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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Medicina e Chirurgia della Caviglia e del Piede 2015 December;39(3):57-65

language: Italian

Trattamento chirurgico con fissatore esterno delle fratture intrarticolari di calcagno: nostra esperienza

Corina G. 1, Filipponi M. 2, Dilonardo M. 3, Borsetti D. 3, Rollo G. 2

1 Unità Operativa Complessa P.O. “D. Camberlingo”, Francavilla Fontana, Brindisi, Italia;
2 Unità Operativa Complessa P.O. “V. Fazzi”, Lecce, Italia;
3 Dipartimento Medicina Clinica e Sperimentale, Università Degli Studi di Foggia, Struttura Complessa di Ortopedia e Traumatologia Universitaria, Ospedali Riuniti Foggia, Foggia, Italia


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AIM: Treatment of intra-articular fractures of the calcaneus is still debated and there are many different surgical techniques; ORIF is the gold-standard technique. Percutaneous treatment with uniplanar external fixator gets a great because it ensures a good reduction, a stable synthesis, with less risk of soft tissue damage than ORIF. So we bring attention to our experience with the use of mini-external uniplanar calcaneal fixator at the Hospital Vito Fazzi in Lecce.
METHODS: We treated with mini-external uniplanar fixator and afterwards evaluated (clinically with Maryland-score and radiographically with standard radiographs) 60 patients with displaced intra-articular fractures of the calcaneus.
RESULTS: We’ve reported to the follow-up excellent clinical results in 34 patients (56.6%), good in 22 patients (36.6%), sufficient in 2 patients (3.3%) and poor in 2 patients (3.3%), with an average preoperative Bohler angle of 5.27 (range 0-188) and postoperative of 28.56 (range 16-388).
CONCLUSIONS: We have obtained encouraging functional results, thanks to the possibility of restore the calcaneal volume and Bohler angle, to grant early loading and to the low incidence of complications.

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