Percutan Crossed Dual Planar Pin Fixation Technique Provides Satisfactory Radiological and Clinical Results in Intra-articular Calcaneus Fractures with Low Complication Rates Perkütan Çapraz Çift Planar Pin Fiksasyon Tekniği, Düşük Komplikasyon Oranlarıyla Eklem İçi Kalkaneus Kırıklarında Tatmin Edici Radyolojik ve Klinik Sonuçlar Sağlar
Medical Journal of Bakirkoy, cilt.21, sa.3, ss.316-322, 2025 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 3
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/bmj.galenos.2025.2025.4-4
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.316-322
- Anahtar Kelimeler: Calcaneus fracture, percutaneous, cross, pin, fixation
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: This study aimed to evaluate the clinical and radiological results of crossed double-plane pin fixation of intra-articular calcaneus fractures based on the Sanders classification. Methods: The study was designed retrospectively. Patients who were operated on using the crossed double-plane pin fixation technique between 2013 and 2017 were included in the study. Patients under the age of 18 who had previously undergone surgery around the foot/ankle with extra-articular fractures with fractures on the ipsilateral or contralateral lower extremity were excluded from the study. All patients were operated on by a single surgeon in a single clinic. All patients were categorized according to the Sanders classification, with pre-operative computed tomography. The Böhler angle was used for radiological evaluation, and the American Orthopaedic Foot and Ankle Society score was used for clinical evaluation. Results: After applying the inclusion and exclusion criteria, a total of 52 fractures of 46 patients were included in the study. Thirty-six (78.3%) of the patients were male and 10 (21.7%) were female. Twenty-one patients had right-sided fractures (45.7%), nineteen patients had left-sided fractures (41.3%), and six patients had bilateral fractures (13%). The mean patient age at the time of treatment was 39.6 years (15-64 years). Fractures were classified according to the Sanders classification system. According to this classification, eight of the fractures were type 2 (15.4%), thirty-five were type 3 (67.3%), and nine were type 4 (17.3%). Of the forty-five calcaneus fractures with abnormal preoperative Böhler values, thirty-three (73%) had normal Böhler values in postoperative control measurements. There was a statistically significant difference between preoperative and postoperative measurements in terms of Böhler distributions (p<0.05). While the baseline rate was low in the preoperative measurement, it was higher in the postoperative measurement. In addition, a statistically significant difference was found in the number of individuals returning to normal as per Sanders grouping (Fisher’s exact p<0.05). The rate of those with Sanders 3 was found to be higher compared to others. Conclusion: Double pin fixation technique in intra-articular calcaneus fractures provides satisfactory radiological and clinical results with low complication rates.