El-Morsy, M., Farag, H., Gomaa, H. (2021). Minimally Invasive Technique and K-Wire Fixation in Treatment of Fracture Calcaneus. test, 6(1), 219-222. doi: 10.21608/bjas.2021.169111
M. El-Morsy; H.E. Farag; H.M. Gomaa. "Minimally Invasive Technique and K-Wire Fixation in Treatment of Fracture Calcaneus". test, 6, 1, 2021, 219-222. doi: 10.21608/bjas.2021.169111
El-Morsy, M., Farag, H., Gomaa, H. (2021). 'Minimally Invasive Technique and K-Wire Fixation in Treatment of Fracture Calcaneus', test, 6(1), pp. 219-222. doi: 10.21608/bjas.2021.169111
El-Morsy, M., Farag, H., Gomaa, H. Minimally Invasive Technique and K-Wire Fixation in Treatment of Fracture Calcaneus. test, 2021; 6(1): 219-222. doi: 10.21608/bjas.2021.169111

Minimally Invasive Technique and K-Wire Fixation in Treatment of Fracture Calcaneus

Benha Journal of Applied Sciences
Article 33, Volume 6, Issue 1, January and February 2021, Pages 219-222    PDF (495.41 K)
Document Type: Original Research Papers
DOI: 10.21608/bjas.2021.169111
Authors
M. El-Morsy1; H.E. Farag1; H.M. Gomaa2
1Orthopaedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt
2Orthopaedic Surgery Dept., Faculty of Medicine, El-Fayoum Univ., El-Fayoum, Egypt
Abstract
The treatment of intra-articular fractures of the calcaneus remains controversial. Different approaches and methods of fixation are used aiming at anatomical reduction and achieving good functional outcome. Patient and methods: 10 patients  were included in this study with age range from 20 years to 36 years with mean age 28 years. According to Essex-Lopresti classification, all fractures were joint depression fractures. There were 5 fractures classified as Sanders II , 3 fractures were classified as Sanders III and 2 fractures were classified as Sanders IV. All patients were managed operatively using limited lateral approach and trans-articular k-wires fixation.Results:The mean follow-up duration was 6.20 months. The mean Maryland foot score was 85.50. Complications  included pin track infection in 2 cases which were treated conservatively, complex regional pain syndrome in 2 cases, both responded well to physiotherapy, restriction of subtalar joint movement in 3 cases which were treated by physiotherapy .The Sanders classification of fractures was found to be correlated significantly  to  Maryland  foot score.Conclusion : open reduction of displaced intra-articular calcaneal fractures through limited lateral approach and percutneous trans-articular k-wires fixation technique was found to be effective method for treatment of   Sanders type II and III , joint depression fractures.
Keywords
Intra-articular fractures of the calcaneus; Joint depression type fractures; limited lateral (sinus tarsi) approach; Trans-articular k- wires fixation
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