CLINICAL AND RADIOLOGY FINDINGS CHARACTERISTICS IN PATIENTS WITH CLOSED CALCANEAL FRACTURES OPERATIVE TREATMENT AT MILITARY HOSPITAL 175
Main Article Content
Abstract
Objectives: To evaluate the clinical characteristics, radiographic, and computed tomography imaging findings in patients with closed calcaneal fractures operative treatment at Military Hospital 175. Subjects and methods: Cross-sectional description study of 63 patients with closed calcaneus fractures operative treatment by locking plate from January 2022 to December 2024. Results and Conclusion: A total of 63 patients with 71 calcaneal fractures underwent surgical treatment with locking plates. 92.1% of patients suffered from high falls. The average age was 44.54 ±11.38, almost it male with 93.7%. The mean of the preoperative Bohler angle is -2.060 ± 13.690. Double density sign was found on 39/71 ( 54.9%). Sanders classification is almost type II and III, with type II: 38%; type III: 36.6% and type IV: 25.4%. The calcaneocuboid joint fracture involvement on Computed tomography was 66.2% compared to 33.6% on X-ray. Calcaneal fractures occur mainly in men, due to high falls. CT scans showed that 100% had injuries of the subtalar joint and the rate of fracture line to the calcaneocuboid joint was 66.2%.
Article Details
Keywords
Calcaneal fracture, calcaneocuboid joint fracture involvement
References
2. R. Sanders (2000) Displaced intra-articular fractures of the calcaneus. J Bone Joint Surg Am. 82(2):225-50.
3. Lê Mạnh Sơn, Nguyễn Văn Phan, Nguyễn Quang Huy, và cs. (2024) Đánh giá kết quả điều trị gãy kín xương gót bằng phẫu thuật kết hợp xương nẹp khóa tại khoa phẫu thuật chấn thương chung - bệnh viện hữu nghị Việt Đức Tạp chí Y học Việt Nam. 539(2)
4. J. Diranzo-García, X. Bertó-Martí, L. Castillo-Ruiperez, et al. (2018) Treatment of intraarticular calcaneal fractures by reconstruction plate. Results and complications of 86 fractures. Rev Esp Cir Ortop Traumatol (Engl Ed). 62(4):267-273.
5. Mohnish V Gadhavi, Hiren Bhabhor, Janak Mistry. (2018) To study outcomes of calcaneus fractures treated by conservative and surgical treatment according to AOFAS scoring system. National Journal of Clinical Orthopaedics.
6. Manouk Backes, Tim Schepers, M. Suzan H. Beerekamp, et al. (2014) Wound infections following open reduction and internal fixation of calcaneal fractures with an extended lateral approach. International Orthopaedics. 38(4):767-773.
7. Noah M. Joseph, Margaret A. Sinkler, Steven Magister, et al. (2023) Fixation of displaced intra-articular calcaneus fractures is safe using either sinus tarsi or extensile lateral approach. Injury. 54(6):1824-1830.
8. B. Kinner, S. Schieder, F. Müller, et al. (2010) Calcaneocuboid joint involvement in calcaneal fractures. J Trauma. 68(5):1192-9.