{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T16:23:14Z","timestamp":1793118194536,"version":"4.5.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T00:00:00Z","timestamp":1479254400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Extensile open approaches to reduce and fix intra-articular calcaneal fractures are associated with high levels of wound complications. To avoid these complications, a technique of percutaneous reduction and fixation with screws alone was developed. This study assessed the clinical outcomes, radiographs, and postoperative CT scans after operative treatment with this technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>153 consecutive patients with 182 intra-articular calcaneal fractures were reviewed. All patients were assessed for early postoperative complications at 3 months from the injury. The clinical results were assessed for patients seen at a minimum of 1 year after surgery (mean follow-up of 2.6 years; 90 patients, 106 feet). In patients who had both preoperative and postoperative CT scans (50 patients, 60 feet), the articular reduction was quantitatively analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At the 3-month follow-up, there were 1% superficial infections and 1% rate of screw irritation. The complications at a minimum of 1 year after injury included screw irritation 9.3%, subtalar osteoarthritis requiring subtalar fusion 5.5%, malunion 1.8%, and deep infection 0.9%. Bohler angle, calcaneal facet height, and width were significantly improved postoperatively ( P &lt; .01). Bohler angle increased on average +24.1 degrees postoperatively with a loss of angle of 4.9 degrees at the 3-month follow-up. There was significant improvement ( P &lt; .01) in posterior talocalcaneal joint reduction on postoperative CT scan but residual displacement remained. At the final follow-up, 54.5% of the patients reported a residual pain level of 3 or lower.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study suggests that reasonable early results could be achieved from the percutaneous treatment of intra-articular calcaneal fractures using screws alone based on articular reduction and level of residual pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100716679160","type":"journal-article","created":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T20:35:21Z","timestamp":1479328521000},"page":"367-374","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":37,"title":["Percutaneous Reduction and Screw Fixation of Displaced Intra-articular Fractures of the Calcaneus"],"prefix":"10.1177","volume":"38","author":[{"given":"Saran","family":"Tantavisut","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phinit","family":"Phisitkul","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian O.","family":"Westerlind","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yubo","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew D.","family":"Karam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John L.","family":"Marsh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City, IA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,11,16]]},"reference":[{"key":"bibr1-1071100716679160","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801901211"},{"key":"bibr2-1071100716679160","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-2235-4"},{"key":"bibr3-1071100716679160","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0979"},{"key":"bibr4-1071100716679160","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181defd74"},{"key":"bibr5-1071100716679160","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-002-0397-4"},{"key":"bibr6-1071100716679160","first-page":"202","volume":"33","author":"Haugsdal J","year":"2013","journal-title":"Iowa Orthop J"},{"key":"bibr7-1071100716679160","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.10.045"},{"key":"bibr8-1071100716679160","doi-asserted-by":"publisher","DOI":"10.2307\/30148464"},{"key":"bibr9-1071100716679160","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713477607"},{"key":"bibr10-1071100716679160","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(01)00061-4"},{"key":"bibr11-1071100716679160","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200110000-00003"},{"key":"bibr12-1071100716679160","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199911000-00007"},{"key":"bibr13-1071100716679160","doi-asserted-by":"crossref","unstructured":"Marsh JL, Boyer JS, Sullivan J, Phisitkul P, Karam, MD. 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