[Combined "percutaneous and minimal" osteosynthesis for dislocated intra-articular calcaneus fractures].
41 displaced intraarticular fractures of the calcaneus were treated with open reduction, limited internal screw fixation, bone grafting and percutaneous pinning, using an extensile postero-lateral approach. Despite early functional after treatment all fractures healed without secondary displacement in an average time of 8 weeks. At follow-up (average 4.2 years) there was a strict correlation between the clinical results and the severity of articular comminution. A satisfactory outcome seems to depend on the ability to restore the best possible articular congruency and extra-articular alignment of the os calcis. Results and advantages of our method are discussed.
Lichtenhahn
P
P
Chirurgische Klinik, Kantonsspital Aarau.
Koella
C
C
Fernandez
D L
DL
D000293:Adolescent; D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000293:injuries* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D014945:Wound Healing / Q000502:physiology*
Kombinierte "perkutane und minimale" Osteosynthese für dislozierte, intraartikuläre Kalkaneusfrakturen.