K C Athish, Raju Karuppal, Khayas Omer Kunheen, Karthik Raj
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引用次数: 0
Abstract
Background: Sanders Type III fractures of the calcaneus present a challenging injury often treated with open reduction and internal fixation (ORIF). The benefit of adding bone graft substitutes to enhance healing and outcomes remains uncertain.
Purpose: To compare the clinical and radiological results of ORIF performed with versus without the use of bone graft substitutes in patients with Sanders Type III calcaneal fractures.
Study design: A prospective cohort study.
Methods: Fifty adult patients diagnosed with Sanders Type III calcaneal fractures were prospectively divided into two groups. Group 1 received ORIF combined with bone graft substitute implantation, while Group 2 underwent ORIF alone. Radiographic evaluation involved measuring Bohler's and Gissane's angles preoperatively and at intervals immediately post-surgery, 3 months, and 6 months afterward. Functional outcomes were assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score.
Results: Both groups showed marked improvement in Bohler's and Gissane's angles postoperatively (p < 0.05). Functional scores improved over time with no significant difference in AOFAS hindfoot scores between groups at 6 months (p > 0.05). Patients treated with bone graft substitutes reported more early postoperative discomfort and serous wound discharge.
Conclusion: Although bone graft substitutes may assist in filling bone voids and provide initial mechanical support, their routine use may not be required for satisfactory outcomes when stable fixation is achieved in Sanders Type III calcaneal fractures.
期刊介绍:
The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.