"ORIF" for displaced intra-articular calcaneal fractures in children
Mohamed Ebrahim Ali Al-Ashhab1
1Benha Faculty of Medicine, Benha University, Egypt.
Insights
Operative treatment for displaced intra-articular calcaneal fractures in children yields good short-term results. Surgical repair restores anatomical alignment, similar to adult outcomes, for these rare pediatric injuries.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
- Pediatric Foot and Ankle Surgery
Background:
- Displaced intra-articular calcaneal fractures are rare in children.
- Adult literature suggests operative treatment improves outcomes.
- Understanding pediatric fracture patterns is crucial.
Purpose of the Study:
- To analyze outcomes of pediatric displaced intra-articular calcaneal fractures.
- Evaluate open reduction and internal fixation (ORIF) in children.
- Compare pediatric fracture characteristics to adult data.
Main Methods:
- Retrospective analysis of 10 pediatric patients with displaced intra-articular calcaneal fractures.
- Treatment involved open reduction and internal fixation.
- Follow-up included clinical assessment using the AOFAS score.
Main Results:
- 8 patients had Sanders' Type II, 2 had Type III fractures.
- Mean follow-up was 20.3 months.
- Mean AOFAS score was 95.8, indicating good functional outcomes.
Conclusions:
- Pediatric intra-articular calcaneal fractures share similarities with adult fractures.
- ORIF for these pediatric fractures provides good short-term results.
- Restoring anatomical alignment is key to favorable outcomes.
Background:
Calcaneal fractures in children are rare injuries, and those with displaced intra-articular fracture patterns are found even less frequently. Recent data in the adult literature have suggested operative treatment of displaced intra-articular calcaneal fractures leads to a more favorable outcome.
Objective:
The aim of this study is to analyze the outcomes of displaced intra-articular calcaneal fractures in children treated by open reduction and internal fixation.
Methods:
Ten displaced intra-articular calcaneal fractures in 10 patients were treated by open reduction and internal fixation. Mean age was 10.2 (6-12 years). According to Sanders' classification, there were 8 patients who had Sanders' Type II fractures, and 2 children sustained Type III fracture. All patients were followed up with a mean 20.3 months (range 6-30). Clinical score according to the (AOFAS) was 95.8 (range 78-100).
Conclusion:
The characteristics of intra-articular calcaneal fractures in children are similar to those in adults and, from our experience, operative treatment of these fractures, to restore calcaneal anatomical alignment yields good short-term results.
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