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An evaluation of the results of locked plate osteosynthesis applied without the use of bone graft in Sanders type III and IV intra-articular calcaneus fractures

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Abstract

Purpose

The clinical and radiological results of locked plate osteosynthesis with an extensive lateral approach without bone graft in Sanders type III and IV intra-articular calcaneus fractures and the factors affecting these results were evaluated retrospectively.

Methods

A total of 61 patients with Sanders type 3 and 4 calcaneus fractures who underwent a lateral approach with locked plate osteosynthesis were included in the study. The mean follow-up was 44.8 months.

Results

The mean pre- and post-operative Gissane and Bohler’s angles were 113.5° ± 13.9° and 106.7° ± 13.6° (p = 0.006) and 2.8° ± 14.1° and 19.6° ± 13.1° (p < 0.001), respectively. The mean post-operative AOFAS scores, SF-36, and Maryland were 80.5 ± 13.6 in type IIIAB, 89.4 ± 6.3 in IIIAC, and 82.4 ± 12.5 in IV; 58.6 ± 14.5 in type IIIAB, 60.3 ± 11.7 in IIIAC, and 58.0 ± 15.6 in IV; and 63.8 ± 7.2 in type IIIAB, 64.3 ± 7.1 in IIIAC, and 62.8 ± 11.7 in IV (p = 0.173, p = 0.932, p = 0.824, respectively). Wound problems were observed in 15 (28.6%) patients. Deep infection was not observed in any patient.

Conclusion

The clinical results were similar in type III and IV intra-articular calcaneus fractures applied with locked plate osteosynthesis in an extensive lateral approach and without the use of bone graft. Intra-articular calcaneus fracture fixation with a lateral locked plate is an effective treatment method.

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Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Bursa Yüksek Ihtisas Training and Research Hospital, Health Sciences University, 16300, Yıldırım, Bursa, Turkey

    Yavuz Akalin, Nazan Çevik, Özgür Avci & Alpaslan Öztürk

  2. Department of Orthopedics and Traumatology, Turkish Ministry of Health Bartın State Hospital, 74000, Bartın, Turkey

    Gökhan Cansabuncu

  3. Department of Orthopedics and Traumatology, Izmir Dr. Suat Zeren Chest Disease and Surgery Training and Research Hospital, Health Sciences University, 35110, Yenişehir, Izmir, Turkey

    Orhan Akinci

Authors
  1. Yavuz Akalin
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  2. Gökhan Cansabuncu
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  3. Nazan Çevik
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  4. Özgür Avci
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  5. Orhan Akinci
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  6. Alpaslan Öztürk
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Correspondence to Yavuz Akalin.

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This study was carried out in 2018 after the approval of the patients and the approval of the local ethics committee.

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Level of evidence: III, comparative study

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Akalin, Y., Cansabuncu, G., Çevik, N. et al. An evaluation of the results of locked plate osteosynthesis applied without the use of bone graft in Sanders type III and IV intra-articular calcaneus fractures. International Orthopaedics (SICOT) 44, 2753–2760 (2020). https://doi.org/10.1007/s00264-020-04691-x

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  • DOI: https://doi.org/10.1007/s00264-020-04691-x

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