{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:52:51Z","timestamp":1789141971152,"version":"build-2803163510"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Surgical management of calcaneal tuberosity fractures is challenging, as patient outcomes can be compromised by skin flap necrosis and implant failure. We propose a technique utilizing a prefabricated L-shaped hook plate, which represents an innovative clinical orthopedic surgical approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective study, patients with Beavis type II calcaneal tuberosity fractures underwent internal fixation using a preformed \u201cL-shape\u201d hook plate (2015\u20132020). Data on operative time, complications, and healing time were recorded. Functional outcomes were evaluated using the Ankle Society Ankle-Hindfoot (AOFAS-AH) and Visual Analog Scale (VAS) pain scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study included 15 patients (6 females\/9 males; mean age 52.9\u2009\u00b1\u200911.2 years) with calcaneal tuberosity fractures who underwent internal fixation with a preformed \u201cL-shape\u201d hook plate. At a mean follow-up of 17.1\u2009\u00b1\u20096.0 months, no postoperative complications\u2014including wound issues, infection, nerve injury, or fixation failure\u2014were observed in any patient. All 15 cases achieved clinical healing at an average of 10.5 weeks (range: 8\u201313). Functional outcomes improved significantly, with the AOFAS-AH score increasing from 24.0\u2009\u00b1\u20099.9 preoperatively to 93.8\u2009\u00b1\u20095.2 postoperatively, and the VAS score decreasing from 5.7\u2009\u00b1\u20090.6 to 1.3\u2009\u00b1\u20090.5 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001 for both).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Emergency open reduction and internal fixation is recommended for calcaneal avulsion fractures to prevent flap necrosis. For Beavis type II fractures, the preformed L-shaped hook plate represents a novel and promising alternative, demonstrating favorable early clinical outcomes in this initial series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1745665","type":"journal-article","created":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T06:55:48Z","timestamp":1772693748000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Fixation for calcaneal tuberosity fracture (beak fracture) using preformed \u201cL-shape\u201d hook plate"],"prefix":"10.3389","volume":"13","author":[{"given":"Qiang","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Foot and Ankle, Sichuan Provincial Orthopedics Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Huang","sequence":"additional","affiliation":[{"name":"Science and Technology Innovation Center, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zongde","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle, Sichuan Provincial Orthopedics Hospital","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e422","DOI":"10.1097\/BOT.0000000000001582","article-title":"Calcaneal avulsion fractures: a multicenter analysis of soft-tissue compromise and early fixation failure","volume":"33","author":"Mitchell","year":"2019","journal-title":"J Orthop Trauma"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.1007\/s00402-007-0517-2","article-title":"Demographics of extra-articular calcaneal fractures: including a review of the literature on treatment and outcome","volume":"128","author":"Schepers","year":"2008","journal-title":"Arch Orthop Trauma Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"134","DOI":"10.4055\/cios.2012.4.2.134","article-title":"Avulsion fracture of the calcaneal tuberosity: classification and its characteristics","volume":"4","author":"Lee","year":"2012","journal-title":"Clin Orthop Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"111207","DOI":"10.1016\/j.injury.2023.111207","article-title":"Calcaneal tuberosity avulsion fractures - 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