MINIMALLY INVASIVE TECHNIQUES IN MANAGEMENT OF INTRA-ARTICULAR CALCANEAL FRACTURES

Abstract

Background: Intra-articular calcaneus fractures are commonly occured after high-energy trauma. Avariety of techniques exists for anatomic reduction and surgical fixation .The optimal management of displaced intra-articular calcaneus fractures is controversial and represents a topic of sustained interest and research for the past two decades .

 Open reduction and internal fixation (ORIF) via an extensile L-shaped approach has gained many soft tissue complications.

 These complications include deep and superficial infections and wound sloughs, which reportedly occur in 1.8% to 27% of patients. This high frequency of infection is likely attributed to thin soft-tissue envelope around the calcaneus especially the lateral wall, which is exposed for surgery .

 Recently, less invasive surgical techniques for treating displaced intra-articular calcaneus fractures have been undertaken in an attempt to reduce complication rates and promising clinical and radiographic outcomes.These recent techniques include limited-incision sinus tarsi ORIF,percutaneous stabilization with pins and /or screws, and minimally invasive plate osteosynthesis (MIPO(

Subjects:This study was conducted on 12 patients (10 males 83.3% & 2 females 16.7 %) with displaced intra-articular calcaneal fractures treated with less invasive techniques in the Orthopedics and Traumatology Department of  Zagazig University Hospitals from April 2017 to October 2017 with a follow up period of six months. .

This study was done in Zagazig University Hospitals,Egypt on 12 patiens with displaced intraarticular calcaneal fractures including displaced Essex-Lopresti fractures, Sanders type II fractures, Sanders type III fractures in patients with multiple co morbidities.

Results & Discussion

Results

Collected data will be presented in tables and suitable graphs and analyzed by computer software (SPSS version 19) using appropriate statistical methods.

Discussion done on results compared to related relevant literatures and specific researches to explain the reasons for getting such results.

Conclusion

less invasive surgical techniques for treating displaced calcaneus fractures are very effective and smart procedurs to reduce complications and improve recovery when surgery is indicated.