{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:49:33Z","timestamp":1747187373495,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Heel fractures need extensive surgical incisions and are challenging to successfully reposition using traditional prying. The goal of this study is to evaluate the clinical effectiveness of using a Kirschner pin\u2010guided distractor to treat inversion shortening calcaneal fractures in the \u201cout\u2010in\u201d position.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 40 data from 37 patients with inversion shortened calcaneal fractures from January 2018 to March 2020 were reviewed. Preoperative lateral and axial X\u2010rays and 3D CT were taken to assess the fracture type, and minimally invasive internal fixation was performed in the \u201cout\u2010in\u201d position with distractor repositioning, and intraoperative and postoperative images were taken to assess fracture repositioning and fixation. During the follow\u2010up period, the postoperative functional recovery status was assessed using the VAS score, AOFAS score, and FAOS score. Paired\u2010samples t\u2010test was used for all data comparisons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All cases received a mean follow\u2010up of 28.49\u2009\u00b1\u20093.25\u2009months, and the mean fracture healing time was 7.84\u2009\u00b1\u20090.71\u2009weeks. The postoperative images showed well\u2010fixed fracture repositioning, and calcaneal height, length, width, and inversion angles were significantly improved. At the final follow\u2010up, the calcaneal height, length, and width recovered from 39.35\u2009\u00b1\u20094.44mm, 79.35\u2009\u00b1\u20092.7mm, and 45.75\u2009\u00b1\u20092.87mm preoperatively to 50.93\u2009\u00b1\u20093.18mm, 82.23\u2009\u00b1\u20091.90mm, and 39.67\u2009\u00b1\u20091.58mm postoperatively (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The calcaneus inversion angle restored from 7.73\u00b0\u2009\u00b1\u20092.26\u00b0 to 3.80\u00b0\u2009\u00b1\u20091.80\u00b0 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). B\u00f6hler's angle and Gissane's angle improved from 13.13\u00b0\u2009\u00b1\u20093.02\u00b0 and 105.15\u00b0\u2009\u00b1\u20098.94\u00b0 to 27.95\u00b0\u2009\u00b1\u20093.41\u00b0 and 122.85\u00b0\u2009\u00b1\u20095.54\u00b0 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). No non\u2010healing fractures, osteomyelitis, or traumatic arthritis were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Minimally invasive internal fixation with distractor repositioning in the \u201cout\u2010in\u201d position is effective in the treatment of inversion shortening calcaneal fractures while restoring the anatomy and protecting the soft tissue.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13867","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T03:19:59Z","timestamp":1697080799000},"page":"263-268","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimally Invasive Treatment of Inversion Shortening Calcaneal Fractures in the \u201c<scp>Out\u2010In<\/scp>\u201d Position"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9801-3293","authenticated-orcid":false,"given":"Xu\u2010Song","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopaedics &amp; Traumatology Zhongshan Hospital of Traditional Chinese Medicine (Zhongshan Traditional Chinese Medicine Hospital)  Zhongshan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8195-5842","authenticated-orcid":false,"given":"Lin","family":"Ye","sequence":"additional","affiliation":[{"name":"Grade 2021 Graduate Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine  Zhongshan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun\u2010Le","family":"Wu","sequence":"additional","affiliation":[{"name":"Graduate school Guangzhou University of Chinese Medicine  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1751-4409","authenticated-orcid":false,"given":"Li\u2010Ben","family":"Huang","sequence":"additional","affiliation":[{"name":"Graduate school Guangzhou University of Chinese Medicine  Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1982-6641","authenticated-orcid":false,"given":"Jie\u2010Feng","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics &amp; Traumatology The First Affiliated Hospital of Zhejiang Chinese Medical University  Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-019-00635-w"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198307000-00014"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2020.105143"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.12.003"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199307000-00015"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70192-9"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12597"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03762-9"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2016.08.234"},{"key":"e_1_2_9_11_1","first-page":"87","article-title":"Operative treatment in 120 displaced intraarticular calcaneal fractures. 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