Evaluation of the result of articular facet reduction and intraoperative distraction for sanders type IV calcaneal fracture in polytraumatized patients
Zhanaspayev T. Zhanaspayeva G. Abilmazhinov M.
September 2024Wydawnictwo Aluna
Polski Merkuriusz Lekarski
2024#52Issue 5512 - 521 pp.
Aim: The aim of this study is to evaluate the results of combined repositioning – open repositioning of the depressed articular facet combined with intraoperative two-vector distraction of the calcaneus with a new external fixation distraction apparatus and osteosynthesis with a calcaneal plate with angular stability of a Sanders IV type fracture. Materials and Methods: This study evaluates the results of sequential two-vector distraction with a repositioning apparatus for open reduction and internal fixation (ORIF) of a Sanders IV calcaneal fracture. The method was applied in the treatment of 25 patients with polytrauma with 30 Sanders IV calcaneal fractures treated in Astana multiprofile hospital No. 1 and National Scientific Centre of Traumatology. 1 and National Scientific Centre of Traumatology and Orthopaedics named after academician N.D. Batpenov (Republic of Kazakhstan) from 2018 to 2022. Results: At final examination, the values of Bohler angle, Gissane, posterior articular facet tilt, width, height, and length of the calcaneus were significantly higher (p<0.001) preoperative values and were identical to postoperative values. Conclusions: The mean VAS pain score was 2.14 (standard deviation 1.08 and range 1.5-5.5). The mean clinical outcome score on the AOFAS was 92.8 points (SD 5.7, range 74-97). Two-vector distraction of the calcaneus with external fixation apparatus in ORIF of Sanders IV type intra-articular fracture is an effective method of repositioning a three-dimensional deformity of the calcaneus.
closed reduction and internal fixation , intra-articular fractures , reposition according to Westhues , reposition using an external fixation device , Sanders type IV fractures
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Astana Medical University, Astana, Kazakhstan
National Scientific Center of Traumatology and Orthopedics Named After Academician N.D. Batpenov, Astana, Kazakhstan
Astana Medical University
National Scientific Center of Traumatology and Orthopedics Named After Academician N.D. Batpenov
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