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Nailing of the calcaneal bone C-NAIL


Authors: Martin Pompach 1;  Martin Carda 1;  Luboš Žilka 2;  Michael Amlang 3;  Hans Zwipp 3
Authors‘ workplace: Department of traumatology, Pardubice, Hospital of region Pardubice 1;  Úrazová chirurgie, Nemocnice pardubického kraje, a. s., Pardubická nemocnice 1;  MEDIN a. s., Nové Město na Moravě 2;  Medin, a. s., Nové Město na Moravě 2;  Department of traumatology, University Hospital of Carl Gustav Carus, Dresden, Germany 3;  Úrazová a rekonstrukční chirurgie, Univerzitní klinika, Carl Gustav Carus, Drážďany, Německo 3
Published in: Úraz chir. 23., 2015, č.2

Overview

Introduction:
The authors present the results of calcaneal fracture treatment using a new method with the calcaneal nail (C-NAIL).

Aim:
The aim is to evaluate the results of calcaneal fracture treatment using a new method with the C-NAIL and compare them with the results of calcaneal fracture treatment using other implants.

Material and methods:
At the Department of Traumatology Surgery in Pardubice Hospital, the authors performed a total of 107 calcaneal fracture surgeries over a period of 3 years using a new minimally invasive method – C-NAIL. The internationally accepted AOFAS (American Orthopaedic Foot and Ankle Society) scoring scheme was used to evaluate the performance results.

Results:
The authors evaluated the AOFAS score six months and one year after the patient’s surgery. The measured values ranged from 65-100 points, with an average of 93.0 after 6 months and 94.1 at 12 months after the surgery. They evaluated the restoration of the crossing Böhler angle in the traumatic values of 6.2° to 31.8°. After 3 months, the Böhler angle slightly decreased to 29.6° and after 12 months, to 28.3°. They recorded 2 cases of wound edge necrosis (1.9%) and one case of deep infection (0.93%).

Conclusion:
C-NAIL enables mini-invasive reposition of the articular surface and high biomechanical stability of calcaneal fractures with a significantly low incidence of complications.

Key words:
Calcaneal nail, C-NAIL, calcaneal fractur.


Sources

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3. GOLDZAK, M., SIMON, P., MITTLMEIER, T. et al. Primary stability of an intramedullary calcaneal nail and an angular stable calcaneal plate in a biomechanical testing model of intraarticular calcaneal fracture. Injury. 2014, Suppl 1, S49–53.

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Labels
Surgery Traumatology Trauma surgery
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