The use of calcaneal anatomic plate in arthroscopically-assisted open reduction and internal fixation of intra-articular calcaneal fractures

Abstract

To discuss and evaluate the method and effect of using calcaneal anatomic plate in treatment of intra-articular fractures of the calcaneus with assistant of arthroscope, 86 intra-articular fractures of the calcaneus in 78 patients were reduced by open reduction, and rigid fixation was made with calcaneal anatomic plate under assistant of arthroscope. The average follow-up duration was 18 months (range 12–30 months). The effect of treatment was evaluated according to AOFAS and X-ray before and after operation. The results showed that 86 patients have obtained satisfactory reduction according to X-ray, and there was significant difference before and after operation (P<0.01), the total excellent and fine rate was 91.86%. Treating intra-articular fractures of the calcaneus with calcaneal anatomic plate under arthroscope may provide more chance to achieve anatomical reconstruction, which can lead to satisfied recovery of function and few complication.

Keywords

Fracture of Calcaneus / Calcaneal Anatomic Plate / Arthroscope / Internal Fixation

References

[1] GavlikJM, RammeltS, ZwippH. The use of subtalar arthroscopy in open reduction and internal fixation of intra-articular calcaneal fractures. Injury Int J CareInjured, 2002, 33(1): 63-71

[2] SandersR, FortinP, DiPasqualeA, et al.. TscherneH, SchatzkerJ, et al.. The results of operative treatment of displaced intra-articular calcaneal fractures using a CT scan classification. Major fractures of the pilon, the talus and the calcaneus, 1992, Berlin, Springer: 175-189

[3] SangeorzanB J, AnanthakrishnanD, TencerA F. Contact characteristics of the subtalar joint after a simulated calcaneus fracture. J Orthop Trauma, 1995, 9(3): 251-258

[4] MulcahyD M, McCormackD M, StephensM M. Intraarticular calcaneal fractures: effect of open reduction and internal fixation on the contact characteristics of the subtalar joint. Foot Ankle Int, 1998, 19: 842-848

[5] ZwippH, TschernneH, ThermannH, et al.. Osteosynthesis of displaced intraarticular fractures of the calcaneus. Results in 123 cases. Clin Orthop Relat Res, 1993, 290: 76-86

[6] LonginoD, BuckleyR E. Bone Graft in the Operative Treatment of Displaced Intraarticular Calcaneal Fractures: Is It Helpful?. J Orthop Trauma, 2001, 15(4): 280-286

[7] SanderR. Current concepts review: Displaced intraarticular fractures of the calcaneus. Joint Surg (Am), 2000, 82: 225-250