ArticleArchives of orthopaedic and trauma surgery2021
Surgical experience as a decisive factor for the outcome of calcaneal fractures using locking compression plate: results of 3 years.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Percutaneous screw osteosynthesis for the treatment of intra-articular displaced calcaneus fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- Surgical versus non-surgical interventions for displaced intra-articular calcaneal fractures.The Cochrane database of systematic reviews · 2023Pooled it
- Percutaneous fixation of intraarticular joint-depression calcaneal fractures with different screw configurations - a biomechanical human cadaveric analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Trial
- In Vitro Experimental Study of BiofiligreeBioengineering (Basel, Switzerland) · 2026Article
- Use of de-epithelialized free perforator flaps for simultaneous bone and soft-tissue reconstruction in chronic calcaneus osteomyelitis.Scientific reports · 2025Article
- Analysis of the clinical efficacy of "dynamic hook technique" combined with the Allgower-Donati suture method in the surgical incision for calcaneal fractures.Frontiers in surgery · 2025Article
- Finite element analysis of restoring length with multiple internal fixations in calcaneal body fracture.Scientific reports · 2024Article
- Functional outcomes after intramedullary nailing (C-Nail®) of severe calcaneal fractures with mean follow-up of 36 months.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- [Effectiveness of vertical compression of locking plate combined with hollow screws in treatment of Sanders typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- A nomogram for predicting post-operative wound complications after open reduction and internal fixation for calcaneal fractures.International wound journal · 2022Article
- Use of intramedullary locking nail for displaced intraarticular fractures of the calcaneus: what is the evidence?Archives of orthopaedic and trauma surgery · 2022Review
- Personalized approach for complex bilateral calcaneal osteomyelitis and defect reconstruction with bilateral abductor digiti minimi flaps.Innovative surgical sciences · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCalcaneal fractures account for 60-75% of all tarsal fractures and represent surgical challenges because of their frequency and complexity. Despite standardized procedures and new implants, literature reports high revision rates and unsatisfactory results. The study aims to describe the role of the surgeon with respect to the clinical outcome.
methodsBetween 2014 and 2017, 94 calcaneal fractures (all type AO C1-3) were re-examined in 86 patients (67 male and 19 female; mean age: 51 years). The treatment was always carried out by means of locking compression plate via the extensile lateral approach. A comparison was made between treatment by an experienced (ES) and less experienced surgeon (LES). Annually, the ES performed at least 30 procedures for calcaneus fracture treatment as compared to < 10 operations performed by the LES.
resultsThe mean AOFAS, VAS FA, and Kiel Score in the ES group were 77.0 (SD 15.9), 69.0 (SD 18.8), and 65.0 (SD 20.6), respectively. The corresponding values in the LES group were 68.1 (SD 21.0), 60.3 (SD 22.4), and 53.0 (SD 21.9) (p < 0.05). The operation time was on average 14 min shorter in the ES group than the LES group (p < 0.05).
conclusionThe significantly better scores, along with shorter operation time, shorter duration of incapacity to work, and lower complication rate prove the importance of having an experienced surgeon perform complex intra-articular calcaneal fracture repairs. The extensile lateral approach is still considered the standard method. LEVEL OF EVIDENCE: Level III, comparative series.
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