JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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

Keywords : Calcaneus fracture, allograft, synthetic graft

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1. Zhang T, Chen W, Su Y, Wang H, Zhang Y. Does axial view still play an important role in dealing with calcaneal fractures? <em>BMC Surg.</em> 2015;8;15-19.
2. Sanders R. Displaced intra-articular fractures of the calcaneus. <em>J Bone Joint Sur Am.</em> 2000;82(2):225-250.
3. 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. <em>J Foot Ankle Surg.</em> 2008;47(1):26-33.
4. Rammelt S, Barthel S, Biewener A, Gavlik JM, Zwipp H. Calcaneus fractures. Open reduction and internal fixation. <em>Zentralbl Chir</em>. 2003;128(6):517-528.
5. Sanders R. Intra-articular fractures of the calcaneus: present state of the art. <em>J Orthop Trauma.</em> 1992;6(2):252-265.
6. Shibuya N, Jupiter DC. Bone graft substitute: allograft and xenograft. <em>Clin Podiatr Med Surg.</em> 2015;32(1):21-34.
7. Shibuya N, Jupiter DC, Clawson LD, La Fontaine J. Incorporation of bovine-based structural bone grafts used in reconstructive foot surgery. <em>J Foot Ankle Surg.</em> 2012;51(1):30-33.
8. Lu J, Descamps M, Dejou J, et al. The biodegradation mechanism of calcium phosphate biomaterials in bone. <em>J Biomed Mater Res.</em> 2002;63(4):408-412.
9. Leigheb M, Codori F, Samaila EM, et al. Current concepts about calcaneal fracture management: a review of metanalysis and systematic reviews. <em>Appl Sci.</em> 2023;13;12311.
10. 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. <em>BMC Musculoskelet Disord.</em> 2024; 13:25(1):539.
11. Singh AK, Vinay K. Surgical treatment of displaced intra-articular calcaneal fractures: is bone grafting necessary? <em>J Orthop Traumatol.</em> 2013;14(4):299-305.
12. 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. <em>Indian J Orthop.</em> 2012;46(2):130-137.
Article available in :
Volume 5, Issue 5, 2024
Page : 284-287
https://doi.org/10.47582/jompac.1551711
Article Information
Received : 18 Eyl 2024
Accepted : 19 Eki 2024
Published : 26 Eki 2024
Corresponding Author :

İbrahim Bozkurt: Department of Orthopaedics and Traumatology, Ankara City Hospital, Ankara, Turkiye

[email protected]
Citation : 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. 2024;5(5):284-287.

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