Surgical experience as a decisive factor for the outcome of calcaneal fractures using locking compression plate: results
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TRAUMA SURGERY
Surgical experience as a decisive factor for the outcome of calcaneal fractures using locking compression plate: results of 3 years Sebastian Fischer1 · Magalie Meinert2 · Oliver Neun1 · Christian Colcuc3 · Yves Gramlich2 · Reinhard Hoffmann2 · Sebastian Manegold1 Received: 26 May 2020 / Accepted: 15 October 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Introduction Calcaneal fractures account for 60–75% of all tarsal fractures and represent surgical challenges because of their frequency and complexity. Despite standardized procedures and new implants, literature reports high revision rates and unsatisfactory results. The study aims to describe the role of the surgeon with respect to the clinical outcome. Methods Between 2014 and 2017, 94 calcaneal fractures (all type AO C1-3) were re-examined in 86 patients (67 male and 19 female; mean age: 51 years). The treatment was always carried out by means of locking compression plate via the extensile lateral approach. A comparison was made between treatment by an experienced (ES) and less experienced surgeon (LES). Annually, the ES performed at least 30 procedures for calcaneus fracture treatment as compared to
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