound complications but carry the risk of inadequate reduction [ 4 ]. Several MIS techniques have been used to treat DIACFS including arthroscopic-assisted reduction and fixation [ 5 ], Ilizarov device [ 6 ], interlocking calcaneal nails [ 7 ], sinus tarsi approach and percutaneous plate [ 8 ], and percutaneous screws or K-wires.…”