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Int Orthop. 2019 Dec;43(12):2839-2847. doi: 10.1007/s00264-019-04381-3. Epub 2019 Aug 1.

Three-dimensional computed tomography analysis and functional results of calcaneal fractures treated by an intramedullary nail.

Author information

1
Bordeaux Hospital University, Place Amélie Raba-Léon, 33076, Bordeaux cedex, France.
2
The Maitland Hospital, 560 High St., Maitland, NSW, 2320, Australia.
3
Lake Macquarie Private Hospitals, 3 Sydney St., Gateshead, NSW, 2290, Australia.
4
Blomet clinic, 136 bis rue Blomet, 75015, Paris, France.
5
Bordeaux Hospital University, Place Amélie Raba-Léon, 33076, Bordeaux cedex, France. julienlucas@gmail.com.

Abstract

BACKGROUND:

Intramedullary calcaneal nailing is used to treat displaced intra-articular calcaneal fractures. The main goal of the study was to assess the reduction of tomography and secondary goals were patient functional scores and complication rates.

METHODS:

The functional outcome and restoration of the radiographic parameters were evaluated post-operatively, at three months, at one year, and at the last follow-up. The morphology of the posterior facet was evaluated post-operatively, at one year and at the last follow-up by CTs.

RESULTS:

Twenty-six patients were included. The mean follow-up was 2.8 years. The mean AOFAS-AHS was 79 at the last follow-up. The mean calcaneal height index and length rose respectively from 0.44 to 0.86 and 83 to 87 mm, and the width decreased from 50 to 46 mm.

CONCLUSION:

The radiographic parameters were restored. The AOFAS-AHS was comparable with other series. This study confirms the efficiency of this procedure with lower rate of complications.

KEYWORDS:

Articular fracture; Calcaneus fracture; Closed reduction; Internal fixation; Locking nail; Operative procedure

PMID:
31372810
DOI:
10.1007/s00264-019-04381-3

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