A comparative analysis of between percutaneous cannulated screw fixation and traditional plate internal fixation in treatment of Sanders II and III calcaneal fractures.

The objective of this study is to compare the clinical efficacy of percutaneous cannulated screw fixation and traditional plate internal fixation in the treatment of Sanders II and III calcaneal fractures. The records of 64 patients were retrospectively analyzed. Thirty-three cases were fixed by percutaneous cannulated screws. Thirty-one cases were fixed with traditional steel plate. The preoperative preparation time of screw group and plate group was 3 ± 1.7 days and 4.6 ± 2.1 days. The surgery time was 118.9 ± 43.8 minutes and 146.9 ± 47.6 minutes. The length of hospitalization was 8.7 ± 3.9 days and 17.0 ± 7.9 days. Intraoperative blood loss was 38.2 ± 27.7 mL and 67.1 ± 58.8 mL. The postoperative drainage volume of the plate group was 85.1 ± 53.7 mL, and no wound drainage was needed in the screw group after surgery. Postoperative wound complications occurred in 2 cases of the screw group and 8 cases of the plate group. The recovery effects of Gissane angle and Bohler angle are similar in the two groups. The excellent and good rate of AOFAS ankle-hindfoot Scale in screw group was 96.8% at 12 months after surgery, whereas the rate was 93.5% in plate group. Compared with the traditional plate internal fixation, the percutaneous cannulated screw group achieved the similar excellent and good rate of clinical treatment. And it has the advantages of less trauma, less bleeding, low incidence of complications, short preoperative preparation and hospitalization time. Level of Clinical Evidence: Level III.

Informations de copyright

Copyright © 2023. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of Competing Interest All the authors have no conflicts of interest, and all the authors agree with the current ranking order of authors