Published online Oct 6, 2020. doi: 10.12998/wjcc.v8.i19.4400
Peer-review started: May 6, 2020
First decision: May 21, 2020
Revised: June 3, 2020
Accepted: August 26, 2020
Article in press: August 26, 2020
Published online: October 6, 2020
Processing time: 144 Days and 13.4 Hours
The Sanders computed tomography classification of calcaneal fractures cannot guide the surgical treatment.
We tried to study a new classification to guide the surgical treatment of calcaneal fractures.
In this study, we aimed to explore the application and clinical efficacy of medial column classification in the treatment of intra-articular calcaneal fractures.
We divided intra-articular calcaneal fractures into two types: Medial column displacement (shortened varus) and nondisplacement. There were 53 cases of medial column displacement, and the L-lateral incision of the calcaneus was used. First, the main fracture line was released, the posterior nodule and the sustentaculum tali bone block were reset to restore the medial wall (column), and then the articular surface was restored.
The incidence of tarsal sinus incision failure in this type of calcaneal fracture is high. There were 38 cases of medial column nondisplacement, and the tarsal sinus incision was used. Satisfactory results were obtained.
Medial column classification can effectively guide the surgical selection of intra-articular fractures of the calcaneus.
We will accumulate additional cases, improve the controlled study, and continue to follow the patients to obtain relatively scientific conclusions.