Abstract
The purpose of the present study was to examine the clinical results of surgery for
intra-articular calcaneal fractures using a calcaneal locking plate and a bone spreader
as a reduction tool. Ten patients with intra-articular calcaneal fractures were treated.
An extended lateral approach was used. The reduction of the intra-articular fragments
of the posterior facet was temporarily held using a bone spreader and Kirschner wires.
Internal fixation was achieved with a locking calcaneal plate. Böhler's angle and
Preiss' angle were assessed on the day of injury and the day of the final follow-up
examination. The step off and gap of the posterior facet were assessed on the day
of injury and the first week after surgery. The functional outcome was evaluated using
the American Orthopaedic Foot and Ankle Society ankle hindfoot scale score. The mean
Böhler's angle ranged from 2.1° ± 11.0° to 30.4° ± 5.0° (p < .0001), the mean Preiss' angle ranged from 23.5° ± 4.5° to 15.5° ± 2.9° (p < .0001), the mean step off ranged from 4.0 ± 1.9 mm to 0.1 ± 0.2 mm (p = .0002), and the mean gap ranged from 2.6 ± 1.0 mm to 1.2 ± 0.6 mm (p = .0035). The mean American Orthopaedic Foot and Ankle Society Ankle-Hindfoot scale
score was 89.2 (range 85 to 100) at a mean of 14.3 months after surgery. Our results
suggest that a locking calcaneal plate can be used to restore and reduce an intra-articular
calcaneal fracture and achieve good clinical results.
Level of Clinical Evidence
Keywords
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Article info
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
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