Related Experiment Videos
Open reduction for intra-articular calcaneal fractures: evaluation using computed tomography
Taketo Kurozumi1, Yasushi Jinno, Toru Sato
1Department of Orthopedic Surgery, Jinno Hospital, Himeji, Japan. jinno@oregano.ocn.ne.jp
Foot & Ankle International
|January 22, 2004
Summary
Open reduction and internal fixation for calcaneal fractures lead to good functional outcomes. Surgical factors like posterior facet and calcaneocuboid joint reduction significantly improve patient results.
Area of Science:
- Orthopedic surgery
- Radiology
- Traumatology
Background:
- Unilateral intra-articular calcaneal fractures are complex injuries.
- Open reduction and internal fixation (ORIF) is a common treatment.
- Predicting functional outcomes after ORIF is crucial for patient management.
Purpose of the Study:
- To correlate radiographic and CT findings with late functional outcomes.
- To identify prognostic factors for calcaneal fracture treatment.
- To evaluate the efficacy of ORIF in unilateral intra-articular calcaneal fractures.
Main Methods:
- Retrospective review of 67 patients treated with ORIF for unilateral intra-articular calcaneal fractures (1997-2002).
- Radiographic and CT imaging analyzed for fracture characteristics.
- Functional outcomes assessed using Laasonen's criteria at an average of 19.7 months postoperatively.
Main Results:
- 92.5% of patients achieved excellent or good functional results.
- Factors associated with better outcomes included younger age, higher Böhler angle, lower Sanders' grade, and restored height.
- Improved reduction of the posterior facet and calcaneocuboid joint were significant surgical prognostic factors.
Conclusions:
- ORIF can yield excellent functional outcomes for unilateral intra-articular calcaneal fractures.
- Surgical technique, specifically the reduction of the posterior facet and calcaneocuboid joint, is critical for optimal results.
- Pre-injury factors like Böhler angle and fracture severity also influence outcomes.