Small incision reduction graft and percutaneous Kirschner wire fixation for calcaneal fractures: advantages and disadvantages

doi:10.3969/j.issn.2095-4344.2014.48.020

Abstract

Abstract:

BACKGROUND: The calcaneus is cancellous bone with thin cortical bone, and mostly prone to collapse compression fracture after injuries. Surgical reduction and fixation can basically restore joint integrity and calcaneus form, patients often need bone graft to fill the bone and receive Kirschner wire fixation to support bone graft and maintain reduction.
OBJECTIVE: To explore the advantages and defects of small incision reduction graft and percutaneous Kirschner wire fixation in treatment of calcaneal fractures.
METHODS: 26 patients with calcaneal fractures were treated with small incision reduction graft (autograft or allograft bone) plus percutaneous Kirschner wire fixation, and clinical data of the involved patients were retrospectively analyzed. Bohler and Gissane angles of calcaneal bone were observed after fixation. Maryland foot scoring system was applied to evaluate the clinical efficacy of bone graft and fixation, soft tissue complications after fixation were also observed.
RESULTS AND CONCLUSION: All 26 patients were followed up for 6-12 months. Compared with before surgery, calcaneus Bohler and Gissane angles were significantly increased after treatment; according to the Maryland foot scores, excellent and good rate was 85%. Small incision reduction graft and percutaneous Kirschner wire fixation is reliable treatment method of intra-articular calcaneal fractures, with fewer complications.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: calcaneus, fractures, bone nails, bone transplantation

CLC Number:

R318

Fan Ai-min, He Zhi, Zhang Li-liang, Feng Tie-cheng, Liu Fang-gang. Small incision reduction graft and percutaneous Kirschner wire fixation for calcaneal fractures: advantages and disadvantages[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(48): 7822-7826.

Figures/Tables 2

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