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Three-dimensional computed tomography analysis and functional results of calcaneal fractures treated by an intramedullary nail.
International Orthopaedics ( IF 2.7 ) Pub Date : 2019-08-01 , DOI: 10.1007/s00264-019-04381-3
Antoine Fourgeaux 1 , John Estens 2, 3 , Thierry Fabre 1 , Olivier Laffenetre 4 , Julien Lucas Y Hernandez 1
Affiliation  

BACKGROUND Intramedullary calcaneal nailing is used to treat displaced intra-articular calcaneal fractures. The main goal of the study was to assess the reduction of tomography and secondary goals were patient functional scores and complication rates. METHODS The functional outcome and restoration of the radiographic parameters were evaluated post-operatively, at three months, at one year, and at the last follow-up. The morphology of the posterior facet was evaluated post-operatively, at one year and at the last follow-up by CTs. RESULTS Twenty-six patients were included. The mean follow-up was 2.8 years. The mean AOFAS-AHS was 79 at the last follow-up. The mean calcaneal height index and length rose respectively from 0.44 to 0.86 and 83 to 87 mm, and the width decreased from 50 to 46 mm. CONCLUSION The radiographic parameters were restored. The AOFAS-AHS was comparable with other series. This study confirms the efficiency of this procedure with lower rate of complications.

中文翻译:

髓内钉治疗跟骨骨折的三维计算机断层扫描分析和功能结果。

背景技术髓内跟骨钉用于治疗移位的关节内跟骨骨折。该研究的主要目的是评估断层扫描的减少,次要目标是患者功能评分和并发症发生率。方法对术后,三个月,一年和最后一次随访时的功能结局和放射学参数的恢复进行评估。术后,一年和最后一次CT随访评估后刻面的形态。结果纳入26例患者。平均随访时间为2.8年。在最后一次随访中,AOFAS-AHS平均为79。跟骨平均高度指数和长度分别从0.44增加到0.86和83增加到87 mm,宽度从50减少到46 mm。结论射线照相参数得以恢复。AOFAS-AHS可与其他系列媲美。这项研究证实了该方法的效率,并发症发生率较低。
更新日期:2019-11-01
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