ArticleFoot & ankle international2020
Results After Percutaneous and Arthroscopically Assisted Osteosynthesis of Calcaneal Fractures.
Article in Foot & ankle international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 37 citations in OpenAlex.
- Clinical efficacy of distractor combined with arthroscopy-assisted minimally invasive screw fixation for calcaneal fractures.Journal of orthopaedic surgery and research · 2025Trial
- A prospective comparative study between percutaneous cannulated screws and Kirschner wires in treatment of displaced intra-articular calcaneal fractures.International orthopaedics · 2022Trial
- A Modified Design External Fixator System for Calcaneal Fractures: Surgical Technique and an Observational Single-Center Study.Journal of clinical medicine · 2026Article
- Wrist external fixator-assisted percutaneous reduction for intra-articular calcaneal fractures: clinical and radiographic outcomes.BMC musculoskeletal disorders · 2026Article
- Arthroscopic-assisted management of talus and calcaneus fractures: A narrative review of the clinical outcomes and surgical technique.Journal of experimental orthopaedics · 2025Review
- Arthroscopic-assisted reduction and fixation of calcaneal fractures using sustentaculum tali and medial wall screws.Frontiers in surgery · 2025Article
- Short term efficacy of subtalar arthroscopy combined with medial calcaneal-talar joint distraction in minimally invasive treatment of diabetic patients with calcaneal fractures: a retrospective study.BMC musculoskeletal disorders · 2024Article
- Radiological outcomes following open versus percutaneous fixation versus arthroscopically assisted percutaneous fixation of calcaneal fractures: a ten-year retrospective observational study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Observational
- Assessing the content validity of the Manchester-Oxford Foot Questionnaire in surgically treated ankle fracture patients: a qualitative study.Journal of orthopaedic surgery and research · 2023Article
- Finite element analyses of three minimally invasive fixation techniques for treating Sanders type II intra-articular calcaneal fractures.Journal of orthopaedic surgery and research · 2023Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundOperative treatment of calcaneal fractures using the extensile lateral approach is associated with high rates of soft tissue complications. In the past years, there has been a trend toward less invasive surgical approaches. Percutaneous and arthroscopically assisted calcaneal osteosynthesis (PACO) combines the advantages of visualization of the posterior facet of the subtalar joint with a minimally invasive approach.
methodsWe conducted a follow-up of 25 patients with 26 calcaneal fractures (Sanders II and III), treated with PACO with a minimum follow-up of 12 months. The median age was 44 years (range, 21-72) and the follow-up period 15 months (12-33). Our clinical outcomes were the Manchester-Oxford Foot Questionnaire (MOxFQ), the Calcaneus Fracture Scoring System (CFSS), the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score, the Short-Form-36 (SF-36), the visual analog scale (VAS) for pain, and the number of complications. Radiographs on follow-up were obtained to evaluate the reduction of the fractures as well as osteoarthritis of the subtalar joint.
resultsThe median MOxFQ score was 26.6 (0-76.6), the CFSS score 85 (26-100), and the AOFAS score 85 (50-100). The VAS pain score was 0 (0-5.7) at rest and 4.1 (0-8.2) during activity. The Böhler angle improved from a mean (SD) of 3.5 (12.3) degrees preoperatively to 27.7 (10.5) degrees postoperatively. The follow-up radiographs showed subsidence of the fractures and a Böhler angle of 20.3 (12.9) degrees. There were no wound-healing complications. Two patients had additional surgery with screw removal due to prominent hardware.
conclusionOur results suggest that PACO gives good clinical outcomes and a low risk of complications in selected calcaneal fractures. Prospective long-term studies will be necessary to better document the potential advantages and limitations of this operating technique. LEVEL OF EVIDENCE: Level IV, retrospective case series.
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