Enhancing surgical safety in lateral calcaneal plating: a cadaveric study on screw placement and fluoroscopic optimisation

This study identifies Zone 4 (subchondral zone) as the highest-risk area for neurovascular injury in lateral calcaneal plating and highlights the importance of screw length selection, particularly reconsidering screws exceeding 40 mm, and optimal fluoroscopic visualisation of medial high-risk zones. These findings are crucial for enhancing intraoperative safety in calcaneal fracture fixation.

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Publication Details

Journal
Journal of Orthopaedic Surgery and Research
Published
2025-07-19
DOI
https://doi.org/10.1186/s13018-025-06086-3
Primary Topic
Foot and Ankle Surgery
Type
article
Field-Weighted Citation Impact
0.00
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article

Enhancing surgical safety in lateral calcaneal plating: a cadaveric study on screw placement and fluoroscopic optimisation

Merve Dursun Savran, Ercan Şahin, Mahmut Kalem, Mehmet Yılmaz et al.
Journal of Orthopaedic Surgery and Research
Foot and Ankle Surgery
article

Enhancing surgical safety in lateral calcaneal plating: a cadaveric study on screw placement and fluoroscopic optimisation

Merve Dursun Savran, Ercan Şahin, Mahmut Kalem, Mehmet Yılmaz, Hali̇l İbrahi̇m Açar
article en

Abstract

This study identifies Zone 4 (subchondral zone) as the highest-risk area for neurovascular injury in lateral calcaneal plating and highlights the importance of screw length selection, particularly reconsidering screws exceeding 40 mm, and optimal fluoroscopic visualisation of medial high-risk zones. These findings are crucial for enhancing intraoperative safety in calcaneal fracture fixation.

Journal of Orthopaedic Surgery and ResearchVol. 20(1)
Ankara University (TR), Zonguldak Bülent Ecevit University (TR), Hacettepe University Hospital (TR), Hacettepe University (TR)
Openalex Percentile: Top 77%
Foot and Ankle Surgery
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