Postoperative complications after displaced intra-articular calcaneal fracture operations
Lappalainen, Tuula A; Noponen, Noora A; Kaarela, Outi I; Klemola, Tero M; Ohtonen, Pasi P; Leppilahti, Juhana I (2024-01-17)
Elsevier
17.01.2024
Tuula A. Lappalainen, Noora A. Noponen, Outi I. Kaarela, Tero M. Klemola, Pasi P. Ohtonen, Juhana I. Leppilahti, Postoperative complications after displaced intra-articular calcaneal fracture operations, Foot and Ankle Surgery, Volume 30, Issue 4, 2024, Pages 319-324, ISSN 1268-7731, https://doi.org/10.1016/j.fas.2024.01.006
https://creativecommons.org/licenses/by/4.0/
© 2024 The Author(s). Published by Elsevier Ltd on behalf of European Foot and Ankle Society. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
https://creativecommons.org/licenses/by/4.0/
© 2024 The Author(s). Published by Elsevier Ltd on behalf of European Foot and Ankle Society. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
https://creativecommons.org/licenses/by/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202405153542
https://urn.fi/URN:NBN:fi:oulu-202405153542
Tiivistelmä
Abstract
Background:
The objective was to compare postoperative complications in the management of displaced intra articular calcaneal fractures (DIACF) between two groups; the open reduction and internal fixation (ORIF) group versus the percutaneous fixation (PF) group.
Methods:
A total of 243 DIACFs were diagnosed and 127 of them received operations either with ORIF 75 (59.1 %) or PF 52 (40.9 %) between 2004 and 2018. Postoperative complications, radiological Sanders’s classification and improvement of Böhler’s angle were analyzed.
Results:
Early complication rate (<6 weeks), rate of deep wound infections and wound edge necrosis were significantly better in PF than in ORIF patient group. There were no significant differences in late complications (>6 weeks from operation) nor in improvement of Böhler’s angle.
Conclusion:
Complication rate is lower when using PF technique while fracture reduction remains the same compared to the ORIF.
Level of evidence:
IV retrospective cohort study at a single institution.
Background:
The objective was to compare postoperative complications in the management of displaced intra articular calcaneal fractures (DIACF) between two groups; the open reduction and internal fixation (ORIF) group versus the percutaneous fixation (PF) group.
Methods:
A total of 243 DIACFs were diagnosed and 127 of them received operations either with ORIF 75 (59.1 %) or PF 52 (40.9 %) between 2004 and 2018. Postoperative complications, radiological Sanders’s classification and improvement of Böhler’s angle were analyzed.
Results:
Early complication rate (<6 weeks), rate of deep wound infections and wound edge necrosis were significantly better in PF than in ORIF patient group. There were no significant differences in late complications (>6 weeks from operation) nor in improvement of Böhler’s angle.
Conclusion:
Complication rate is lower when using PF technique while fracture reduction remains the same compared to the ORIF.
Level of evidence:
IV retrospective cohort study at a single institution.
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