EVOLUTION OF THE METHOD OF REDUCTION OF INTRA-ARTICULAR COMPRESSION FRACTURE OF THE CALCANEUS
Relevance.The introduction of CT scanning and intra-operative 3D imaging showed that the visual and fluoroscopic assessment of the result of reposition of an intra-articular comminuted calcaneal compression fracture is untrue. In type II fractures according to Sanders, the frequency of incomplete reposition reaches 26.1%, type III - 35.2% -47%. The most difficult is the reposition of multi-fragmented type IV fractures according to Sanders, in which a number of researchers prefer primary subtalar arthrodesis.
The purpose of this study was to determine the most effective method of repositioning an intra-articular comminuted calcaneal compression fracture with depression, articular facet impression, and deformity of the calcaneus external form.
Search strategy. The publications review available in the databases PubMed, Medline, Embase, Cochrane Library, as well as Russian-language articles published from 1990 to March 2022. In addition, articles published before1990 were included in review because they contain conceptual information. Two researchers who evaluated the results of reposition based on X-ray, arthroscopic and 3D imaging and long-term clinical outcomes of treatment and complications, carried out the literature search.
Results. Out of 262 peer-reviewed articles, 64 full-text articles are included in this review, which reflect the technique for repositioning an intra-articular comminuted calcaneus fracture, its results and its impact on treatment outcomes, and complication rates.
Conclusion. Adequate anatomical reposition of the impressed posterior articular facet in case of an intra-articular fracture of the calcaneus is achieved openly from a mini-approach or from an extended lateral approach under the control of X-ray, arthroscopic or 3D imaging. To restore the anatomy of the calcaneus, the most effective intra-operative small-sized repositioning devices for external fixation are most effective. The intra-operative repositioning devices, which are currently in use, have significant disadvantages and do not fully restore the calcaneus external form.
Mukhtar T. Abilmazhinov 1, https://orcid.org/0000-0002-8688-6329
Timur M. Zhanaspayev1, https://orcid.org/0000-0001-5752-6044
Galiya A. Zhanaspayeva2, https://orcid.org/0000-0002-4947-451X
1 NJSC "Astana Medical University", Nur-Sultan, Republic of Kazakhstan;
2 “NSCTO named after acad. N.D. Batpenov” of Ministry of healthcare of the Republic of Kazakhstan,
Nur-Sultan, Republic of Kazakhstan.
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Abilmazhinov M.T, Zhanaspayev T.M., Zhanaspayeva G.A. Evolution of the method of reduction of intra-articular compression fracture of the calcaneus // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 5, pp. 188-195. doi10.34689/SH.2022.24.5.023Related publications:
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