Suprafibular access for surgical treatment of calcaneus fracture

Abstract

Objective: To evaluate clinical and radiographic results of the articular calcaneal fractures treated surgically through small access suprafibular. Methods: We evaluated 32 patients and 33 deviated intra-articular calcaneus fractures from 2001 to 2006. The minimum segment period was 6 months and the maximum was 53 months. The preoperative evaluation was based on radiographic and computed tomography. The postoperative evaluation was clinically established by criteria advocated by the American Orthopaedics Foot & Ankle Society (AOFAS), and the Bohler and Gissane angular evaluation. Results: According to the outcomes, 15 patients (45.3%) showed good or excellent results, 8 (24.4%) showed normal, and 10 (30.3%) showed bad results. Conclusion: Lateral suprafibular access is adequate and can be used for surgical treatment of deviated intra-articular calcaneus fractures as this allows the Bohler and Gissane angular correction. The tomography is the chosen examination for surgical planning and it is difficult to correlate the data obtained through final clinical evaluation by AOFAS using the postoperative radiographic results referring to the Bohler and Gissane angular reconstruction.