Results of Open Reduction and Internal Fixation in Calcaneal Fractures
Journal Title: European Archives of Medical Research - Year 2020, Vol 36, Issue 2
Abstract
Objective: We aimed to evaluate the clinical and functional outcomes of 45 patients who underwent open reduction and internal fixation for calcaneal fractures. Methods: Sanders classification system was used to determine the fracture type. American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot scale was used for clinical evaluation of patients. The patients were hospitalized with Jones bandage-like bandage or short leg splint. The patients were treated with ice, elevation, parenteral nonsteroidal anti-inflammatory drugs and thromboembolism prophylaxis. All of the patients were evaluated with wrinkle test at their visits. Those who were positive for wrinkle test were operated on a mean of 14.3 days (1-25). Four of the patients had minimally invasive surgery and 41 of them were operated with extended lateral intervention. The mean follow-up period was 25.8 months (8-56 months). After discharge, the patients were called for routine follow-up visits every 15 days, then monthly checks in the first 1.5 months, then every 3 months after the 6th month and yearly after the 1st year. Results: Nine of 45 patients were female (20%) and 36 were male (80%). The mean age of the patients was 39.9 (21-60) years. Preoperatively, the mean Böhler angles were 3.6° and the Gissane angles were 128.8. The mean AOFAS score was 83.9. According to the fracture type; this was 94.6 in patients with tongue fractures, 88 in type 2 patients, 82.8 in type 3 patients and 78.3 in type 4 patients. Conclusion: As a result of this study good and satisfactory results can be obtained radiologically and functionally in Sanders type 2, type 3 and tongue type fractures. However, although we obtained radiologically good results in Sanders type 4 fractures, we did not achieve functional excellent results in any patients.
Authors and Affiliations
Metin Seyran, Murat Çakar
Keywords
Related Articles
- EP ID EP685865
- DOI 10.4274/eamr.galenos.2019.66588
- Views 91
- Downloads 0
Retrospective Evaluation of Patients Diagnosed with Stage I-II Supradiaphragmatic Presentation Hodgkin’s Lymphoma: Treatment Effect and Late-side Effect
Objective: The long-term treatment outcomes of patients with Hodgkin’s lymphoma are important, as such patients have increased lifespans. Treatment options must be evaluated particularly for secondary malignancy risk and...
Endo-first Approach for Peripheral Vascular Disease: The First Fifty Cases of a New Clinic
Objective: In recent years, endovascular and hybrid therapies have come to the forefront in the treatment of peripheral arterial disease (PAD) instead of open surgical treatment. In this study, we aimed to present the re...
PSMA-positive Secondary Tumors in 68Ga-PSMA PET/CT Imaging in Patients with Prostate Cancer
Objective: The objective of this research was to examine the prostate-specific membrane antigen (PSMA)-positive secondary tumor incidence in 68Ga-PSMA positron emission tomography/computed tomography (PET/CT) imaging in...
Approach to Patients with Neurotrauma and Thoracic Trauma and Anesthesia Management with Current Guidelines II
There are many causes of trauma such as traffic and work accidents and falling from height. These patients need systematic management in posttraumatic evaluation, airway management, resuscitation, possible surgical proce...
Intraperitoneal Ventralex™ ST Hernia Patch Application for Ventral Hernia Repair
Objective: Traditional methods commonly used in ventral hernia repair have a high recurrence rate. In patch repair, the recurrence rate is low, but there are many prosthetic materials. Ventralex™ ST hernia patch has smal...