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Three-dimensional computed tomography analysis and functional results of calcaneal fractures treated by an intramedullary nail

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Abstract

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.

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Authors and Affiliations

  1. Bordeaux Hospital University, Place Amélie Raba-Léon, 33076, Bordeaux cedex, France

    Antoine Fourgeaux, Thierry Fabre & Julien Lucas y Hernandez

  2. The Maitland Hospital, 560 High St., Maitland, NSW, 2320, Australia

    John Estens

  3. Lake Macquarie Private Hospitals, 3 Sydney St., Gateshead, NSW, 2290, Australia

    John Estens

  4. Blomet clinic, 136 bis rue Blomet, 75015, Paris, France

    Olivier Laffenetre

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  1. Antoine Fourgeaux
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  2. John Estens
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  5. Julien Lucas y Hernandez
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Correspondence to Julien Lucas y Hernandez.

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Dr. Fourgeaux, Dr. Estens, Pr Fabre, and Dr. Laffenetre declare that they have no conflict of interest.

Dr. Lucas y Hernandez reports consultancy for FH orthopedics during the conduct of the study.

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Fourgeaux, A., Estens, J., Fabre, T. et al. Three-dimensional computed tomography analysis and functional results of calcaneal fractures treated by an intramedullary nail. International Orthopaedics (SICOT) 43, 2839–2847 (2019). https://doi.org/10.1007/s00264-019-04381-3

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  • DOI: https://doi.org/10.1007/s00264-019-04381-3

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