Percutaneous and arthroscopically assisted calcaneal osteosy
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Percutaneous and arthroscopically assisted calcaneal osteosynthesis of calcaneal fractures had “good clinical outcomes” with little risk of infection or complications, according to published results.

Researchers analyzed 25 patients with calcaneal fractures treated with percutaneous and arthroscopically assisted calcaneal osteosynthesis (PACO) for a median follow-up of 15 months. Investigators used the Manchester-Oxford Foot Questionnaire (MOxFQ), the calcaneus fracture scoring system (CFSS), the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score, SF-36 and VAS to determine outcomes. They also assessed the number of complications.

Postoperative radiographic data showed substantial reduction of the fractures with no wound healing complications or surgical site infections, according to the study. The median MOxFQ score was 26.6, the CFSS score 85 and the AOFAS score 85. The VAS pain score was 0 at rest and 4.1 during activity,” the researchers wrote.

“We consider PACO to be a promising operative technique for selected calcaneal fractures,” they concluded. “It combines the advantages of a percutaneous approach, reducing the complication risk, with the advantages of arthroscopy, providing full visualization of the posterior facet of the subtalar joint.

Source: https://www.healio.com/news/orthopedics/20200625/percutaneous-and-arthroscopically-assisted-calcaneal-osteosynthesis-showed-good-outcomes
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