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Open reduction and internal fixation for displaced intra-articular fractures of the os calcis
Insights
Open reduction and internal fixation with bone grafting for displaced intra-articular calcaneal fractures yielded acceptable functional outcomes for most patients. Fracture patterns influenced the results, highlighting the importance of surgical approach for calcaneus (os calcis) injuries.
Area of Science:
- Orthopedic surgery
- Traumatology
- Radiology
Background:
- Displaced intra-articular calcaneal fractures are complex injuries.
- Surgical management aims to restore anatomy and function.
- Optimal surgical techniques and outcomes require further investigation.
Purpose of the Study:
- To evaluate the functional outcomes of open reduction and internal fixation with bone grafting for displaced intra-articular calcaneal fractures.
- To analyze the correlation between fracture patterns and clinical results.
Main Methods:
- Retrospective study of 31 patients with displaced intra-articular calcaneal fractures.
- Surgical intervention included open reduction, internal fixation, and bone grafting.
- Pre- and postoperative X-rays were analyzed.
- Clinical assessment included pain, deformity, activity levels, and range of motion.
Main Results:
- The majority of patients achieved acceptable functional outcomes.
- Clinical assessment revealed varying degrees of pain, deformity, and motion loss.
- Analysis aimed to correlate outcomes with specific fracture patterns.
Conclusions:
- Open reduction and internal fixation with bone grafting can provide acceptable functional results for displaced intra-articular calcaneal fractures.
- Fracture pattern is a significant factor influencing treatment outcomes.
- Further research is needed to refine surgical strategies based on fracture characteristics.
Abstract:
Thirty-one patients with displaced intra-articular fracture of the os calcis who were admitted to Queen Mary Hospital, Hong Kong from 1989 to 1991 and who underwent open reduction and internal fixation and bone grafting of the os calcis, were followed up for at least 30 months. Pre- and postoperative X-rays were taken. Functional results were assessed clinically in terms of pain, deformities, activities and motion loss. The majority of the patients had acceptable functional outcome. The results were analysed in an attempt to correlate with the fracture pattern.