{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T20:59:21Z","timestamp":1790283561991,"version":"4.1.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T00:00:00Z","timestamp":1726617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T00:00:00Z","timestamp":1726617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Plates and screws are frequently used for the fixation of displaced intra-articular calcaneus fracture (DIACF). In this study, we compared the outcomes of a modified screw fixation technique with plate fixation via a sinus tarsi approach (STA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A series of 187 DIACF patients who were treated via an STA using a plate fixation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200981) or a screw fixation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009106) were included. Screw fixation was done with two 2.7\u00a0mm screws and two 6.5\u00a0mm cannulated screws. Outcomes were evaluated radiographically and clinically. Clinical evaluations included pain assessment by Visual Analogue Scale (VAS) and functional assessment by the American Orthopaedic Foot and Ankle Society (AOFAS) questionnaire and Foot Function Index (FFI).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean final VAS was smaller in the screw group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01). The mean AOFAS and FFI scores were not significantly different between the two groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.17 and\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090. 19, respectively). The mean improvement of Bohler\u2019s angle, but not the Gissane\u2019s angle, was significantly greater in the screw group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.014 and\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.09, respectively). The mean improvement of calcaneal length and height were not significantly different between the two groups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.78 and\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.22, respectively). The hardware removal rate was 14.8% in the plate group and 3.8% in the screw group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.007).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The modified screw fixation method provides lower pain, better radiographic outcome, and lower rate of hardware removal compared to plate fixation in the treatment of DIACF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12891-024-07873-5","type":"journal-article","created":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T18:45:48Z","timestamp":1726771548000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["A simple modified technique for screw fixation of displaced intra-articular calcaneus fracture through a sinus tarsi approach: a comparison with plate fixation"],"prefix":"10.1186","volume":"25","author":[{"given":"Mohammad Reza","family":"Bahaeddini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arian Rahimi","family":"Konjkav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Aminian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pouria","family":"Tabrizian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajad Noori","family":"Gravand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shayan","family":"Amiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Sadegh","family":"Mirjalily","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5003-0118","authenticated-orcid":false,"given":"Hamed","family":"Tayyebi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farid Najd","family":"Mazhar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,18]]},"reference":[{"issue":"3","key":"7873_CR1","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1007\/s12306-011-0114-y","volume":"95","author":"MS Dhillon","year":"2011","unstructured":"Dhillon MS, Bali K, Prabhakar S. Controversies in calcaneus fracture management: a systematic review of the literature. Musculoskelet surg. 2011;95(3):171\u201381.","journal-title":"Musculoskelet surg"},{"issue":"4","key":"7873_CR2","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1053\/j.jfas.2013.04.002","volume":"52","author":"ES Veltman","year":"2013","unstructured":"Veltman ES, Doornberg JN, Stufkens SA, Luitse JS, van den Bekerom MP. Long-term outcomes of 1,730 calcaneal fractures: systematic review of the literature. J Foot Ankle Surg. 2013;52(4):486\u201390.","journal-title":"J Foot Ankle Surg"},{"issue":"2","key":"7873_CR3","doi-asserted-by":"publisher","first-page":"225","DOI":"10.2106\/00004623-200002000-00009","volume":"82","author":"R Sanders","year":"2000","unstructured":"Sanders R. Displaced intra-articular fractures of the calcaneus. 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All procedures were performed in accordance with the ethical principles of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All patients provided comprehensive written informed consent to use their medical data anonymously for publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"750"}}