Comparison of screw versus locking plate fixation via sinus tarsi approach for displaced intra-articular calcaneal fractures

Kohei Sato, Masanori Yorimitsu, Takenori Uehara, Shiro Fukuoka, Toshiaki Hata, Kenta Saiga, Tomoyuki Noda, Toshifumi Ozaki

研究成果査読

4 被引用数 (Scopus)

抄録

Background: The optimal treatment of displaced intra-articular calcaneal fractures (DIACF) is controversial. This study compared the fixation stability of screws and locking plates in DIACF treated via the sinus tarsi approach (STA). Methods: We retrospectively evaluated 118 DIACF cases treated via STA and extracted data that could affect treatment outcomes. Loss of Böhler's angle after surgery was measured to compare fixation stability. Results: The loss of Böhler's angles was significantly smaller in the locking plate group than in the screw group (2.6 ± 2.7º vs. 5.6 ± 5.3º, P < 0.01). There was no difference in the clinical outcomes between the groups. On multivariate logistic regression analysis, screw fixation was significantly associated with loss of Böhler's angle by> 10º (odds ratio, 8.63; 95% confidence interval, 1.16–64.4; P < 0.05). Conclusions: Locking plate fixation is more reliable than screw fixation for preventing correction loss in DIACF treated via STA.

本文言語English
ページ(範囲)97-102
ページ数6
ジャーナルFoot and Ankle Surgery
29
1
DOI
出版ステータスPublished - 1月 2023

ASJC Scopus subject areas

  • 整形外科およびスポーツ医学

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