Comparative Study on Arthroscopic versus ORIF for Sanders Type II Calcaneus Fractures

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1 Comparative Study on Arthroscopic versus ORIF for Sanders Type II Calcaneus Fractures Gao Di, Zhang Yong, Li Zheng Lin, Jia Bin, Zheng Jie Shenzhen Pingle Orthopedics and Traumatology Hospital

2 My disclosure is in the Final AOFAS Mobile App. I have no potential conflicts with this presentation.

3 Objective : clinical effect Arthroscopy VS ORIF

4 Methods: May 2011 to April 2012 (A retrospective analysis ) group gender male femal Age(y) Traffic injury cause of injury Fall from a High other Follow-up time(mon) MIS(n=45) ± ±4.2 ORIF(n=37) ± ±6.5 Statistical Value χ 2 =0.035 t=1.85 χ 2 =0.391 t =0.841 P Value

5

6 group Operation time(min) Perioperative bleeding(ml) Comparison of partial index between two groups Heal time of incision (d) Bone union time(w) MIS(n=45) 45.1± ± ± ±2.1 ORIF(n=37) 55.2± ± ± ±1.5 Statistical Value t=6.900 t = t =10.57 t =1.215 P Value group Complication rate (%) AOFOS score SH-36 score MIS(n=45) 0.20 %(1/45) 85.20± ±2.64 ORIF(n=37) 18.42%(7/38) 84.52± ±5.12 Statistical Value Results χ 2 =4.311 t =6.33 t =3.317 P Value

7 Conclusions All the two methods result in satisfactory functional recovery in treatment of Sanders type II calcaneus fractures. Arthroscopic surgery has less traumatic, shorter operation time and fewer soft complications with a higher quality of life (QOL).

8 Reference 1. Goldzak M, Simon P, Mittlmeier T.Locked nailing for the treatment of displaced articular fractures of the calcaneus: description of a new procedure with calcanail.eur J Orthop Surg Traumato,2012, 22:345~ Goldzak M, Simon P, Mittlmeier T et al. Primary stability of an intramedullary calcaneal nail and an angular stable calcaneal plate in a biomechanical testing model of intraarticular calcaneal fracture.injury. 2014(45s)S49-S Sanders R,Fortin P,Dipasquale T,et al. Operative treatment in 120 displaced intraarticular calcanea1 fractures.results using a prognostic computed tomography scan classification.clin Orthop,1993,(290): Landis JR.Koch GG.The measurement of observer agreement for categorical data[j].biometrics,1977,33(1): Rammelt S, Amlang M, Barthel S, Gavlik JM, Zwipp H. Percutaneous treatment of less severe intraarticular calcaneal fractures. Clin Orthop Relat Res. 2010;468:

9 6. JM, Zwipp H. Percutaneous treatment of less severe intraarticular calcaneal fractures. Clin Orthop Relat Res. 2010;468: Schuberth JM, Cobb MD, Talarico RH. Minimally invasive arthroscopicassisted reduction with percutaneous fixation in the management of intraarticular calcaneal fractures: a review of 24 cases. J Foot Ankle Surg.2009;48: Kendoff D, Citak M, Gardner M, Kfuri M Jr, Thumes B, Krettek C, Hu fner T. Three-dimensional fluoroscopy for evaluation of articular reduction and screw placement in calcaneal fractures.foot Ankle Int. 2007;28: Kitaoka H, Alexander I, Adelaar R 9. Walde TA, Sauer B, Degreif J, Walde HJ. Closed reduction and percutaneous Kirschner wire fixation for the treatment of dislocated calcaneal fractures: surgical technique, complications, clinical and radiological results after 2 10 years. Arch Orthop Trauma Surg. 2008;128: Magnan B, Bortolazzi R, Marangon A, Marino M, Dall Oca C, Bartolozzi P. External fixation for displaced intra-articular fractures of the calcaneum. J Bone Joint Surg Br. 2006;88:

10 11. D, Tercer AF Contact characteristics of the subtalar joint after a simulated calcaneus fracture J.J Orthop Trauma 1995:9: Gavlik JM,Rammeh S,Zwipp H.The use of subtalar arthroscopy in open reducti0n and internal fixation of intra articular calcan eal fractures.injury, 2002,33: Min W, Munro M, Sanders R. Stabilization of displaced articular fragments in calcaneal fractures using bioabsorbable pin fixation: a technique guide. Journal of Orthopaedic Trauma 2010;24: Gamie Z, Donnelly L, Tsiridis E. The safe zone in medial percutaneous calcaneal pin placement. Clinical Anatomy 2009;22: DeWall M, Henderson CE, McKinley TO, Phelps T, Dolan L, Marsh JL. Percutaneous reduction and fixation of displaced intra-articular calcaneus fractures. Journal of Orthopaedic Trauma 2010;24: Forgon M. Closed reduction and percutaneous osteosynthesis: technique and results in 265 calcaneal fractures. In: Tscherne H, Schatzker J, editors. Major fractures of the pilon, the talus and the calcaneus. NewYork: Springer Verlag; Levine DS, Helfet DL. An introduction to theminimally invasive osteosynthesis of intra-articular calcaneal fractures. Injury 2001;32(Suppl 1):SA Rammelt S, Gavlik JM, Barthel S, Zwipp H. The value of subtalar arthroscopy in the management of intra-articular calcaneus fractures. Foot and Ankle International 2002;23:

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