Comparison of screw versus locking plate fixation via sinus tarsi approach for displaced intra-articular calcaneal fractures

Kohei Sato; Masanori Yorimitsu; Takenori Uehara; Shiro Fukuoka; Toshiaki Hata; Kenta Saiga; Tomoyuki Noda; Toshifumi Ozaki

doi:10.1016/j.fas.2022.11.002

Comparison of screw versus locking plate fixation via sinus tarsi approach for displaced intra-articular calcaneal fractures

Kohei Sato, Masanori Yorimitsu, Takenori Uehara, Shiro Fukuoka, Toshiaki Hata, Kenta Saiga, Tomoyuki Noda, Toshifumi Ozaki

研究成果 › 査読

抄録

Background: The optimal treatment of displaced intra-articular calcaneal fractures (DIACF) is controversial. This study compared the fixation stability of screws and locking plates in DIACF treated via the sinus tarsi approach (STA). Methods: We retrospectively evaluated 118 DIACF cases treated via STA and extracted data that could affect treatment outcomes. Loss of Böhler's angle after surgery was measured to compare fixation stability. Results: The loss of Böhler's angles was significantly smaller in the locking plate group than in the screw group (2.6 ± 2.7º vs. 5.6 ± 5.3º, P < 0.01). There was no difference in the clinical outcomes between the groups. On multivariate logistic regression analysis, screw fixation was significantly associated with loss of Böhler's angle by> 10º (odds ratio, 8.63; 95% confidence interval, 1.16–64.4; P < 0.05). Conclusions: Locking plate fixation is more reliable than screw fixation for preventing correction loss in DIACF treated via STA.

本文言語	English
ジャーナル	Foot and Ankle Surgery
DOI	https://doi.org/10.1016/j.fas.2022.11.002
出版ステータス	Accepted/In press - 2022

ASJC Scopus subject areas

整形外科およびスポーツ医学

文献へのアクセス

10.1016/j.fas.2022.11.002

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引用スタイル

@article{031cb1102acf44c5b7315410c9685f8e,

title = "Comparison of screw versus locking plate fixation via sinus tarsi approach for displaced intra-articular calcaneal fractures",

abstract = "Background: The optimal treatment of displaced intra-articular calcaneal fractures (DIACF) is controversial. This study compared the fixation stability of screws and locking plates in DIACF treated via the sinus tarsi approach (STA). Methods: We retrospectively evaluated 118 DIACF cases treated via STA and extracted data that could affect treatment outcomes. Loss of B{\"o}hler's angle after surgery was measured to compare fixation stability. Results: The loss of B{\"o}hler's angles was significantly smaller in the locking plate group than in the screw group (2.6 ± 2.7º vs. 5.6 ± 5.3º, P < 0.01). There was no difference in the clinical outcomes between the groups. On multivariate logistic regression analysis, screw fixation was significantly associated with loss of B{\"o}hler's angle by> 10º (odds ratio, 8.63; 95% confidence interval, 1.16–64.4; P < 0.05). Conclusions: Locking plate fixation is more reliable than screw fixation for preventing correction loss in DIACF treated via STA.",

keywords = "B{\"o}hler's angle, Calcaneal fracture, Locking plate fixation, Screw fixation, Sinus tarsi approach",

author = "Kohei Sato and Masanori Yorimitsu and Takenori Uehara and Shiro Fukuoka and Toshiaki Hata and Kenta Saiga and Tomoyuki Noda and Toshifumi Ozaki",

note = "Funding Information: We would like to thank Editage (https://www.editage.com/) for editing and reviewing this manuscript for English language. Publisher Copyright: {\textcopyright} 2022 European Foot and Ankle Society",

year = "2022",

doi = "10.1016/j.fas.2022.11.002",

language = "English",

journal = "Foot and Ankle Surgery",

issn = "1268-7731",

publisher = "Elsevier Limited",

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TY - JOUR

T1 - Comparison of screw versus locking plate fixation via sinus tarsi approach for displaced intra-articular calcaneal fractures

AU - Sato, Kohei

AU - Yorimitsu, Masanori

AU - Uehara, Takenori

AU - Fukuoka, Shiro

AU - Hata, Toshiaki

AU - Saiga, Kenta

AU - Noda, Tomoyuki

AU - Ozaki, Toshifumi

N1 - Funding Information: We would like to thank Editage (https://www.editage.com/) for editing and reviewing this manuscript for English language. Publisher Copyright: © 2022 European Foot and Ankle Society

PY - 2022

Y1 - 2022

N2 - Background: The optimal treatment of displaced intra-articular calcaneal fractures (DIACF) is controversial. This study compared the fixation stability of screws and locking plates in DIACF treated via the sinus tarsi approach (STA). Methods: We retrospectively evaluated 118 DIACF cases treated via STA and extracted data that could affect treatment outcomes. Loss of Böhler's angle after surgery was measured to compare fixation stability. Results: The loss of Böhler's angles was significantly smaller in the locking plate group than in the screw group (2.6 ± 2.7º vs. 5.6 ± 5.3º, P < 0.01). There was no difference in the clinical outcomes between the groups. On multivariate logistic regression analysis, screw fixation was significantly associated with loss of Böhler's angle by> 10º (odds ratio, 8.63; 95% confidence interval, 1.16–64.4; P < 0.05). Conclusions: Locking plate fixation is more reliable than screw fixation for preventing correction loss in DIACF treated via STA.

AB - Background: The optimal treatment of displaced intra-articular calcaneal fractures (DIACF) is controversial. This study compared the fixation stability of screws and locking plates in DIACF treated via the sinus tarsi approach (STA). Methods: We retrospectively evaluated 118 DIACF cases treated via STA and extracted data that could affect treatment outcomes. Loss of Böhler's angle after surgery was measured to compare fixation stability. Results: The loss of Böhler's angles was significantly smaller in the locking plate group than in the screw group (2.6 ± 2.7º vs. 5.6 ± 5.3º, P < 0.01). There was no difference in the clinical outcomes between the groups. On multivariate logistic regression analysis, screw fixation was significantly associated with loss of Böhler's angle by> 10º (odds ratio, 8.63; 95% confidence interval, 1.16–64.4; P < 0.05). Conclusions: Locking plate fixation is more reliable than screw fixation for preventing correction loss in DIACF treated via STA.

KW - Böhler's angle

KW - Calcaneal fracture

KW - Locking plate fixation

KW - Screw fixation

KW - Sinus tarsi approach

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