COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES.

Area of Science:

• Orthopedic surgery
• Traumatology
• Skeletal repair

Background:

• Calcaneal fractures are complex injuries impacting mobility.
• Sanders classification (types II and III) guides treatment decisions.
• Traditional open reduction internal fixation (ORIF) with locking compression plates (LCP) is a common approach.

Purpose of the Study:

• To compare the clinical outcomes of ORIF using LCP versus minimally invasive C-Nail fixation for Sanders types II and III calcaneal fractures.
• To evaluate the efficacy and suitability of C-Nail osteosynthesis as a primary treatment option.

Main Methods:

• A comparative study involving 217 patients treated with LCP and 19 patients treated with C-Nail.
• Assessment of treatment outcomes including excellent, good, satisfactory, and poor results.
• Measurement and comparison of Böhler's angle restoration and maintenance post-injury.

Main Results:

• Excellent outcomes were reported in 35.7% (LCP) and 36.9% (C-Nail) of patients.
• Good outcomes were achieved by 38.9% (LCP) and 31.6% (C-Nail) of patients.
• Both groups showed comparable restoration and maintenance of Böhler's angle at 12 months post-surgery.

Conclusions:

• Outcomes with C-Nail fixation are statistically identical to those achieved with LCP fixation.
• Osteosynthesis using a C-Nail is a suitable first-choice treatment for Sanders types II and III calcaneal fractures.
• Minimally invasive C-Nail offers a comparable alternative to traditional LCP fixation.