Outcomes of High-Grade Open Calcaneus Fractures Managed With Open Reduction Via the Medial Wound and Percutaneous Screw Fixation

2012 ◽  
Vol 26 (11) ◽  
pp. 662-670 ◽  
Author(s):  
Michael J. Beltran ◽  
Cory A. Collinge
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
High Grade ◽  
Percutaneous Screw Fixation ◽  
Calcaneus Fractures

scholarly journals Initial assessment of treatment of talar posterior process fractures with open reduction and percutaneous fixation

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Haijiao Mao ◽  
Haiqing Wang ◽  
Jiyuan Zhao ◽  
Linger Wang ◽  
Liwei Yao ◽  
...  
Keyword(s):  
Open Reduction ◽  
Screw Fixation ◽  
Three Dimensional ◽  
Operation Time ◽  
Initial Assessment ◽  
Computer Assisted ◽  
Percutaneous Screw Fixation ◽  
Posterior Process ◽  
Significant Difference ◽  
Vas Scores

AbstractThe purpose of this study was to provide an initial assessment of treatment for talar posterior process fractures using open reduction and internal fixation (ORIF) through posteromedial approach and percutaneous screw fixation. From January 2014 to December 2018, 12 cases with displaced fracture of talar posterior process were treated in our department. The clinical and radiological results were assessed after 4 and 12 months of operation with Visual Analog Scale (VAS) pain and American Orthopedic Foot and Ankle Society (AOFAS) scores. ORIF was performed in four of the cases and percutaneous screw fixation was performed in eight of the cases. The average follow-up period was 13 months. Complications such as wound infection, nerve injury, screw loosening, malunion or nonunion of fracture were absent. For clinical assessment, considerable mprovements were observed for the AOFAS and VAS scores at 4 and 12 months postoperatively for both techniques. There was no significant difference for AOFAS scores and VAS scores between the two techniques (p > 0.05). Both techniques showed good functional outcome and were performed for posterior talar process fracture following the fracture displacement guidelines. Percutaneous screw fixation treatment with computer-assisted three-dimensional evaluation shortened the operation time and reduced incidences of surgical complications.

Is arthroscopic assisted percutaneous screw fixation as good as open reduction and internal fixation for the treatment of displaced intra-articular calcaneal fractures?

2016 ◽  
Vol 22 (3) ◽  
pp. 164-169 ◽  
Author(s):  
Ewe Juan Yeap ◽  
Jaynesthra Rao ◽  
Chee Huan Pan ◽  
Shahrul Aiman Soelar ◽  
Alistair S.E. Younger
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Screw Fixation ◽  
Calcaneal Fractures ◽  
Percutaneous Screw Fixation

scholarly journals Percutaneous screw fixation for acute scaphoid fractures through K-wire-assisted reduction and maintenance:a randomized controlled trial

2020 ◽  
Author(s):  
Jiangbo Bai ◽  
Lingde Kong ◽  
Siyu Tian ◽  
Kunlun Yu ◽  
Jian Lu ◽  
...  
Keyword(s):  
Grip Strength ◽  
Open Reduction ◽  
Screw Fixation ◽  
Controlled Trial ◽  
Fixation Method ◽  
Bony Union ◽  
Percutaneous Screw Fixation ◽  
Non Union ◽  
Scaphoid Fractures ◽  
Early Return

Abstract Background Most of the acute scaphoid fractures have been treated nonoperatively in a cast or by open surgery. Percutaneous screw fixation was introduced for acute scaphoid fractures through K-wire-assisted reduction and maintenance, and the effectiveness of the methods was evaluated. Methods From January 2015 to December 2018, a total of 20 patients were recruited to the study and 10 patients were randomly allocated to the open reduction and percutaneous groups respectively. Different groups received open reduction and internal fixation or percutaneous screw fixation. Function outcomes including the range of motion and grip strength were assessed according to the modified Mayo wrist scoring system. Results Final follow-up examination was performed on an average of 12 months after surgery. No immediate postoperative complication occurred. All patients achieved solid union as confirmed by CT scans. A significant increase in the functional recovery of the injured wrist in the percutaneous group than they were in the open reduction group. Conclusions Our novel percutaneous screw fixation method is beneficial to minimise injury to the blood supply of the scaphoid. Primary percutaneous screw fixation for acute scaphoid fractures is a superior method with reduced time to bony union, early return to daily activity or employment and predictably lessened complications of wrist stiffness, diminished grip strength, delayed union, non-union and osteonecrosis.

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