{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T16:11:54Z","timestamp":1774109514154,"version":"3.50.1"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To assess the outcome of the sinus tarsi approach and C-Nail fixation of displaced intra-articular calcaneal fractures (DIACFs).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Prospective study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>University Trauma Department.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>Sixty-four patients (mean age 44.3 years, 48 men and 16 women) with 75 DIACFs were treated between October 1, 2016 and December 31, 2018.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>In all cases, the posterior facet was reduced through the sinus tarsi approach and fixed with one or 2 screws. After reducing all fragments to the articular block, the final fixation was performed percutaneously with C-Nail, locked with 6 screws.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>Patients were assessed for restoration of the B\u00f6hler angle, complications, and overall fracture reduction. To assess the functional outcome, we used the Mean American Orthopaedic Foot &amp; Ankle Society Ankle-Hindfoot Score and Maryland Foot Score after 12 months.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>The B\u00f6hler angle improved from \u22120.5 degrees preoperatively to 28.6 degrees postoperatively. The articular step-off was reduced from 5.4 mm preoperatively to 0.6 mm postoperatively. The postoperative radiologic calcaneal score was 2.9, on average. Superficial wound edge necrosis was seen in 3 patients (4%) and superficial infection was observed in one (1.3%). After a 1-year follow-up, we recorded a mean American Orthopaedic Foot &amp; Ankle Society Ankle-Hindfoot Score of 90.2 and a mean Maryland Foot Score of 91.2.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>After obtaining an anatomic reduction of the articular surface of the posterior facet with lag screws, the C-Nail represented a viable alternative to plate stabilization in the treatment of DIACFs, combining primary stability with low soft tissue complications.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001807","type":"journal-article","created":{"date-parts":[[2020,5,19]],"date-time":"2020-05-19T19:13:41Z","timestamp":1589915621000},"page":"e414-e419","source":"Crossref","is-referenced-by-count":7,"title":["Treatment of Displaced Intra-articular Calcaneal Fractures With an Interlocking Nail (C-Nail)"],"prefix":"10.1097","volume":"34","author":[{"given":"Bogdan","family":"Veliceasa","sequence":"first","affiliation":[{"name":"Trauma and Orthopaedics,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandru","family":"Filip","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roxana","family":"Pinzaru","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihaela","family":"Pertea","sequence":"additional","affiliation":[{"name":"Plastic Surgery, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogdan","family":"Ciuntu","sequence":"additional","affiliation":[{"name":"Surgery, Grigore T. 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