PreprintArticleVersion 1Preserved in Portico This version is not peer-reviewed
Open Reduction and Internal Fixation with Plate and Screw Versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study
Version 1
: Received: 14 May 2024 / Approved: 14 May 2024 / Online: 15 May 2024 (03:29:13 CEST)
How to cite:
Pavone, V.; Sapienza, M.; Carnazza, M.; Vaccalluzzo, M. S.; Leotta, G.; Sergi, F.; Mobilia, G.; Di Via, D.; Testa, G. Open Reduction and Internal Fixation with Plate and Screw Versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study. Preprints2024, 2024050967. https://doi.org/10.20944/preprints202405.0967.v1
Pavone, V.; Sapienza, M.; Carnazza, M.; Vaccalluzzo, M. S.; Leotta, G.; Sergi, F.; Mobilia, G.; Di Via, D.; Testa, G. Open Reduction and Internal Fixation with Plate and Screw Versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study. Preprints 2024, 2024050967. https://doi.org/10.20944/preprints202405.0967.v1
Pavone, V.; Sapienza, M.; Carnazza, M.; Vaccalluzzo, M. S.; Leotta, G.; Sergi, F.; Mobilia, G.; Di Via, D.; Testa, G. Open Reduction and Internal Fixation with Plate and Screw Versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study. Preprints2024, 2024050967. https://doi.org/10.20944/preprints202405.0967.v1
APA Style
Pavone, V., Sapienza, M., Carnazza, M., Vaccalluzzo, M. S., Leotta, G., Sergi, F., Mobilia, G., Di Via, D., & Testa, G. (2024). Open Reduction and Internal Fixation with Plate and Screw Versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study. Preprints. https://doi.org/10.20944/preprints202405.0967.v1
Chicago/Turabian Style
Pavone, V., Danilo Di Via and Gianluca Testa. 2024 "Open Reduction and Internal Fixation with Plate and Screw Versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study" Preprints. https://doi.org/10.20944/preprints202405.0967.v1
Abstract
Background: The surgical approach to treating calcaneal fractures, specifically Sanders types II, III, and IV, is still a subject of controversy. The decision to opt for open reduction and internal fix-ation (ORIF) or minimally invasive osteosynthesis (MIOS) remains uncertain owing to varying complication rates. This study intends to examine each treatment’s pros and cons in relation to the incidence of complications. Methods: In this retrospective study, we examined 70 patients treated between January 2018 and September 2022: 50 received ORIF, and 20 underwent MIOS. We evaluated functional outcomes with the Maryland Foot Score and the Creighton-Nebraska Health Foundation Assessment Scale (CNHFAS). We also assessed the amount of anatomical restoration using Böhler’s and Gissane’s angles, determined by radiographic checks, and the frequency of postoperative complications. Results: A significant reduction in the risk of reinter-vention was observed in patients with high anesthetic risks, polytraumatized individuals, and those with comorbidities who underwent MIOS. The chi-square test analysis of postoperative complications highlighted no substantial differences between the ORIF and MIOS groups in rela-tion to tendinitis, chronic pain and swelling, algodystrophy, and surgical wound infections (p > 0.20 for all). Conclusion: ORIF is more suitable for patients who have high motor function re-quirements, a long-term activity schedule and can endure potential additional procedures. This preference is because ORIF provides better anatomical restoration and features a lower osteoar-thritis occurrence rate.
Keywords
calcaneal fractures; plate and screw; mios technique; external fixator; retrospective cohort study
Subject
Medicine and Pharmacology, Orthopedics and Sports Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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