Background: Calcaneal fractures is a topic in orthopedic fracture
care, that has been heavily debated over the last decades. The aim
of the current study was to assess the results of minimally invasive
open reduction and percutaneous fixation of intra-articular
calcaneal fractures.
Patients and methods:Twenty-four calcaneal fractures, in 21
patients were prospectively included in the current study. There
were 15 males and 6 females, with a mean age of 34.8 years.
A limited sinus tarsi approach was used in elevation of the
depressed posterior facet, followed by fixation with one or two 4
mm cancellous screws. fixation completed by using one or two
cannulated 4 mm partially threaded screws. Then two or more fully
threaded cancellous screws were inserted percutaneously from the
tuberosity along the calcaneus.
Results: The average duration of follow-up was 39 months (range,
24 to 41). According to the AOFAS at final follow-up, 20.8% of all
cases had excellent results, 66.7% had good results, 12.5% had fair
results, and there were no poor results. The satisfactory results
(excellent and good) were 87% with the mean AOFAS for hind foot
was 84.95 points. The average postoperative VAS for pain is 1.55
in Sanders type II group, 2.55 in Sanders type III group, and 3.75 in
Sanders type IV group with significant statistical correlation
between fracture type and postoperative pain (p