Estudio comparativo entre abordaje abierto vs. percutáneo para la reducción y síntesis en fracturas intraarticulares desplazadas de calcáneo

Abstract

pa-ABSTRACT Comparative study between open vs . percutaneous approach for reduction and fixation in displaced intra-articular calcaneus fractures Intra-articular calcaneal fractures (IACF) are associated with a high rate of short and long term complications. The most frequent mechanism is the fall from height (high energy), also conditioning an important soft tissue involvement. Surgical treatment by open reduction through an extended lateral approach and internal fixation with a lateral plate is still considered the “gold standard”. However, in many cases, this procedure requires an initial delay in surgical treatment to allow improvement of the skin condition and carries a high risk of skin and surgical incision complications. In recent years, techniques using less invasive approaches have become more popular. The aim of our study was to compare the incidence of complications in fractures treated by lateral approach and plate fixation vs . percutaneous reduction and synthesis with screws. As secondary objectives, we also compared the clinical and radiological results between both approaches and described the surgical technique of percu-Vol