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Effects of two different grafts on radiological and functional outcomes in the surgical treatment of calcaneus fractures

Year 2024, Volume: 5 Issue: 5, 284 - 287, 26.10.2024
https://doi.org/10.47582/jompac.1551711

Abstract

Aims: There are no standards regarding the use and selection of grafts for calcaneal fractures in the literature. This study aims to contribute to the literature by evaluating the effects of allografts and synthetic grafts on union and functional outcomes in the treatment of calcaneal fractures.
Methods: Intraarticular calcaneal fractures treated surgically between 2011 and 2018 with a minimum follow-up of 2 years were included in the study. Patients were divided into two groups based on the type of graft used: synthetic grafts (G45S5 bioactive glass, Noraker®) or allografts. The Böhler angle and Gissane angle were measured radiologically. Functional outcomes were assessed using the American Orthopaedic Foot & Ankle Society (AOFAS) Score and Maryland Foot Score at the final follow-up.
Results: The average age in the synthetic graft group was 37.5±12.4 years, while that of the allograft group was 37.8±8.6 years. Radiographic evaluations of both groups showed some degree of collapse in the posterior facet of the talocalcaneal joint in both postoperative and 2-year follow-up images. No significant differences were found between the groups in terms of the AOFAS Score or Maryland Foot Score at the 2-year postoperative evaluation.
Conclusion: There was no significant difference in functional and radiological outcomes between synthetic and allografts in the surgical treatment of calcaneal fractures.

References

  • Zhang T, Chen W, Su Y, Wang H, Zhang Y. Does axial view still play an important role in dealing with calcaneal fractures? BMC Surg. 2015;8;15-19.
  • Sanders R. Displaced intra-articular fractures of the calcaneus. J Bone Joint Sur Am. 2000;82(2):225-250.
  • Besch L, Schmidt I, Mueller M, et al. A biomechanical evaluation to optimize the configuration of a hinged external fixator for the primary treatment of severely displaced intraarticular calcaneus fractures with soft tissue damage. J Foot Ankle Surg. 2008;47(1):26-33.
  • Rammelt S, Barthel S, Biewener A, Gavlik JM, Zwipp H. Calcaneus fractures. Open reduction and internal fixation. Zentralbl Chir. 2003;128(6):517-528.
  • Sanders R. Intra-articular fractures of the calcaneus: present state of the art. J Orthop Trauma. 1992;6(2):252-265.
  • Shibuya N, Jupiter DC. Bone graft substitute: allograft and xenograft. Clin Podiatr Med Surg. 2015;32(1):21-34.
  • Shibuya N, Jupiter DC, Clawson LD, La Fontaine J. Incorporation of bovine-based structural bone grafts used in reconstructive foot surgery. J Foot Ankle Surg. 2012;51(1):30-33.
  • Lu J, Descamps M, Dejou J, et al. The biodegradation mechanism of calcium phosphate biomaterials in bone. J Biomed Mater Res. 2002;63(4):408-412.
  • Leigheb M, Codori F, Samaila EM, et al. Current concepts about calcaneal fracture management: a review of metanalysis and systematic reviews. Appl Sci. 2023;13;12311.
  • Hoveidaei AH, Ghaseminejad-Raeini A, Esmaeili S, et al. Effectiveness of synthetic versus autologous bone grafts in foot and ankle surgery: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2024; 13:25(1):539.
  • Singh AK, Vinay K. Surgical treatment of displaced intra-articular calcaneal fractures: is bone grafting necessary? J Orthop Traumatol. 2013;14(4):299-305.
  • Yang Y, Zhao H, Zhou J, Yu G. Treatment of displaced intraarticular calcaneal fractures with or without bone grafts: a systematic review of the literature. Indian J Orthop. 2012;46(2):130-137.

Kalkaneus kırıklarının cerrahi tedavisinde kullanılan iki farklı greftin radyolojik ve fonksiyonel sonuçlara etkisi

Year 2024, Volume: 5 Issue: 5, 284 - 287, 26.10.2024
https://doi.org/10.47582/jompac.1551711

Abstract

Literatürde kalkaneus kırıklarında greft kullanımı ve kullanılan greft seçiminde bir standart yoktur. Literatüre greft tercihi hakkında katkı sağlanması ve allogreft ve sentetik greftlerin kalkaneus kırıklarında kaynama ve fonksiyonel sonuçları üzerine etkisininin değerlendirilmesi amaçlanmıştır.
Metod
2011 ve 2018 yılları arasında cerrahi olarak tedavi edilen ve en az 2 yıllık takibi olan kalkaneus eklem içi kırıkları çalışmaya dahil edildi. Hastalar kullanılan greft türüne göre iki gruba ayrıldı; sentetik greft (G45S5 Bioglass (Noraker®)), allogreft. Bohler açısı ve Gissane açısı radyolojik olarak ölçüldü Hastaların fonksiyonel sonuçlarını değerlendirmek için son kontrollerindeki AOFAS ve Maryland Foot Score’ları değerlendirildi.
Bulgular
Sentetik greft grubunda ortalama yaş 37.5±12.4, allogreft grubunda 37.8±8.6 idi. İki grupta da kendi içinde postoperatif ile postoperatif ikinci yıl radyografileri değerlendirildiğinde talokalkaneal eklemin posterior facet inde bir miktar çökme olduğu saptanmıştır. Hastaların cerrahi sonrası 2. yılda fonksiyonel olarak değerlendirildiği AOFAS ve Maryland Score sonuçlarında da iki grup arasında anlamlı fark saptanmamıştır.
Sonuç
Kalkaneus kırıklarının cerrahi tedavisinde sentetik greftler ve allogreftler arasında fonksiyonel ve radyolojik sonuçlar açısından anlamlı bir fark bulunmamıştır.

References

  • Zhang T, Chen W, Su Y, Wang H, Zhang Y. Does axial view still play an important role in dealing with calcaneal fractures? BMC Surg. 2015;8;15-19.
  • Sanders R. Displaced intra-articular fractures of the calcaneus. J Bone Joint Sur Am. 2000;82(2):225-250.
  • Besch L, Schmidt I, Mueller M, et al. A biomechanical evaluation to optimize the configuration of a hinged external fixator for the primary treatment of severely displaced intraarticular calcaneus fractures with soft tissue damage. J Foot Ankle Surg. 2008;47(1):26-33.
  • Rammelt S, Barthel S, Biewener A, Gavlik JM, Zwipp H. Calcaneus fractures. Open reduction and internal fixation. Zentralbl Chir. 2003;128(6):517-528.
  • Sanders R. Intra-articular fractures of the calcaneus: present state of the art. J Orthop Trauma. 1992;6(2):252-265.
  • Shibuya N, Jupiter DC. Bone graft substitute: allograft and xenograft. Clin Podiatr Med Surg. 2015;32(1):21-34.
  • Shibuya N, Jupiter DC, Clawson LD, La Fontaine J. Incorporation of bovine-based structural bone grafts used in reconstructive foot surgery. J Foot Ankle Surg. 2012;51(1):30-33.
  • Lu J, Descamps M, Dejou J, et al. The biodegradation mechanism of calcium phosphate biomaterials in bone. J Biomed Mater Res. 2002;63(4):408-412.
  • Leigheb M, Codori F, Samaila EM, et al. Current concepts about calcaneal fracture management: a review of metanalysis and systematic reviews. Appl Sci. 2023;13;12311.
  • Hoveidaei AH, Ghaseminejad-Raeini A, Esmaeili S, et al. Effectiveness of synthetic versus autologous bone grafts in foot and ankle surgery: a systematic review and meta-analysis. BMC Musculoskelet Disord. 2024; 13:25(1):539.
  • Singh AK, Vinay K. Surgical treatment of displaced intra-articular calcaneal fractures: is bone grafting necessary? J Orthop Traumatol. 2013;14(4):299-305.
  • Yang Y, Zhao H, Zhou J, Yu G. Treatment of displaced intraarticular calcaneal fractures with or without bone grafts: a systematic review of the literature. Indian J Orthop. 2012;46(2):130-137.
There are 12 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Research Articles [en] Araştırma Makaleleri [tr]
Authors

İbrahim Bozkurt 0000-0003-2232-3129

Mehmet Musa Emir This is me 0009-0009-3241-4826

Publication Date October 26, 2024
Submission Date September 18, 2024
Acceptance Date October 19, 2024
Published in Issue Year 2024 Volume: 5 Issue: 5

Cite

AMA Bozkurt İ, Emir MM. Effects of two different grafts on radiological and functional outcomes in the surgical treatment of calcaneus fractures. J Med Palliat Care / JOMPAC / jompac. October 2024;5(5):284-287. doi:10.47582/jompac.1551711

TR DİZİN ULAKBİM and International Indexes (1d)

Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]



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