{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:38:01Z","timestamp":1787841481074,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Most displaced intra-articular calcaneus fractures need to be treated surgically but postoperative soft tissue complications limit to achieve of optimal functional outcomes. Certain mini-invasive techniques lead to better soft tissue healing but anatomical reduction gets compromised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We aim to evaluate the results of lateral wall de-roofing of the calcaneum to achieve good anatomical reduction as well as to minimise soft tissue complications in the internal fixation of calcaneal fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Thirty-two patients (40 ft) with displaced intra-articular calcaneus fractures (10 were of Sanders type II, 16 were of type III, and 14 were of type IV) were treated between January 2018 and September 2021. All patients were managed surgically with open reduction and internal fixation using lateral extensile approach combined with de-roofing of the lateral wall. All patients were followed up for \u22651 year using functional parameters American Orthopaedic Foot and Ankle Score (AOFAS), visual analogue scale (VAS) and radiological parameters (Bohler angle, Gissane angle, height of the calcaneus, width of the calcaneus and pitch of calcaneus).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of 32 patients, one patient lost to follow-up. At 1 year follow-up, mean AOFAS hindfoot score was 86.2\u2009\u00b1\u20095 (Sanders type II: 91.2, Sanders type III: 87.6, and Sanders type III: 81.4), mean VAS score was 91.3\u2009\u00b1\u20092.1, mean Bohler angle (\u00b0) was 27.2\u2009\u00b1\u20094.7, mean Gissane angle (\u00b0) was 136.4\u2009\u00b1\u20095.2, mean calcaneus height was 46.2\u2009\u00b1\u20092.1\u2009mm and mean calcaneus width was 45.1\u2009\u00b1\u20093.2\u2009mm. Patients with decreased Bohler angle between postoperative images and follow-up had lower AOFAS hindfoot scores. Complications included persistent swelling (64.10%), stiffness (33.33%), superficial infections (5.12%), and wound dehiscence (10.25%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Lateral wall de-roofing is a useful technique which allows the lateral wall to get flattened reducing soft tissue complications and providing bone graft as well. This approach also adequately exposes fracture fragments, subtalar and calcaneocuboid joints for good anatomical reduction. Hence, it can act as a useful adjunct in the internal fixation of intra-articular calcaneus fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>III<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_161_23","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T03:00:39Z","timestamp":1721444439000},"page":"384-391","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The Impact of De-Roofing of Lateral Calcaneal wall in Open Reduction and Internal Fixation of Intra-Articular Fractures: Clinico-Radiological Outcomes of a Novel Technique and Review of Literature"],"prefix":"10.4103","volume":"14","author":[{"given":"Mohit","family":"Bansal","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Dr SN Medical College Jodhpur, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirottam","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr SN Medical College Jodhpur, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr SN Medical College Jodhpur, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Siwach","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr SN Medical College Jodhpur, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukesh Kumar","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr SN Medical College Jodhpur, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishore","family":"Raichandani","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr SN Medical College Jodhpur, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,18]]},"reference":[{"key":"CIT0002-20240907","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/00003086-199305000-00007","article-title":"Intraarticular calcaneus fractures, results of closed treatment","volume":"290","author":"Crosby","year":"1993","journal-title":"Clin Orthop Relat Res"},{"key":"CIT0003-20240907","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.2106\/00004623-199410000-00013","article-title":"Displaced intra-articular fractures of the calcaneus treated non-operatively clinical results and analysis of motion and ground-reaction and temporal 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A systematic review of the literature","volume":"90","author":"Poeze","year":"2008","journal-title":"J. Bon Joint Surg Am"},{"key":"CIT0013-20240907","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1097\/00003086-199305000-00012","article-title":"Operative treatment in 120 displaced intraarticular calcaneus fractures results using a prognostic computed tomography scan classification","volume":"290","author":"Sanders","year":"1993","journal-title":"Clin Orthop Relat Res"},{"key":"CIT0014-20240907","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1097\/00005131-199206000-00022","article-title":"Intra-articular fractures of the calcaneus: Present state of the art","volume":"6","author":"Sanders","year":"1992","journal-title":"J Orthop Trauma"},{"key":"CIT0015-20240907","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/s12891-015-0519-0","article-title":"Comparison of two surgical approaches for displaced intra-articular calcaneus fractures: Sinus tarsi versus extensile lateral approach","volume":"16","author":"Yeo","year":"2015","journal-title":"BMC Musculoskelet Disord"},{"key":"CIT0016-20240907","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1186\/s12891-021-04088-w","article-title":"Outcome of intra-articular calcaneus fracture: Surgical treatment of 114 consecutive cases at a maximum care trauma center","volume":"22","author":"Schindler","year":"2021","journal-title":"BMC Musculoskelet Disord"},{"key":"CIT0017-20240907","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1097\/MD.0000000000010175","article-title":"Clinical application of the sinus tarsi approach in the treatment of intra-articular calcaneus fracture","volume":"97","author":"Meng","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"CIT0018-20240907","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.injury.2003.10.006","article-title":"Calcaneus fracture: Facts, controversies and recent developments","volume":"35","author":"Rammelt","year":"2004","journal-title":"Injury"},{"key":"CIT0019-20240907","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/1471-2482-13-40","article-title":"Boehler\u2019s angle\u2019s role in assessing the injury severity and functional outcome of internal fixation for displaced intra-articular fractures: A retrospective study","volume":"13","author":"Su","year":"2013","journal-title":"BMC Surg"},{"key":"CIT0020-20240907","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1053\/j.jfas.2009.08.001","article-title":"Operative versus non-operative treatment of displaced intra-articular calcaneus fractures in elderly patients","volume":"49","author":"Basile","year":"2010","journal-title":"J Foot Ankle Surg"},{"key":"CIT0021-20240907","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1177\/1071100716674695","article-title":"Proximity of the lateral calcaneus artery with a modified extensile lateral approach compared to standard extensile approach","volume":"38","author":"Kwon","year":"2017","journal-title":"Foot Ankle Int"},{"key":"CIT0023-20240907","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1002\/ca.20840","article-title":"The lateral calcaneus artery: Anatomic basis for planning safe surgical approaches","volume":"22","author":"Elsaidy","year":"2009","journal-title":"Clin Anat"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_161_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:56:46Z","timestamp":1787839006000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_161_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,18]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_161_23","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,18]]},"assertion":[{"value":"2023-09-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}