Limited open reduction and percutaneous screw fixation of displaced intra-articular fracture of calcaneus : review of 48 fractures

الملخص EN

Objective : To evaluate the result of treating displaced intra-articular fracture of calcaneus using minimal open reduction and percutaneous screw fixation.

Setting : Orthopedic Department, Salmaniya Medical Complex (SMC).

Design : Retrospective study.

Method : A review of 50 patients who had percutaneous screw fixation for displaced intra-articular fracture of calcaneus was done.

Soeur and Remy modification of Essex Lopresti for the assessment of the degree of comminution was used.

Forty-four patients were evaluated for an average 2.5 years (1 to 4 year) after surgery.

The outcome was assessed using the functional hind foot score described by Paley et al and their radiological criteria.

Result : Satisfactory results were obtained in 79% of displaced intra-articular fracture of calcaneus, grade mild to moderate comminution.

Only two patients with superficial infection were encountered.

Conclusion : In this study, operable cases of displaced intra-articular fracture of calcaneus, mild to moderate comminution were treated adequately and effectively using percutaneous screw fixation.

Percutaneous screw fixation of the displaced intra-articular fracture of the calcaneus is an effective, safe, and reproducible method of treatment.