Internal fixation with plate and Kirschner wire to repair calcaneal fractures: comparison of Gissane angle, Bohler angle and calcaneus height

doi:10.3969/j.issn.2095-4344.2015.09.019

Abstract

Abstract:

BACKGROUND: Effects of percutaneous poking fixation with Kirschner wire and open reduction and internal fixation for long-term prognosis of calcaneal fractures are controversial. Percutaneous poking fixation with Kirschner wire is a simple method with small trauma to repair calcaneal fractures. However, the effect of fixation with Kirschner wire is poor, and external fixation is needed. Thus, it severely limits early activities and weight-bearing walking in patients.
OBJECTIVE: To compare and analyze the prognosis effect of open reduction and internal fixation and percutaneous poking fixation with Kirschner wire for calcaneal fractures.
METHODS: A total of 62 patients with calcaneal fractures, who were treated in Tangshan Fengnan District Hospital from March 2012 to September 2013, were selected for this study. The patients were divided into two groups according to the therapy strategy: open reduction and internal fixation group (n=29) and percutaneous poking fixation with Kirschner wire group (n=33). Gissane angle, Bohler angle, calcaneus height, incidence of postoperative complication and AOFAS score (1-year follow-up) were compared between the two groups.
RESULTS AND CONCLUSION: The Gissane angle, Bohler angle and calcaneus height in open reduction and internal fixation group were higher than percutaneous poking fixation with Kirschner wire group (P < 0.05). There was no statistical difference in the incidence of postoperative complication between the two groups (P > 0.05). The AOFAS score during 1-year follow-up was significantly higher in open reduction and internal fixation group than in the percutaneous poking fixation with Kirschner wire group (P < 0.05). Results indicated that open reduction and internal fixation could recover the regular structure of calcaneus and subtalar joint. Surgeon with skilled operation skills could ensure the safety of surgery. Open reduction and internal fixation can promote the prognosis of calcaneal fractures, and is better than percutaneous poking fixation with Kirschner wire.

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, Internal Fixators, Prognosis

CLC Number:

R318

Ma Dong-di, Yang Zhen-jian, Song Jin-xu, Gao Zhi-feng, Sun Li-heng, Pan Xue-wen. Internal fixation with plate and Kirschner wire to repair calcaneal fractures: comparison of Gissane angle, Bohler angle and calcaneus height[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(9): 1423-1428.

Figures/Tables 2

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