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. 2020 Aug 6;12(2):8506.
doi: 10.4081/or.2020.8506.

Functional and radiological outcomes in displaced heel fractures: Open reduction and internal fixation versus external fixation

Sebastiano Ortu  1 , Matteo Brusoni  1 , Francesco Pisanu  1 , Gianfilippo Caggiari  1 , Emanuele Ciurlia  1 , Fabrizio Bienati  2 , Andrea Fabio Manunta  1 , Carlo Doria  1 , Mario Manca  3
Affiliations

Functional and radiological outcomes in displaced heel fractures: Open reduction and internal fixation versus external fixation

Sebastiano Ortu et al. Orthop Rev (Pavia). .

Abstract

Management of intra-articular heel fractures is controversial. The main goals of surgical treatment are restoring subtalar articular congruence and width, height, form and alignment of the heel. The gold standard is considered Open Reduction and Internal Fixation (ORIF), a complex technique with a high rate of complications. External Fixation (EF) could be a good alternative. In this study were identified 37 fractures in 35 patients (24 patients underwent ORIF and EF was performed in 13 cases) and the outcomes of the two techniques were compared. The mean surgical time for ORIF was 107.8 minutes, while for EF was 88.61 minutes and the ORIF group presented a higher rate of complications, despite of similar results in the mean postoperative AOFAS Ankle and Hindfoot Scale scores (73.31/100 points in the ORIF group and 75.40/100 points in the EF group). Fast learning curve, short surgery time and low complications rate make EF an alternative to ORIF in treating intraarticular heel fractures.

Keywords: complications; external fixation; heel fracture; internal fixation; open reduction.

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Conflict of interest statement

Conflict of interest: The authors declare no conflict of interest.

References

    1. Zwipp H, Rammelt S, Barthel S. Fractures of the calcaneus. Unfallchirurg 2005;108:737–747. - PubMed
    1. Magnan B, Bortolazzi R, Marangon A, et al. External fixation for displaced intra-articular fractures of the calcaneum. J Bone Joint Surg Br 2006;88: 1474-9. - PubMed
    1. Coughlin MJ. Calcaneal fractures in the industrial patient. Foot Ankle Int 2000;21:896-905. - PubMed
    1. Schepers T, Van Lieshout EM, Van Ginhoven TM, et al. Current concepts in the treatment of intra-articular cal- caneal fractures: results of a nationwide survey. Int Orthop 2008;32:711–715. - PMC - PubMed
    1. Crosby LA, Fitzgibbons T. Computerized tomography scanning of acute intra-articular fractures of the calcaneus. A new classification system. J Bone Joint Surg Am 1990;72:852-9. - PubMed