Limited open reduction and internal fixation of displaced intra-articular fractures of the calcaneum

Weber, M; Lehmann, O; Sägesser, D; Krause, F (2008). Limited open reduction and internal fixation of displaced intra-articular fractures of the calcaneum. Journal of bone and joint surgery - British volume, 90(12), pp. 1608-16. London: British Editorial Society of Bone and Joint Surgery 10.1302/0301-620X.90B12.20638

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The extended lateral L-shaped approach for the treatment of displaced intra-articular fractures of the calcaneum may be complicated by wound infection, haematoma, dehiscence and injury to the sural nerve. In an effort to reduce the risk of problems with wound healing a technique was developed that combined open reduction and fixation of the joint fragments and of the anterior process with percutaneous reduction and screw fixation of the tuberosity. A group of 24 patients with unilateral isolated closed Sanders type II and III fractures was treated using this technique and compared to a similar group of 26 patients managed by the extended approach and lateral plating. The operation was significantly shorter (p < 0.001) in the first group, but more minor secondary procedures and removal of heel screws were necessary. There were no wound complications in this group, whereas four minor complications occurred in the second group. The accuracy and maintenance of reduction, and ultimate function were equivalent.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Weber, Martin, Lehmann, Oliver, Sägesser, Daniel, Krause, Fabian

ISSN:

0301-620X

ISBN:

19043133

Publisher:

British Editorial Society of Bone and Joint Surgery

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:03

Last Modified:

05 Dec 2022 14:19

Publisher DOI:

10.1302/0301-620X.90B12.20638

PubMed ID:

19043133

Web of Science ID:

000261253800012

URI:

https://boris.unibe.ch/id/eprint/27458 (FactScience: 107782)

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