• Foot Ankle Surg · Sep 2016

    Comparative Study

    Is arthroscopic assisted percutaneous screw fixation as good as open reduction and internal fixation for the treatment of displaced intra-articular calcaneal fractures?

    • Ewe Juan Yeap, Jaynesthra Rao, Chee Huan Pan, Shahrul Aiman Soelar, and Alistair S E Younger.
    • Tuanku Fauziah Hospital, Kangar, Malaysia. Electronic address: ejyeap@yahoo.com.
    • Foot Ankle Surg. 2016 Sep 1; 22 (3): 164-169.

    BackgroundThis study compares the outcomes of calcaneal fracture surgery after open reduction internal fixation and plating (ORIF) versus arthroscopic assisted percutaneous screw fixation (APSF).MethodsGroup 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.ResultsAnthropometric 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.ConclusionThe 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.Copyright © 2015 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

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