The use of circular fine wire frames for the treatment of displaced intra-articular calcaneal fractures

Abstract

Background: The treatment of displaced intra-articular calcaneal fractures is still controversial. Materials and methods: Sixteen consecutive patients admitted at University Hospital with intra-articular fractures were treated with fine wire circular frames and followed up at an average of 160 days from their injuries. We focused on radiological outcome and functional outcome using a patient-based questionnaire. Results: We had no secondary reconstruction procedures. With the numbers available, the difference between the preoperative values and the follow-up measurements for Böhler's angle, Gissane's angle and posterior subtalar joint space was not statistically significant (P = 0.8, P = 0.2, and P = 0.4, respectively). The standardized AAOS FAS ranged from 42 to 96, with a mean of 80 and a standard deviation of 19. Conclusions: Fine wire circular frame is a good alternative to ORIF in displaced intra-articular calcaneal fractures, yielding good patient function, a high return-to-work rate and a low complication rate. © Springer-Verlag 2008.