Could percutaneous fixation with crossed Schanz pins be an alternative to open reduction in the treatment of intra-articular calcaneal fractures?

Duramaz, Altuğ; Polat, Ömer; İlter, Mehmet Hakan; Bayram, Berhan; Bayrak, Alkan; Baca, Emre

doi:10.1007/s00264-021-04944-3

Cited by 6 publications

(9 citation statements)

References 29 publications

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“…Although significant improvements in surgical technique have been made in recent years, the optimal surgical treatment for IACF remains controversial [ 1 , 2 , 3 , 4 , 5 , 6 ]. Several approaches and fixation methods have been described for open surgery: medial, lateral, sinus tarsi, double-incision (medial and lateral) and extensile lateral approaches.…”

Section: Discussionmentioning

confidence: 99%

“…Calcaneal fractures (CF) are the most common tarsal bone injury. They are intra articular in more than 70% of cases, involving the subtalar joint [ 1 ]. The optimal surgical treatment of IACF is still under debate, since many lifelong debilitating sequelae may occur [ 2 , 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Several surgical treatments have been proposed [ 1 , 2 , 3 , 4 , 5 , 6 ]: ORIF, reduction and fixation through mini-incisions, external fixation, calcaneoplasty and arthroscopically-assisted procedures. All of these methods appear to achieve satisfactory outcomes [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, despite the good results reported in the literature, this approach is associated with high complication rates, such as wound infection and dehiscence, tissue de-vascularization, injury of the sural nerve, and implant-related pain. [ 1 , 2 , 5 , 6 ]. As a matter of fact, the development of major wound complications is a serious complication because the soft-tissue envelope around the calcaneus is particularly thin and vulnerable.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the theoretical benefits of modern operative techniques, today there is no clinical evidence to determine the superiority of minimally invasive surgical approaches over others [ 1 , 2 , 3 , 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Patient Reported Outcome Measures (PROMs) in Surgery: Evaluation after Minimally Invasive Reduction and Percutaneous K-Wires Fixation for Intra-Articular Calcaneal Fractures

et al. 2023

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Background: The optimal surgical treatment of intra-articular calcaneal fractures (IACF) is still under debate. In the literature, results are based on clinical or radiographical findings. Few studies have evaluated the effect of patient expectations on patient-reported outcomes after surgery and little is known about outcomes directly reported by the patient who experienced it. Patient reported outcome measures (PROMs) may represent a viable and useful tool for evaluating the efficacy of the procedure and can be considered as an indicators of health-care quality. The aim of this study is to evaluate PROMs after minimally invasive reduction and percutaneous Kirschner-wires fixation for IACF, and to compare PROMs to pre-operative and last follow-up radiographic findings. Methods: 33 consecutive patients with IACF treated with minimally invasive reduction and percutaneous K-wires fixation were included. Data collection included demographics, pre-operative and last available Böhler and Gissane angle X-rays, foot function index (FFI), and foot and ankle outcome score (FAOS). Results: At a mean follow up of 36.7 months, the mean FFI score was 24.3 ± 19.9 and the mean FAOS score was 68 ± 24.8. Patients with better Gissane angle showed better activity limitations FFI subscores. Moreover, worse pre-operative Gissane and Böhler angle were significantly associated with a worse total FAOS score and subscores. Conclusions: Minimally invasive reduction and percutaneous K-wires fixation provided satisfactory PROMs. Despite these results, prospective randomized studies are required to confirm the validity and reliability of PROMs in evaluating different treatments.

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