title: Is arthroscopic assisted percutaneous screw fixation as good as open reduction and internal fixation for the treatment of displaced intra-articular calcaneal fractures?
abstract: BACKGROUND
  This study compares the outcomes of calcaneal fracture surgery after open reduction internal fixation and plating (ORIF) versus arthroscopic assisted percutaneous screw fixation (APSF).
  
  
  METHODS
  Group I (N=12) underwent ORIF. Group II (N=15) underwent APSF. Anthropometric data, pre and post-operative stay, complications and duration off work were recorded in this retrospective case cohort study. Radiographs were analyzed for Bohler's, Gissane's angle and Sanders' classification. AOFAS Hindfoot and SF 36 scores were collected at final follow-up.
  
  
  RESULTS
  Anthropometric data, Bohler's and Gissane's angles, AOFAS and SF 36 scores were not significantly different. Pre-operative duration was 12.3 days in ORIF and 6.9 days in APSF. Post-operative duration was 7.3 days vs 3.8 days. Duration off work was 6.2 months vs 2.9 months.
  
  
  CONCLUSIONS
  The APSF group was able to have surgery earlier, go home faster, and return to work earlier. This study was not powered to demonstrate a difference in wound complication rates.
authors: Tuanku Fauziah Hospital, Kangar, Malaysia. Electronic address: ejyeap@yahoo.com.
authors: Ewe Juan
authors: EJ
authors: Yeap
authors: Tuanku Fauziah Hospital, Kangar, Malaysia.
authors: Jaynesthra
authors: J
authors: Rao
authors: Kedah Medical Centre, Alor Setar, Malaysia.
authors: Chee Huan
authors: CH
authors: Pan
authors: Clinical Research Centre, Kuala Lumpur, Malaysia.
authors: Shahrul Aiman
authors: SA
authors: Soelar
authors: University of British Columbia, Vancouver, Canada.
authors: Alistair S E
authors: ASE
authors: Younger
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery; D001182:Arthroscopy / Q000009:adverse effects / Q000379:methods*; D001860:Bone Plates; D001863:Bone Screws; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D000072039:Fracture Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography / Q000379:methods; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Arthroscopic assisted percutaneous screw fixation; Displaced intra-articular calcaneal fractures; Extended lateral open reduction internal fixation