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Open Access 16-01-2024 | Wound Healing Disorder | Original Article

Functional outcomes after intramedullary nailing (C-Nail®) of severe calcaneal fractures with mean follow-up of 36 months

Authors: Philipp Schippers, Rasmus Engels, Dominik Benning, Sebastian Fischer, Felix Wunderlich, Yama Afghanyar, Charlotte Arand, Michael Nienhaus, Philipp Drees, Erol Gercek, Raphael Küchle

Published in: European Journal of Trauma and Emergency Surgery

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Abstract

Purpose

Calcaneal fractures (CFs) are rare but potentially debilitating injuries. Apart from the open, far lateral or sinus tarsi approach, operative treatment can be performed minimally invasive and percutaneously with intramedullary nailing. In this study, we sought to investigate the functional outcome of severe CFs treated with the C-Nail® implant.

Methods

Twenty-two CFs (9 × Sanders III and 8 × Sanders IV), operated between 2016 and 2019, were followed up with a mean duration of 36 (± 11) months. The AOFAS score, pre- and postoperative Böhler angles, wound healing disorders, and patient-reported outcome measures (PROMs) like pain levels and return to work/sport levels were assessed.

Results

The mean AOFAS score was 72.0 (± 9.8). Four patients sustained wound healing disorders, yet no implant-associated surgical revision was required. Fifty percent of patients were pain-free within 1 year. Within 1 year, about 50% of the patients could return to sports, and about 80% of the patients could return to work. PROMs and functional results align with those from other implants reported in the literature.

Conclusion

Intramedullary nailing of severe CFs with the C-Nail® implant can be considered a safe treatment alternative that yields acceptable results at mid-terms.
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Metadata
Title
Functional outcomes after intramedullary nailing (C-Nail®) of severe calcaneal fractures with mean follow-up of 36 months
Authors
Philipp Schippers
Rasmus Engels
Dominik Benning
Sebastian Fischer
Felix Wunderlich
Yama Afghanyar
Charlotte Arand
Michael Nienhaus
Philipp Drees
Erol Gercek
Raphael Küchle
Publication date
16-01-2024
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-023-02433-3