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Published: 2025-05-06
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DOI: https://doi.org/10.52163/yhc.v66iCD5.2439
Issue
Vol. 66 No. CĐ5-NCKH
Section
Articles
How to Cite
Thỉ, C. ., & Thạnh, L. T. (2025). 6. CLOSE REDUCTION AND CANCELLOUS SCREW FIXATION OF CALCANEAL FRACTURE - A CASE SERIES REPORT. Vietnam Journal of Community Medicine, 66(CĐ5-NCKH). https://doi.org/10.52163/yhc.v66iCD5.2439

6. CLOSE REDUCTION AND CANCELLOUS SCREW FIXATION OF CALCANEAL FRACTURE - A CASE SERIES REPORT

Cao Thi1, Le Tan Thanh2
1 University of Medicine and Pharmacy at Ho Chi Minh city
2 Xuyen A General Hospital

Main Article Content

Abstract

Introduction: Intraarticular calcaneal fractures are important because of their impact on ankle function and daily activities; therefore, surgery is usually performed. The fracture site can be reduced using the Essex-Lopresti method and then stabilized with various fixation devices. This study aimed to evaluate the treatment of calcaneal fractures using Essex-Lopresti closed reduction and cancellous screw fixation.


Method: This was a descriptive prospective study. 33 patients (38 calcaneal fractures) who underwent this procedure participated in this study. The Bohler angles and Gissane angles were measured before and after the surgery. Functional scores, bone healing, and complications were also assessed.


Results: All the patients returned to normal Bohler angles and Gissane angles after surgery. Ankle function, as assessed by the AOFAS and MFS, was rated as good to excellent in most cases, with scores exceeding 80 points on both scales.


Conclusions: Essex-Lopresti closed reduction and cancellous screw fixation are safe and effective treatment methods for intra-articular calcaneal fractures.

Article Details

Keywords

Intra-articular calcaneal fracture, closed reduction, cancellous screw, Essex-Lopresti

References

[1] Howard J.L, Buckley R, McCormack R, Pate G, Leighton R, Petrie D et al. Complications following management of displaced intra-articular calcaneal fractures: a prospective randomized trial comparing open reduction internal fixation with nonoperative management. J Orthop Trauma, 2003 Apr, 17 (4): 241-9.
[2] Shih J.T, Kuo C.L, Yeh T.T, Shen H.C, Pan R.Y, Wu C.C. Modified Essex-Lopresti procedure with percutaneous calcaneoplasty for comminuted intra-articular calcaneal fractures: a retrospective case analysis. BMC Musculoskelet Disord, 2018 Mar 9, 19 (1): 77.
[3] Zhang W, Chen E, Xue D, Yin H, Pan Z. Risk factors for wound complications of closed calcaneal fractures after surgery: a systematic review and meta-analysis. Scand J Trauma Resusc Emerg Med, 2015 Feb 8, 23: 18.
[4] Van der Vliet Q.M.J, Potter J.M, Esselink T.A, Houwert R.M, Hietbrink F, Leenen L.P.H et al. Open Versus Closed Operative Treatment for Tongue-Type Calcaneal Fractures: Case Series and Literature Review. J Foot Ankle Surg, 2020 Mar-Apr, 59 (2): 264-268.
[5] Wang Q, Li X, Sun Y, Yan L, Xiong C, Wang J. Comparison of the Outcomes of Two Operational Methods Used for the Fixation of Calcaneal Fracture. Cell Biochem Biophys, 2015 May, 72 (1): 191-6.
[6] Chen L, Zhang G, Hong J, Lu X, Yuan W. Comparison of percutaneous screw fixation and calcium sulfate cement grafting versus open treatment of displaced intra-articular calcaneal fractures. Foot Ankle Int, 2011 Oct, 32 (10): 979-85.
[7] Sanders R. Intra-articular fractures of the calcaneus: present state of the art. J Orthop Trauma, 1992, 6 (2): 252-265.
[8] White E.A, Skalski M.R, Matcuk G.R Jr, Heckmann N, Tomasian A, Gross JS et al. Intra-articular tongue-type fractures of the calcaneus: anatomy, injury patterns, and an approach to management. Emerg Radiol, 2019 Feb, 26 (1): 67-74.
[9] Cao H, Li YG, An Q, Gou B, Qian W, Guo X.P et al. Short-Term Outcomes of Open Reduction and Internal Fixation for Sanders Type III Calcaneal Fractures With and Without Bone Grafts. J Foot Ankle Surg, 2018 Jan-Feb, 57 (1): 7-14.
[10] Luo G, Fan C, Gao P, Huang W, Ni W. An evaluation of the efficacy of percutaneous reduction and screw fixation without bone grafting in Sanders Type-II and Type-III displaced intra-articular calcaneal fractures. BMC Musculoskelet Disord, 2022 Jun 10, 23 (1): 562.
[11] Tomesen T, Biert J, Frölke J.P. Treatment of displaced intra-articular calcaneal fractures with closed reduction and percutaneous screw fixation. J Bone Joint Surg Am, 2011 May 18, 93 (10): 920-8.
[12] Schepers T, Schipper I.B, Vogels L.M, Ginai A.Z, Mulder P.G, Heetveld M.J et al. Percutaneous treatment of displaced intra-articular calcaneal fractures. J Orthop Sci, 2007 Jan, 12 (1): 22-7.
[13] Thakur N.A, McDonnell M, Got C.J, Arcand N, Spratt K.F, DiGiovanni C.W. Injury patterns causing isolated foot compartment syndrome. J Bone Joint Surg Am, 2012 Jun 6, 94 (11): 1030-5.
[14] Zhang J, Xiao B, Wu Z. Surgical treatment of calcaneal fractures with bioabsorbable screws. Int Orthop, 2011 Apr, 35 (4): 529-33.
[15] Budair B, Fenton P. A development of the Essex-Lopresti Maneuver: Minimally Invasive Reduction and Fixation of Tongue-Type Calcaneal Fractures via a Single Incision. Foot Ankle Spec, 2021 Apr, 14 (2): 164-169.
[16] Randle J.A, Kreder H.J, Stephen D, Williams J, Jaglal S, Hu R. Should calcaneal fractures be treated surgically? A meta-analysis. Clin Orthop Relat Res, 2000 Aug, (377): 217-27.
[17] Thordarson D.B, Krieger L.E. Operative vs. nonoperative treatment of intra-articular fractures of the calcaneus: a prospective randomized trial. Foot Ankle Int, 1996 Jan, 17 (1): 2-9.
[18] Schepers T, Backes M, Dingemans S.A, de Jong V.M, Luitse J.S.K. Similar Anatomical Reduction and Lower Complication Rates With the Sinus Tarsi Approach Compared With the Extended Lateral Approach in Displaced Intra-Articular Calcaneal Fractures. J Orthop Trauma, 2017 Jun, 31 (6): 293-298.