RESULTS OF THE OSTEOSYNTHESIS WITH A LOCKING PLATE FOR TREATMENT OF THE INTRAARTICULAR CALCANEAL FRACTURE

Gioi Nang Nguyen1, Luong Van Nguyen
1 Central Military Hospital 108

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Abstract

Objectives: To evaluate the long-term outcome of surgical treatment of closed intraarticular calcaneal fracture using a locking plate. Methods: A retrospective and descriptive study without a control group on 56 calcaneal fracture patientswho underwent osteosynthesis between November 2016 and December 2022 at the 108 Central Military Hospital. Results: The mean preoperative Böhler angle was -1.9º (-40º - 22º). According to Sander’s classification, fracture type IIA, IIB, and IIC were seen in 3 patients, 4 patients, and 10 patients, respectively. Type IIIAB, III AC, and III BC fractures were seen in 1 patient, 4 patients, and 6 patients, respectively. Type IV fractures were seen in 8 patients. The mean post-operative Böhler angle was 31.5º ± 6.4º. The post-operative Gissane’s angle ranges from 115º to 140º. The incision was primarily healing in 52 cases, delayed healing in 2 cases, and not in 2 cases. Sural nerve injury occurred in 9 patients. Subtalar arthrosis was not detected in 36 patients. Type I and II arthroses were detected in 20 patients. There was no statistically significant difference between subtalar arthrosis and fracture types. The average AOFAS score was 79.5 ± 8.6. Conclusion: Osteosynthesis using a locking plate for intraarticular calcaneus fracture provided good results. 

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References

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