Open Reduction With Calcaneal Locking Plate Fixation vs Percutaneous Cannulated Screws for the Treatment of Displaced Intra-Articular Calcaneal Fractures

Objective:-The current study's objective wasevaluation of the functional and radiographic outcomes of closed reduction and percutaneous cannulatedscrews fixation of DIACFs compared with the standard ORIF by calcaneal locked plate using an extensilelateral approach. Patients and methods:-35 patients with unilateral DIACFs from June 2019 to May2022 were retrospectively reviewed. The Percutaneous cannulated screws group included 17 patients,and the ORIF group included 18 patients. Radiographic assessment included calcaneal height, length,and width, Böhler’s angle, angle of Gissane, and posterior facet inclination angle. Clinical assessment bythe AOFAS ankle-hindfoot score and the visual analog pain score was done. The pain scores were loweredsignificantly in the percutaneous cannulated screws group, (P = 0.0364). Conclusion:-Percutaneouscannulated screws had achieved radiographic and functional outcomes comparable to ORIF inmanagement of DIACFs with lower complication rates.