13 / 21
Page 76
allied
academies
International Surgery and Ortho Conference
October 25-26, 2017 | Toronto, Canada
Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3
Objective:
The objective of this study was to analyze the
complication rates of the surgical treatment of these fractures
with the use of the lateral external fixator associated with
the percutaneous approach. The secondary objective is the
evaluation of the clinical, functional and radiographic results
of these patients.
Methods:
A single-center, retrospective case study of 15
patients (17 feet) with intra-articular calcaneus fracture
treated with lateral external fixator between March 2015
and July 2016. 14 were male, aged between 27 and 58
years (average of 42.5 years). According to the Sanders
Classification, 1 patient was IIA, 2 IIIAB, 5 IIIAC, 4 IIIBC, and
5 cases as IV. The complication rate, the values of the Böhler
and Gissane angles and the AAOFAS questionnaire were
evaluated in the pre-and postoperative period.
Results:
The 15 patients (17 feet) were followed between
6-12 months (average of 9 months). None of the patients
evaluated showed infection, dehiscence or skin necrosis
during follow-up. The Böhler angle had a preoperative
angle (14.5+/-4.5º) increase to (21+/ -9º) postoperative.
The Gissane angle had a decrease from (135+/-15º) in the
preoperative period to (122.5+/-12.5º) in the postoperative
period. The AAOFAS questionnaire showed an improvement
in the score from (55.5+/-9.5) in the preoperative period to
(86+/-14) in the postoperative period.
Conclusion:
The use of lateral external fixator as definitive
treatment of intra-articular calcaneus fractures has been
shown to be safe and reliable. There was no complication rate
and the clinical and radiographic results were satisfactory.
e:
ma.rosa00@gmail.comThe use of the external fixator as an alternative to avoid the complications of the surgical treatment
of articular fractures of the calcaneus
Marina Rosa Filezio, Priscilla Goes Medea de Mendonça, Stefan Wolfgang Carotta Muller, Alvaro Diego Pupa de Freitas, Danilo Lira Gianuzzi
and
Paolo Buffone
Faculdade de Medicina do ABC, Brazil