COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES
ABSTRACT Objective: This study compared groups of patients with calcaneal fractures of Sanders types II and III. One group was treated with ORIF using an LCP (plate), while the second was treated with a minimally invasive method using a C-Nail. Methods: The study included 217 patients in the ORIF...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2019-11-01
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| Series: | Acta Ortopédica Brasileira |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000600288&tlng=en |
| _version_ | 1818731803207270400 |
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| author | Jaroslav Zeman Petr Zeman Tomas Matejka Jaroslav Belatka Jiri Matejka |
| author_facet | Jaroslav Zeman Petr Zeman Tomas Matejka Jaroslav Belatka Jiri Matejka |
| author_sort | Jaroslav Zeman |
| collection | DOAJ |
| description | ABSTRACT Objective: This study compared groups of patients with calcaneal fractures of Sanders types II and III. One group was treated with ORIF using an LCP (plate), while the second was treated with a minimally invasive method using a C-Nail. Methods: The study included 217 patients in the ORIF group and 19 patients in the minimally invasive nail osteosynthesis group. Results: In the LCP group, the outcomes were excellent for 35.7% of the patients; good, 38.9%; satisfactory, 19.7%; and poor, 5.7%. In the C-Nail group, the outcomes were excellent for 36.9% of the patients; good; 31.6%; satisfactory, 21%; and poor, 10.2%. The mean values of the restoration of Böhler's angle from post-injury were 6.8° to 32.3° in the LCP group and 7.1° to 33.3° in the C-Nail group. After 12 months, there was only a minimal decrease in Böhler's angle to 29.2° in both the LCP and C-Nail groups. Conclusion: The outcomes obtained with C-Nail fixation are statistically identical to those obtained with LCP fixation. We conclude that osteosynthesis with a C-Nail is suitable as the first-choice treatment for Sanders types II and III fractures. Level of evidence IV, retrospective observational study. |
| first_indexed | 2024-12-17T23:23:29Z |
| format | Article |
| id | doaj.art-87447d19c0c4467c9a3cbfd9c81f6ccd |
| institution | Directory Open Access Journal |
| issn | 1413-7852 |
| language | English |
| last_indexed | 2024-12-17T23:23:29Z |
| publishDate | 2019-11-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Acta Ortopédica Brasileira |
| spelling | doaj.art-87447d19c0c4467c9a3cbfd9c81f6ccd2022-12-21T21:28:50ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522019-11-0127628829310.1590/1413-785220192706223193COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURESJaroslav Zemanhttps://orcid.org/0000-0002-6944-860XPetr Zemanhttps://orcid.org/0000-0002-8557-8236Tomas MatejkaJaroslav BelatkaJiri Matejkahttps://orcid.org/0000-0003-4698-7640ABSTRACT Objective: This study compared groups of patients with calcaneal fractures of Sanders types II and III. One group was treated with ORIF using an LCP (plate), while the second was treated with a minimally invasive method using a C-Nail. Methods: The study included 217 patients in the ORIF group and 19 patients in the minimally invasive nail osteosynthesis group. Results: In the LCP group, the outcomes were excellent for 35.7% of the patients; good, 38.9%; satisfactory, 19.7%; and poor, 5.7%. In the C-Nail group, the outcomes were excellent for 36.9% of the patients; good; 31.6%; satisfactory, 21%; and poor, 10.2%. The mean values of the restoration of Böhler's angle from post-injury were 6.8° to 32.3° in the LCP group and 7.1° to 33.3° in the C-Nail group. After 12 months, there was only a minimal decrease in Böhler's angle to 29.2° in both the LCP and C-Nail groups. Conclusion: The outcomes obtained with C-Nail fixation are statistically identical to those obtained with LCP fixation. We conclude that osteosynthesis with a C-Nail is suitable as the first-choice treatment for Sanders types II and III fractures. Level of evidence IV, retrospective observational study.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000600288&tlng=enMinimally Invasive SurgeryHeel BoneBone NailBone Plate |
| spellingShingle | Jaroslav Zeman Petr Zeman Tomas Matejka Jaroslav Belatka Jiri Matejka COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES Acta Ortopédica Brasileira Minimally Invasive Surgery Heel Bone Bone Nail Bone Plate |
| title | COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES |
| title_full | COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES |
| title_fullStr | COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES |
| title_full_unstemmed | COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES |
| title_short | COMPARISON OF LCP AND INTRAMEDULLARY NAIL OSTEOSYNTHESIS IN CALCANEAL FRACTURES |
| title_sort | comparison of lcp and intramedullary nail osteosynthesis in calcaneal fractures |
| topic | Minimally Invasive Surgery Heel Bone Bone Nail Bone Plate |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000600288&tlng=en |
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