Sanders Type IIC Tongue-Type Fractures of the Calcaneus: Is Percutaneous Surgery the Treatment of Choice? Short-Term Functional and Radiographic Evaluation
Abstract
Objective: Our research aims to describe the functional and radiographic outcomes and complications of percutaneous surgery in Sanders type IIC tongue-type calcaneal fractures. Materials and Methods: 9 articular displaced calcaneus fractures in 9 patients were evaluated with lateral and anteroposterior radiographs and preoperative axial computerized tomography. Non-weight-bearing foot radiographs -lateral and anteroposterior- were taken in the immediate postoperative period, and weight-bearing radiographs were taken at the sixth and twelfth weeks, and when finishing follow-up. Böhler's angle was measured, and subtalar and calcaneocuboid osteoarthritis grade was quantified. The AOFAS score, wound complications, neurological injuries, and the need for additional surgeries such as hardware removal and subtalar arthrodesis were considered. Results: 3 women and 6 men complied with follow-up during 21.1 months. The patients’ average age was 42, +-12. The preoperative Böhler angle was 7° (+-6.2°) and the final postoperative angle was 33.6° (+-4.1).(p<0.00001). Subtalar range of motion presented a minor restriction in every patient. Neither subtalar nor calcaneocuboid osteoarthritis was observed. The AOFAS score was good in 4 patients and excellent in 5 of them. 100% of the patients presented good and excellent outcomes. We did not record wound infections or complications. Conclusion: Percutaneous surgery in Sanders type IIC tongue-type calcaneal fractures allows us to reach a significant reduction with good functional outcomes and minor soft-tissue complications.Downloads
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