Early stage results in the treatment of intra-articular calcaneus fractures and the factors affecting complication rates

Abstract

AimTo evaluate the results of plate osteosynthesis in intra-articular calca-neus fractures and to define methods to be followed to reduce complication rates.MethodThe study included 45 calcaneus fractures of 43 patients treated at our centre between 2010-2013. The patients were 36 males and 7 females with a mean age of 40.6 years. Plate osteosynthesis was applied to all the patients with an extended lateral incision.ResultsClinical evaluation of the patients was made using the Maryland Foot Score. Radiological evaluation was made according to change in the Böhler and Gissane angles. The follow-up period was mean 25 months (range, 12-38 months). With the exception of 5 patients, good and excellent results were obtained.ConclusionResults of this study were similar to previous studies in the literature in the success of early and mid-term successful plate osteo-synthesis. The use of less invasive methods could be a treatment alternative in patients at risk of complications, such as those who are smokers or have Type II diabetes.

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