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Article: Arthroscopic-assisted percutaneous fixation of intra-articular calcaneal fractures using an intraoperative distraction device

TitleArthroscopic-assisted percutaneous fixation of intra-articular calcaneal fractures using an intraoperative distraction device
Authors
Keywordsarthroscopy
calcaneal fractures
distractor
minimally invasive surgery
Issue Date2021
PublisherSAGE Publications: Creative Commons. The Journal's web site is located at https://journals.sagepub.com/home/osj
Citation
Journal of Orthopaedic Surgery, 2021, v. 29 n. 1, p. article no. 2309499020979095 How to Cite?
AbstractPurpose: To evaluate the quality of reduction and clinical outcomes by using Percutaneous Distractor and Subtalar Arthroscopy Closed Reduction followed by Internal Fixation (PDSA-CRIF) in the intra-articular calcaneal fracture. Methods: A consecutive case series of 453 patients with 507 displaced intra-articular calcaneal fractures was recruited in this retrospective study. We performed PDSA-CRIF to treat intra-articular calcaneal fractures. The quality of reduction was assessed by early postoperative Computed Tomography (CT) scans and measurement of serial Bohler’s angles during follow-ups. Clinical outcomes were evaluated by Visual Analogue Scale (VAS) and the American Foot & Ankle Society ankle-hind foot scale (AOFAS) scoring system. Results: Fifty-nine patients (68 fractures) who had complete clinical data and follow-up of at least 12-months (mean: 14 months, range: 12–59 months) were finally included. Anatomical and near-anatomical reduction in subtalar articular surface which had less than 2 mm gap or step-off was found in 93% fractures. Unsatisfactory reduction was found in 7%. Conclusion: Arthroscopic-assisted percutaneous fixation using a distraction device is effective in achieving positive short-term results in the displaced intra-articular calcaneal fractures. A multicenter, large sample, randomized control trial is needed to fully evaluate the long-term effects of PDSA-CRIF in comparison to other methods.
Persistent Identifierhttp://hdl.handle.net/10722/306852
ISSN
2023 Impact Factor: 1.3
2023 SCImago Journal Rankings: 0.557
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorGao, D-
dc.contributor.authorWong, TM-
dc.contributor.authorFang, C-
dc.contributor.authorLeung, FKL-
dc.contributor.authorLi, X-
dc.contributor.authorJia, B-
dc.contributor.authorWang, Y-
dc.contributor.authorYu, B-
dc.date.accessioned2021-10-22T07:40:31Z-
dc.date.available2021-10-22T07:40:31Z-
dc.date.issued2021-
dc.identifier.citationJournal of Orthopaedic Surgery, 2021, v. 29 n. 1, p. article no. 2309499020979095-
dc.identifier.issn1022-5536-
dc.identifier.urihttp://hdl.handle.net/10722/306852-
dc.description.abstractPurpose: To evaluate the quality of reduction and clinical outcomes by using Percutaneous Distractor and Subtalar Arthroscopy Closed Reduction followed by Internal Fixation (PDSA-CRIF) in the intra-articular calcaneal fracture. Methods: A consecutive case series of 453 patients with 507 displaced intra-articular calcaneal fractures was recruited in this retrospective study. We performed PDSA-CRIF to treat intra-articular calcaneal fractures. The quality of reduction was assessed by early postoperative Computed Tomography (CT) scans and measurement of serial Bohler’s angles during follow-ups. Clinical outcomes were evaluated by Visual Analogue Scale (VAS) and the American Foot & Ankle Society ankle-hind foot scale (AOFAS) scoring system. Results: Fifty-nine patients (68 fractures) who had complete clinical data and follow-up of at least 12-months (mean: 14 months, range: 12–59 months) were finally included. Anatomical and near-anatomical reduction in subtalar articular surface which had less than 2 mm gap or step-off was found in 93% fractures. Unsatisfactory reduction was found in 7%. Conclusion: Arthroscopic-assisted percutaneous fixation using a distraction device is effective in achieving positive short-term results in the displaced intra-articular calcaneal fractures. A multicenter, large sample, randomized control trial is needed to fully evaluate the long-term effects of PDSA-CRIF in comparison to other methods.-
dc.languageeng-
dc.publisherSAGE Publications: Creative Commons. The Journal's web site is located at https://journals.sagepub.com/home/osj-
dc.relation.ispartofJournal of Orthopaedic Surgery-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectarthroscopy-
dc.subjectcalcaneal fractures-
dc.subjectdistractor-
dc.subjectminimally invasive surgery-
dc.titleArthroscopic-assisted percutaneous fixation of intra-articular calcaneal fractures using an intraoperative distraction device-
dc.typeArticle-
dc.identifier.emailWong, TM: wongtm@hku.hk-
dc.identifier.emailFang, C: cfang@hku.hk-
dc.identifier.emailLeung, FKL: klleunga@hkucc.hku.hk-
dc.identifier.authorityWong, TM=rp01689-
dc.identifier.authorityFang, C=rp02016-
dc.identifier.authorityLeung, FKL=rp00297-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1177/2309499020979095-
dc.identifier.pmid33410380-
dc.identifier.scopuseid_2-s2.0-85099187775-
dc.identifier.hkuros329083-
dc.identifier.volume29-
dc.identifier.issue1-
dc.identifier.spagearticle no. 2309499020979095-
dc.identifier.epagearticle no. 2309499020979095-
dc.identifier.isiWOS:000607956700001-
dc.publisher.placeUnited States-

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