Open Reduction and Internal Fixation with Plate and Screw versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Data Collection
2.2. Demographics
2.3. Inclusion and Exclusion Criteria
2.4. Fracture Patterns
2.5. Radiographic Assessment
2.6. Complication
2.7. Quality-of-Life Assessment
2.8. Surgical Techniques
2.9. Follow-Up
2.10. Endpoints
2.11. Statistical Analysis
3. Results
3.1. Patient Demographics and Baseline Characteristics
3.2. Fracture Classification
3.3. Correlation between Sanders Classification and Treatment Choice
3.4. Radiographic Outcomes
3.5. Functional Outcomes
3.6. Complications
3.7. Reintervention Rates
3.8. Quality of Life
3.9. Summary of Results
4. Discussion
4.1. Correlation between Sanders Classification and Treatment Choice
4.2. Clinical Implications of ORIF and MIOS
4.3. Complications and Quality of Life
4.4. Recommendations for Clinical Practice
4.5. Future Research Directions
4.6. Selection Bias and Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
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Parameter | ORIF (n = 50) | MIOS (n = 20) | p-Value |
---|---|---|---|
Mean Age (years) | 46.6 ± 12.4 | 53.5 ± 11.2 | 0.032 |
BMI (kg/m2) | 25.8 ± 3.4 | 26.3 ± 3.7 | 0.452 |
Gender (M/F) | 28/12 | 14/6 | 0.801 |
Mean Waiting Time for Surgery (days) | 9 ± 3 | 3 ± 2 | <0.001 |
Preoperative Böhler’s Angle (°) | 5 ± 4.2 | 9 ± 5.1 | 0.012 |
Postoperative Böhler’s Angle (°) | 30 ± 6.3 | 24 ± 7.4 | <0.001 |
Mean MFS Score | 85 ± 10 | 80 ± 12 | 0.124 |
Mean CNHFAS Score | 87 ± 9 | 82 ± 11 | 0.088 |
Early Complications (%) | 10 | 15 | 0.231 |
Late Complications (%) | 30 | 25 | 0.412 |
Reintervention Rates (%) | 18 | 5 | 0.034 |
Quality of Life (Good to Excellent) | 80% | 85% | 0.502 |
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Pavone, V.; Sapienza, M.; Carnazza, M.; Vaccalluzzo, M.S.; Leotta, G.; Sergi, F.; Mobilia, G.; Di Via, D.; Testa, G. Open Reduction and Internal Fixation with Plate and Screw versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study. J. Clin. Med. 2024, 13, 3770. https://doi.org/10.3390/jcm13133770
Pavone V, Sapienza M, Carnazza M, Vaccalluzzo MS, Leotta G, Sergi F, Mobilia G, Di Via D, Testa G. Open Reduction and Internal Fixation with Plate and Screw versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study. Journal of Clinical Medicine. 2024; 13(13):3770. https://doi.org/10.3390/jcm13133770
Chicago/Turabian StylePavone, Vito, Marco Sapienza, Michela Carnazza, Marco Simone Vaccalluzzo, Giulia Leotta, Francesco Sergi, Giuseppe Mobilia, Danilo Di Via, and Gianluca Testa. 2024. "Open Reduction and Internal Fixation with Plate and Screw versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study" Journal of Clinical Medicine 13, no. 13: 3770. https://doi.org/10.3390/jcm13133770
APA StylePavone, V., Sapienza, M., Carnazza, M., Vaccalluzzo, M. S., Leotta, G., Sergi, F., Mobilia, G., Di Via, D., & Testa, G. (2024). Open Reduction and Internal Fixation with Plate and Screw versus Triplanar External Fixation in the Surgical Treatment of Calcaneal Fractures: A Retrospective Cohort Study. Journal of Clinical Medicine, 13(13), 3770. https://doi.org/10.3390/jcm13133770