TY - JOUR AU - Castanho, Rafael Resende AU - Bordignon, Glaucia AU - Gomes dos Reis, Hélio Cezar PY - 2018/12/30 Y2 - 2024/03/28 TI - Pre-operative tomographic evaluation of calcaneum fractures in surgical planning JF - Scientific Journal of the Foot & Ankle JA - Sci J Foot Ankle VL - 12 IS - 4 SE - Original Articles DO - 10.30795/scijfootankle.2018.v12.859 UR - https://jfootankle.com/ScientificJournalFootAnkle/article/view/859 SP - 332-37 AB - <p><strong>Objective</strong>: To perform the correlation between the preoperative tomographic evaluation of patients with calcaneal fracture diagnosis and the access routes of choice, as well as the synthesis materials used.<br><strong>Methods</strong>: We reviewed 19 medical records of patients between 23 and 56 years old who underwent calcaneal fracture surgery from 01/01/2014 to 12/31/2015. We evaluated the mechanism of trauma, side, Essex-Lopresti classification, Böhler and Gissane angle in the pre- and postoperative period, Sanders tomographic classification and type of osteosynthesis performed. Angular measurements served as a reference for radiological analysis of the quality of the reduction.&nbsp;<strong>Results</strong>: 90% of the cases were of joint depression, the other 10% considered extra-articular. The preoperative Böhler angle varied between 5 and 40°, and between 10 and 38° in the postoperative period, and 55% of the fractures had an angular reconstruction considered good (between 20° and 40°). Gissane’s angle, on the other hand, varied between 110 and 170° in the preoperative period, and 102 and 132° in the postoperative period. In the tomographic analysis, Sanders IV classification was predominant (65%), followed by type IIIBC fractures (20%), and fractures type I, IIA and IIIAB (5% each). Osteosynthesis with plate and screw was the most used method (89.47%).&nbsp;<strong>Conclusion</strong>: Correct use of existing diagnostic imaging resources through radiographic and tomographic results provides the possibility of better preoperative planning in the intra-articular fractures of the calcaneus. However, in this study, there was no difference in the access route and synthesis according to the tomographic classification.&nbsp;<em><strong>Level of Evidence III; Diagnostic Studies; Study of Non-Consecutive Patients.</strong></em></p> ER -