Background.Calcaneal fractures are often intra-articular and associated with severe long-term disability.Optimal management remains debated.Current trends incorporate minimally invasive techniques and bone substitutes.Purpose.The study aims to evaluate functional outcomes following mini-invasive surgery using the Cal-Cemex bone void filler. Material and methods.We evaluated 20 patients (mean age 50.6) with Sanders Type 2-4 intraarticular calcaneal fractures.Minimally invasive surgery incorporated Cal-Cemex.Pre-operative Bhler's and Gissane's angles averaged 13.14 and 132.Fixation used percutaneous screws or plating via sinus tarsi, guided by cortical comminution extent.Results.Mean follow-up was 58.95 months, yielding an average AOFAS score of 90.6.Radiological outcomes showed restoration, with Bhler's angle averaging 31.46 and Gissane's angle 128.No infections or delayed wound healing were observed. Conclusion.Traditional non-weight-bearing protocols impede rehabilitation and patient well-being.The mechanical strength of Cal-Cemex facilitated early partial weight-bearing (mean 3.3 weeks), leading to superior functional results and sustained Bhler's angle correction.
Bondi et al. (Wed,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: