External fixation versus mini open reduction and internal fixation in management of intra-articular calcaneal fractures, a comparative study | ||||
| Benha Journal of Applied Sciences | ||||
| Article 1, Volume 7, Issue 9, September 2022, Page 1-8 PDF (536.09 K) | ||||
| Document Type: Original Research Papers | ||||
| DOI: 10.21608/bjas.2022.274244 | ||||
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| Authors | ||||
| A. M. Abdallah; A S.Rizk; A H.El-Adawy; E S.Hussein | ||||
| Orthopedic Surgery, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
| Abstract | ||||
| The incidence of calcaneal fractures in adults ranges from 1% to 4%. Intraarticular calcaneal fractures account for 60% to 80% of all cases. Smaller incisions and less invasive surgical methods lower the risk of soft tissue problems. A stable calcaneal fracture repair has been shown with the use of external fixation. Purpose It is the goal of this research to examine the functional and radiological results of intra-articular calcaneal fractures treated with external fixation and micro open reduction with internal fixing Methods and patients Orthopedic surgery at Benha University Hospital and Benha Health Insurance Hospital treated a total of twenty patients with intra-articular calcaneal fractures; ten had external fixation and ten underwent small open reduction with internal fixation as part of the research. The EF group's average age was 36 years, with a range of 22 to 55 years old. There were seven men and three women. The ORIF group's age varied from 24 to 52 years, with a mean of 36.4 years. There were five men and five women in all. Results When compared to the ORIF group, the EF group had a substantially longer time from injury to surgery, a much shorter operating time, and a significantly smaller amount of blood loss. A substantial drop in VAS was seen in both the EF and ORIF groups throughout the course of time. It was shown that both the EF and ORIF groups had a large rise in their VAS scores over time, although the EF group had an immediate decrease in VAS scores, while the ORIF group had a considerable increase in VAS scores over time. There was a huge increase in the EF group's Comparing AOFAS to the ORIF group after 1 month and 3 months. Postoperatively, in both the EF and ORIF groups, Böhler's angle rose considerably compared to preoperative measurements. In both the EF and ORIF groups, it was shown that Gissan's angle rose considerably postoperatively in comparison to preoperative measurements. 20% of EF patients and 30% of ORIF patients had a superficial infection as a result of the procedure. ORIF patients developed deep infection in 10% of instances, but no EF patients had deep infection. One-tenth of the patients undergoing ORIF were complicated by wound edge necrosis, although none of the ones undergoing EF were. There were no sural nerve injuries in any of the instances evaluated. Conclusion It has been shown that external fixation is a safe and effective method for reconstructing calcaneal fractures. Because it's less intrusive, the time it takes for surgery and hospitalisation to be completed, and the danger of complications is smaller, it is a better option for patients. Intra-articular calcaneal fractures may be treated with minimally invasive surgery, which has low complication rates, decreased morbidity, and greater quality of life for patients. The results of this investigation show that external fixation is statistically better than minimally invasive fixing. | ||||
| Keywords | ||||
| Calcaneal fractures; Intra-articular; External fixation; Iinternal fixation | ||||
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