Cannulated Screws Fixation versus Plate Fixation for Displaced Intra-articular Calcaneus Fracture

Abstract

Calcaneal fractures accounts for 1% to 4% of all adult fractures [1]. They are the most frequent tarsal fractures, forming 60% of them [2]. The majority of these fractures “approximately 75%” are displaced intra-articular fractures (DIACFs) [3]. Surgical options include plate fixation either via open reduction and internal fixation (ORIF) or minimally invasive techniques. Or percutaneous fixation (PF) by screws. Other techniques may use arthroscopic assistance or primary arthrodesis. Foot and ankle surgeons always debating their opinions on the choice of operative or non-operative treatment. And if they agreed on surgery, they debate on the type of fixation or choice of implant The objective of this study is to compare between fixation by cannulated screws and fixation by calcaneal plate, as regards clinical and radiological outcomes, fixation efficacy, duration of surgery, and rate of complications. 47 studies was obtained after searching the electronic databases, Only 7 randomized controlled studies met the Inclusion criteria. These 7 studies made a comparison between the two surgical techniques (cannulated screws and plate) for DIACFs The 7 included studies had a total of 976 patients with 979 displaced intra-articular calcaneal fractures. The weighted average follow up was 28.7 months. Of these 979 fractures, 506 (51.7%) were treated using cannulated screws and 473 (48.3%) were treated with plate